Point Of Care Tests in General Practice: do they improve diagnosis and referral of the critically ill patient with chest pain or dyspnea?Terug naar alle onderzoek rond Diagnostiek »

Onderzoekers

  • Walter Renier

Supervisor/Promotor

  • Frank Buntinx

Abstract

During emergencies, general practitioners (GP) make decisions based on history taking, signs and symptoms, using simple devices. We hypothesize that the diagnostic accuracy can be improved by point of care tests (POCT). The objectives are to improve GP-related steps in the chain of medical assistance for patients in emergencies by improving the diagnostic approach and referral decisions by diminishing false positive referrals. Better monitoring and transfer of the accumulated information to the next steps in the chain will enhance information to the incoming EMS physician and patient outcome. The biologic parameters to explore are D-Dimers, Troponine, BNP, CRP and H-FABP. For the first four we will conduct a preliminary study to observe the use of these bedside tests and the impact on decision making. Secondly a pilot study to observe the use of these bedside tests and the impact on decision making and also to validate the tests by comparing the results of the POCT’s with the results of a blood sample tested in a clinical laboratory. Finally a prospective study in the field with the same observational items. The long term target of these studies is to develop models for association between the parameters and to formulate proposals and guidelines for GPs in emergency situations.