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Impact of point-of-care panel tests in ambulatory care: A systematic review and meta-analysis

BMJ Open Mar 04, 2020

Goyder C, Tan PS, Verbakel J, et al. - A systematic review and meta-analysis were conducted to analyze the impact of introducing blood-based point-of-care panel testing (POCT) in ambulatory care on individual outcomes and healthcare processes. This review enrolled a total of 19,562 individuals from nine studies, eight of these were randomized controlled trials, and one was a before-after study. Researchers carried out to search Ovid Medline, Embase, Cochrane Database of Systematic Reviews, Cochrane CENTRAL, Database of Abstracts of Reviews and Effects, Science Citation Index from inception to 22 October 2019. The primary endpoint included the time to decision regarding disposition that is, admission/referral termed disposition decision (DD) time. Length of stay (LOS) at the ambulatory care unit/practice and mortality were considered secondary endpoints. The outcomes of this study indicated that POCTs might lead to faster discharge decisions, although statistical and clinical heterogeneity is apparent and only a small number of studies were included in the meta-analysis.
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