Table 1.
Study | Setting | Device (manufacturer) | Tests performed | Participant characteristics | Sample size |
Parvin et al 27* | ED USA | i-STAT (i-STAT Corp, Princeton, NJ) | Sodium, potassium, chloride, blood urea nitrogen, glucose, haematocrit, haemoglobin | Patients presenting to the ED between Dec 1994 and Jan 1995 (control period 1), Feb and April 1995 (intervention period) and April 1995 (control period 2) and who had blood tests done that were available on the i-STAT. Only 5.3% of patients had no other central laboratory testing performed in addition to i-STAT | 2067 |
Kendall et al 22 | ED UK |
i-STAT (Abbott) two cartridges evaluated |
Sodium, potassium, chloride, urea, glucose, packed cell volume (PCV), calculates Hb from PCV pH, partial pressure carbon dioxide (ppCO2), partial pressure oxygen (ppO2), bicarbonate, total CO2, base excess, oxygen saturation | Representative sample of adult ED patients who needed blood tests. No exclusion criteria. |
1728 |
Murray et al 25 | ED Canada |
NOVA 16 CRT Spectral Cardiac STATus Test Kit (Nova Biomedical) |
Creatinine, sodium, potassium, chloride, total CO2, glucose, blood urea nitrogen, haematocrit, qualitative creatine kinase MB isoenzyme (CK-MB), and myoglobin | Adult ED patients, all patients seen in ED randomised but only those patients whose blood work fell entirely within capabilities of POCT were selected. | 180 |
Hsiao et al 19 | Tertiary paediatric ED USA |
i-STAT (Abbott) | Sodium, potassium, chloride, bicarbonate, glucose, blood urea nitrogen, creatinine, ionised calcium, haematocrit, basic blood gas analysis | Paediatric ED patients aged under 21 years old whose blood work fell entirely within capabilities of POCT. Critically ill patients excluded. | 239 |
Lee et al 23 | Multicentre: 5 EDs South Korea |
Piccolo xpress (Abbott) Piccolo Metabolic Reagent Discs |
Protein, albumin, alk phos, alanine aminotransferase, aspartate aminotransferase, nitrogen, calcium, cr, glucose, potassium, sodium, bilirubin, total CO2 | ED patients aged 15 years and older clinically required to have chemistry laboratory tests. | 2323 |
Illahi et al 26 | ED UK |
Xpand Plus analyser (Siemens) XS 1000 analyser (Sysmex) |
Albumin, Alkaline phosphatase, Amylase, Bilirubin, Calcium, Creatinine, CRP, glucose, paracetamol, phosphate, potassium, sodium, urea, FBC, WBC and differential | Adult ED patients. Some samples then underwent further testing in the central laboratory if required tests were not available from POCT device. | 47 |
Jang et al 24 | ED Korea |
Piccolo xpress (Abbott) Piccolo metabolic reagent discs |
Total protein, albumin, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, urea, nitrogen, calcium, chloride, creatinine, glucose, potassium, sodium, total bilirubin and total carbon dioxide | ED patients aged 15 years and older whose physicians ordered a comprehensive metabolic panel. Critically ill patients excluded. |
10 244 |
Goodacre21† | Multicentre 6 EDs UK | Stratus CS (Siemens) cardiac analyser panel | CK, myocardial type, myoglobin, troponin 1 | Adult ED patients with chest pain. Several exclusion criteria applied including patients with ECG changes consistent with myocardial infarction/high risk acute coronary syndrome, confirmed or suspected serious non-coronary pathology. | 2243 |
Ezekowitz et al 20† | Ambulance service Canada (Out of hospital) |
Cardio2 panel (Alere) | Troponin and B-type natriuretic peptide | Adults>18 years of age who activated emergency medical services for acute chest discomfort or dyspnoea for which acute cardiovascular disease was deemed to be the most probable diagnosis. Patients excluded if ST-elevation on ECG and non-cardiovascular cause suspected / recurrent dyspnoea. | 491 |
*All studies were RCTs except from Parvin 1996(26) which was a before-after study design.
†Assessed cardiac panels.
ED, emergency department; POCT, point-of-care panel testing.