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Impact of Early Urine Specimen Collection on Emergency Department Time to Disposition: A Randomized Controlled Trial
Background Diagnostic testing in the ED increases the length of stay (LOS). Urinalysis testing is highlighted specifically as a source of delays. We aim to determine whether a triage-initiated urine specimen collection process decreases ED time to disposition (TTD) in ambulatory patients with abdomi...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Cureus
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7567408/ https://www.ncbi.nlm.nih.gov/pubmed/33083194 http://dx.doi.org/10.7759/cureus.10495 |
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author | Bahl, Amit Jamali, Ameen M Ramesh, Gautam |
author_facet | Bahl, Amit Jamali, Ameen M Ramesh, Gautam |
author_sort | Bahl, Amit |
collection | PubMed |
description | Background Diagnostic testing in the ED increases the length of stay (LOS). Urinalysis testing is highlighted specifically as a source of delays. We aim to determine whether a triage-initiated urine specimen collection process decreases ED time to disposition (TTD) in ambulatory patients with abdominal pain. Methods This prospective, randomized controlled study was implemented at a Suburban Level One trauma ED with greater than 120,000 annual visits. A convenience sample of patients was recruited. Adult, non-ambulance patients presenting with abdominal pain were eligible. Participants were randomized into experimental and control groups. Patients in the control group provided a urine sample after physician evaluation, if ordered by the provider. Patients in the experimental group were prompted to provide a urine sample in the triage restrooms immediately after screening at the greeter desk. The UA sample was transported to the treatment area and sent to the laboratory after physician evaluation. Results A total of 125 control patients and 124 experimental patients were enrolled. Forty-two patients were excluded because they were unable to provide a urine sample. Patients who had a urinalysis ordered were included in statistical analysis. Final data set included 65 patients in the experimental group and 96 patients in the control group. No significant difference (p=0.5072) in disposition time between subjects in the experimental group (n=65, mean=5:17 [hours:min]) and subjects in the control group (n=96, mean=5:30) was found. Conclusions The triage protocol for urine specimen collection did not significantly reduce ED TTD. Further research in overcrowded EDs with long patient waiting room times may benefit from implementing a triage protocol for urine specimen collection. |
format | Online Article Text |
id | pubmed-7567408 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-75674082020-10-19 Impact of Early Urine Specimen Collection on Emergency Department Time to Disposition: A Randomized Controlled Trial Bahl, Amit Jamali, Ameen M Ramesh, Gautam Cureus Emergency Medicine Background Diagnostic testing in the ED increases the length of stay (LOS). Urinalysis testing is highlighted specifically as a source of delays. We aim to determine whether a triage-initiated urine specimen collection process decreases ED time to disposition (TTD) in ambulatory patients with abdominal pain. Methods This prospective, randomized controlled study was implemented at a Suburban Level One trauma ED with greater than 120,000 annual visits. A convenience sample of patients was recruited. Adult, non-ambulance patients presenting with abdominal pain were eligible. Participants were randomized into experimental and control groups. Patients in the control group provided a urine sample after physician evaluation, if ordered by the provider. Patients in the experimental group were prompted to provide a urine sample in the triage restrooms immediately after screening at the greeter desk. The UA sample was transported to the treatment area and sent to the laboratory after physician evaluation. Results A total of 125 control patients and 124 experimental patients were enrolled. Forty-two patients were excluded because they were unable to provide a urine sample. Patients who had a urinalysis ordered were included in statistical analysis. Final data set included 65 patients in the experimental group and 96 patients in the control group. No significant difference (p=0.5072) in disposition time between subjects in the experimental group (n=65, mean=5:17 [hours:min]) and subjects in the control group (n=96, mean=5:30) was found. Conclusions The triage protocol for urine specimen collection did not significantly reduce ED TTD. Further research in overcrowded EDs with long patient waiting room times may benefit from implementing a triage protocol for urine specimen collection. Cureus 2020-09-16 /pmc/articles/PMC7567408/ /pubmed/33083194 http://dx.doi.org/10.7759/cureus.10495 Text en Copyright © 2020, Bahl et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Emergency Medicine Bahl, Amit Jamali, Ameen M Ramesh, Gautam Impact of Early Urine Specimen Collection on Emergency Department Time to Disposition: A Randomized Controlled Trial |
title | Impact of Early Urine Specimen Collection on Emergency Department Time to Disposition: A Randomized Controlled Trial |
title_full | Impact of Early Urine Specimen Collection on Emergency Department Time to Disposition: A Randomized Controlled Trial |
title_fullStr | Impact of Early Urine Specimen Collection on Emergency Department Time to Disposition: A Randomized Controlled Trial |
title_full_unstemmed | Impact of Early Urine Specimen Collection on Emergency Department Time to Disposition: A Randomized Controlled Trial |
title_short | Impact of Early Urine Specimen Collection on Emergency Department Time to Disposition: A Randomized Controlled Trial |
title_sort | impact of early urine specimen collection on emergency department time to disposition: a randomized controlled trial |
topic | Emergency Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7567408/ https://www.ncbi.nlm.nih.gov/pubmed/33083194 http://dx.doi.org/10.7759/cureus.10495 |
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