Evidence map›Paper›PMID 26034987›Full record

ArticlePloS one2015

Accuracy and feasibility of point-of-care white blood cell count and C-reactive protein measurements at the pediatric emergency department.

Lauri Ivaska, Jussi Niemelä, Pia Leino, Jussi Mertsola, Ville Peltola

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03540706 (Impact of the Use of C-reactive Protein in a Micro-method on the Prescription of Antibiotics in General Practitioners Consulting in the Office), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03540706 nacompletednot on this mapstarted 2018, after this paper: background citation

Impact of the Use of C-reactive Protein in a Micro-method on the Prescription of Antibiotics in General Practitioners Consulting in the Office

TypeinterventionalSponsorCentre Hospitalier Intercommunal CreteilRan2018 to 2023Enrolled406ConditionsRespiratory Infection, Respiratory Infections in ChildrenArmsCare with C-reactive protein assay in micro method
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 40 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Lauri IvaskaDepartment of Paediatrics and Adolescent Medicine, Turku University Hospital, Turku, Finland; Department of Paediatrics and Adolescent Medicine, University of Turku, Turku, Finland.
Jussi NiemeläDepartment of Paediatrics and Adolescent Medicine, Turku University Hospital, Turku, Finland; MediCity Research Laboratory, University of Turku, Turku, Finland.
Pia LeinoTykslab, Turku University Hospital, Turku, Finland.
Jussi MertsolaDepartment of Paediatrics and Adolescent Medicine, Turku University Hospital, Turku, Finland.
Ville PeltolaDepartment of Paediatrics and Adolescent Medicine, Turku University Hospital, Turku, Finland; Department of Paediatrics and Adolescent Medicine, University of Turku, Turku, Finland.
Turku University Hospital · FIUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral point-of-care (POC) tests are available for evaluation of febrile patients, but the data about their performance in acute care setting is sparse. We investigated the analytical accuracy and feasibility of POC tests for white blood cell (WBC) count and C-reactive protein (CRP) at the pediatric emergency department (ED).

methodsIn the first part of the study, HemoCue WBC and Afinion AS100 CRP POC analyzers were compared with laboratory's routine WBC (Sysmex XE-2100) and CRP (Modular P) analyzers in the hospital central laboratory in 77 and 48 clinical blood samples, respectively. The POC tests were then adopted in use at the pediatric ED. In the second part of the study, we compared WBC and CRP levels measured by POC and routine methods during 171 ED patient visits by 168 febrile children and adolescents. Attending physicians performed POC tests in capillary fingerprick samples.

resultsIn parallel measurements in the laboratory both WBC and CRP POC analyzers showed good agreement with the reference methods. In febrile children at the emergency department (median age 2.4 years), physician performed POC determinations in capillary blood gave comparable results with those in venous blood analyzed in the laboratory. The mean difference between POC and reference test result was 1.1 E9/L (95% limits of agreement from -6.5 to 8.8 E9/L) for WBC and -1.2 mg/L (95% limits of agreement from -29.6 to 27.2 mg/L) for CRP.

conclusionsPOC tests are feasible and relatively accurate methods to assess CRP level and WBC count among febrile children at the ED.

Indexed as

Emergency Service, HospitalPoint-of-Care SystemsAdolescentBacteremiaBiomarkersChildChild, PreschoolC-Reactive ProteinFeasibility StudiesFemaleFeverHumansImmunologic TestsInfantLaboratories, HospitalLeukocyte CountBiomarkersC-Reactive Protein

Identifiers

PMID26034987
PMCPMC4452774
OpenAlexW598216992

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.