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. 2020 Feb 27;10(2):e032132. doi: 10.1136/bmjopen-2019-032132

Table 1.

Characteristics of included studies, setting, device, tests performed, patient characteristics and sample size

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.