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Fig. 3 | BMC Geriatrics

Fig. 3

From: Improving diagnostics using extended point-of-care testing during in-home assessments of older adults with signs of emerging acute disease: a prospective observational non-randomised pilot and feasibility study

Fig. 3

Potential clinical impact of extended point-of-care testing. Extended point-of-care testings’ potential for clinical impact by identifying additional participants with conditions in need of clinical decision-making compared to usual in-home assessments. A ACNs identified 48 out of 100 participants in need of clinical decision-making by a primary care physician. Extended POCT identified additional 34 participants with a condition in need of clinical decision-making, not identified by the usual in-home assessment. Each specific POCT is illustrated in B, C, D, except for PCR for upper respiratory tract infection and urine flow-cytometry, as results did not change clinical decision-making: B Focused Lung ultrasound identified 21 participants with a condition in need of clinical decision-making not identified by the ACNs in-home assessment. (Feasibility 100%). C POCT for leucocytes with differential count identified 16 participants with a condition in need of clinical decision-making not identified by the ACNs in-home assessment. (Feasibility 89%). D POCT for creatinine identified 9 participants with a condition in need of clinical decision-making not identified by the ACNs in-home assessment. (Feasibility 89%). Abbreviations: ACN: Acute Community Nurse, ExtPOCT: Extended point-of-care testing, FLUS: Focused Lung Ultrasound, POCT: Point-of-care Testing, PCR: Polymerase chain reaction

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