Cited 11 times in
Evaluating the Utility of Rapid Point-of-Care Potassium Testing for the Early Identification of Hyperkalemia in Patients with Chronic Kidney Disease in the Emergency Department
DC Field | Value | Language |
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dc.contributor.author | 이혜선 | - |
dc.contributor.author | 정성필 | - |
dc.contributor.author | 정현수 | - |
dc.contributor.author | 주영선 | - |
dc.contributor.author | 박유석 | - |
dc.contributor.author | 유제성 | - |
dc.contributor.author | 이한식 | - |
dc.date.accessioned | 2015-01-06T17:35:04Z | - |
dc.date.available | 2015-01-06T17:35:04Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/100252 | - |
dc.description.abstract | PURPOSE: Severe hyperkalemia leads to significant morbidity and mortality if it is not immediately recognized and treated. The concentration of potassium (K⁺) in the serum increases along with deteriorating renal function. The use of point-of-care K⁺ (POC-K⁺) in chronic kidney disease (CKD) could reduce the time for an accurate diagnosis and treatment, saving lives. We hypothesized that POC-K⁺ would accurately report K⁺ serum level without significant differences compared to reference testing, regardless of the renal function of the patient. MATERIALS AND METHODS: The retrospective study was performed between January 2008 and September 2011 at an urban hospital in Seoul. The screening program using POC was conducted as a critical pathway for rapid evaluation and treatment of hyperkalemia since 2008. When a patient with CKD had at least one warning symptom or sign of hyperkalemia, both POC-K⁺ and routine laboratory tests were simultaneously ordered. The reliability of the two assays for serum-creatinine was assessed by intra-class correlation coefficient (ICC) analysis using absolute agreement of two-way mixed model. RESULTS: High levels of reliability were found between POC and the laboratory reference tests for K⁺ (ICC=0.913, 95% CI 0.903-0.922) and between two tests for K⁺ according to changes in the serum-creatinine levels in CKD patients. CONCLUSION: The results of POC-K⁺ correlate well with values obtained from reference laboratory tests and coincide with changes in serum-creatinine of patients with CKD. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 1348~1353 | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Blood Chemical Analysis/methods | - |
dc.subject.MESH | Emergency Service, Hospital | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Hyperkalemia/diagnosis* | - |
dc.subject.MESH | Point-of-Care Systems | - |
dc.subject.MESH | Potassium/blood* | - |
dc.subject.MESH | Renal Insufficiency, Chronic/blood* | - |
dc.subject.MESH | Reproducibility of Results | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Sensitivity and Specificity | - |
dc.title | Evaluating the Utility of Rapid Point-of-Care Potassium Testing for the Early Identification of Hyperkalemia in Patients with Chronic Kidney Disease in the Emergency Department | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Emergency Medicine (응급의학) | - |
dc.contributor.googleauthor | Je Sung You | - |
dc.contributor.googleauthor | Yoo Seok Park | - |
dc.contributor.googleauthor | Hyun Soo Chung | - |
dc.contributor.googleauthor | Hye Sun Lee | - |
dc.contributor.googleauthor | Youngseon Joo | - |
dc.contributor.googleauthor | Jong Woo Park | - |
dc.contributor.googleauthor | Sung Phil Chung | - |
dc.contributor.googleauthor | Shin Ho Lee | - |
dc.contributor.googleauthor | Hahn Shick Lee | - |
dc.identifier.doi | 10.3349/ymj.2014.55.5.1348 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03625 | - |
dc.contributor.localId | A03955 | - |
dc.contributor.localId | A01592 | - |
dc.contributor.localId | A02507 | - |
dc.contributor.localId | A03278 | - |
dc.contributor.localId | A03312 | - |
dc.relation.journalcode | J02813 | - |
dc.identifier.eissn | 1976-2437 | - |
dc.identifier.pmid | 25048495 | - |
dc.subject.keyword | Point-of-care testing | - |
dc.subject.keyword | chronic kidney disease | - |
dc.subject.keyword | hyperkalemia | - |
dc.contributor.alternativeName | Lee, Hye Sun | - |
dc.contributor.alternativeName | Chung, Sung Pil | - |
dc.contributor.alternativeName | Chung, Hyun Soo | - |
dc.contributor.alternativeName | Joo, Young Seon | - |
dc.contributor.alternativeName | Park, Yoo Seok | - |
dc.contributor.alternativeName | You, Je Sung | - |
dc.contributor.alternativeName | Lee, Hahn Shick | - |
dc.contributor.affiliatedAuthor | Chung, Sung Pil | - |
dc.contributor.affiliatedAuthor | Joo, Young Seon | - |
dc.contributor.affiliatedAuthor | Park, Yoo Seok | - |
dc.contributor.affiliatedAuthor | You, Je Sung | - |
dc.contributor.affiliatedAuthor | Lee, Hahn Shick | - |
dc.contributor.affiliatedAuthor | Lee, Hye Sun | - |
dc.citation.volume | 55 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 1348 | - |
dc.citation.endPage | 1353 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, Vol.55(5) : 1348-1353, 2014 | - |
dc.identifier.rimsid | 51774 | - |
dc.type.rims | ART | - |
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