RT Journal Article
SR Electronic
T1 Impact of Point of Care Hemoglobin A1c Testing on Time to Therapeutic Intervention
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 790
OP 791
DO 10.3122/jabfm.2023.230425R1
VO 37
IS 4
A1 Goodhart, Angela
A1 Johnson, Heather
A1 Bodkins, Erika
A1 Samek, Kelsey
YR 2024
UL http://www.jabfm.org/content/37/4/790.abstract
AB Without compromising accuracy, point of care testing (POCT) provides immediate results at the time of in person patient consultation. The purpose of this study was to evaluate time until therapeutic intervention with POCT HbA1c versus venipuncture, where venipuncture was considered standard of care.The primary outcome was time (hours) to implementation of a therapeutic intervention based on POCT HbA1c result, as compared with most recent venipuncture HbA1c before the study and its associated therapeutic intervention. A total of 94 POCT HbA1c tests were included in the primary analysis.For the POCT HbA1c, the mean time to therapeutic intervention was 1.6 ± 3.14 hours. For the previous venipuncture HbA1c, the mean time to therapeutic intervention was 1376.66 ± 3356.6 hours (P < .001). Overall, this trial showed that POCT HbA1c results in a significantly faster time to therapeutic intervention than venipuncture in a primary care clinic that serves a rural population.