{"id":149762,"date":"2026-01-23T09:08:17","date_gmt":"2026-01-23T09:08:17","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/tu-cham-soc-tai-benh-vien-den-cong-dong-day-nhanh-chan-doan-va-dieu-tri-thong-qua-poct\/"},"modified":"2026-03-09T10:04:39","modified_gmt":"2026-03-09T10:04:39","slug":"from-hospital-care-to-community-accelerating-diagnostics-and-treatment-through-poct","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/vi\/operations\/point-of-care\/from-hospital-care-to-community-accelerating-diagnostics-and-treatment-through-poct\/","title":{"rendered":"T\u1eeb ch\u0103m s\u00f3c t\u1ea1i b\u1ec7nh vi\u1ec7n \u0111\u1ebfn c\u1ed9ng \u0111\u1ed3ng: \u0111\u1ea9y nhanh ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00f4ng qua POCT"},"content":{"rendered":"

Trong th\u1eadp k\u1ef7 qua, c\u00f3 m\u1ed9t xu h\u01b0\u1edbng to\u00e0n c\u1ea7u h\u01b0\u1edbng t\u1edbi ph\u00e2n c\u1ea5p trong l\u0129nh v\u1ef1c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf khu v\u1ef1c n\u00f4ng th\u00f4n, khu v\u1ef1c c\u00f3 thu nh\u1eadp th\u1ea5p v\u00e0 c\u00e1c khu v\u1ef1c \u0111ang ph\u00e1t tri\u1ec3n [1]. D\u1ecbch v\u1ee5 y t\u1ebf phi t\u1eadp trung chuy\u1ec3n quy\u1ec1n l\u1ef1c t\u1eeb quy\u1ec1n l\u1ef1c trung t\u00e2m sang c\u00e1c khu v\u1ef1c g\u1ea7n g\u0169i h\u01a1n v\u1edbi ng\u01b0\u1eddi s\u1eed d\u1ee5ng d\u1ecbch v\u1ee5 y t\u1ebf. X\u00e9t nghi\u1ec7m nhanh t\u1ea1i ch\u1ed7 (POCT) ho\u1eb7c x\u00e9t nghi\u1ec7m t\u1ea1i gi\u01b0\u1eddng b\u1ec7nh ho\u1eb7c g\u1ea7n gi\u01b0\u1eddng b\u1ec7nh, r\u1ea5t h\u1eefu \u00edch trong c\u00e1c m\u00f4 h\u00ecnh ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe phi t\u1eadp trung, v\u1edbi c\u00e1c l\u1ee3i \u00edch bao g\u1ed3m vi\u1ec7c t\u0103ng kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn c\u1ee7a b\u1ec7nh nh\u00e2n b\u00ean ngo\u00e0i c\u00e1c trung t\u00e2m th\u00e0nh ph\u1ed1 l\u1edbn, k\u1ebft qu\u1ea3 nhanh t\u1ea1i gi\u01b0\u1eddng cho ph\u00e9p \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n nhanh h\u01a1n v\u00e0 gi\u1ea3m th\u1eddi gian tr\u1ec5 gi\u1eefa l\u00fac b\u1ec7nh nh\u00e2n \u0111\u1ebfn kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb. M\u1ed9t v\u00ed d\u1ee5 v\u1ec1 xu h\u01b0\u1edbng khu v\u1ef1c tr\u00ean th\u1ebf gi\u1edbi h\u01b0\u1edbng t\u1edbi m\u00f4 h\u00ecnh ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe phi t\u1eadp trung l\u00e0 \u1ea4n \u0110\u1ed9. Ngu\u1ed3n l\u1ef1c c\u1ee7a n\u01b0\u1edbc n\u00e0y \u0111\u01b0\u1ee3c ph\u00e2n b\u1ed5 kh\u00f4ng \u0111\u1ec1u. M\u1eb7c d\u00f9 c\u00e1c trung t\u00e2m th\u00e0nh ph\u1ed1 l\u1edbn c\u00f3 c\u00e1c b\u1ec7nh vi\u1ec7n ti\u00ean ti\u1ebfn v\u1edbi c\u00e1c ph\u00f2ng th\u00ed nghi\u1ec7m trung t\u00e2m, nh\u01b0ng nh\u1eefng ng\u01b0\u1eddi \u1edf khu v\u1ef1c n\u00f4ng th\u00f4n (chi\u1ebfm ph\u1ea7n l\u1edbn d\u00e2n s\u1ed1 1,4 t\u1ef7 ng\u01b0\u1eddi c\u1ee7a \u1ea4n \u0110\u1ed9 [2]) c\u00f3 kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn h\u1ea1n ch\u1ebf \u0111\u1ed1i v\u1edbi c\u00e1c ngu\u1ed3n l\u1ef1c n\u00e0y. POCT c\u00f3 th\u1ec3 thu h\u1eb9p kho\u1ea3ng c\u00e1ch n\u00e0y, cung c\u1ea5p cho m\u1ecdi ng\u01b0\u1eddi \u1edf c\u00e1c khu v\u1ef1c xa x\u00f4i h\u01a1n c\u00e1c c\u00f4ng c\u1ee5 di \u0111\u1ed9ng cho ph\u00e9p ch\u1ea9n \u0111o\u00e1n nhanh t\u1ea1i n\u01a1i ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n. Ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n c\u00f3 th\u1ec3 \u0111\u1ea9y nhanh qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, c\u1ea3i thi\u1ec7n gi\u00e1m s\u00e1t v\u00e0 c\u1ea3i thi\u1ec7n c\u00e1c l\u01b0\u1ee3t chuy\u1ec3n vi\u1ec7n, t\u1eeb \u0111\u00f3 c\u00f3 th\u1ec3 gi\u1ea3m s\u1ed1 ca nh\u1eadp vi\u1ec7n v\u00e0 th\u1eddi gian l\u01b0u tr\u00fa, c\u00f9ng v\u1edbi chi ph\u00ed ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe.<\/p>\n

Ti\u1ebfn b\u1ed9 c\u00f4ng ngh\u1ec7 trong kh\u00f4ng gian POCT: Vi l\u01b0u<\/h2>\n

C\u00f4ng ngh\u1ec7 vi l\u01b0u, xu\u1ea5t hi\u1ec7n v\u00e0o nh\u1eefng n\u0103m 1980, x\u1eed l\u00fd m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf ch\u1ea5t l\u1ecfng (tr\u00ean quy m\u00f4 microlit) th\u00f4ng qua c\u00e1c k\u00eanh \u0111i\u1ec1u \u00e1p nh\u1ecf. S\u1eed d\u1ee5ng cho c\u00f4ng ngh\u1ec7 n\u00e0y bao g\u1ed3m nhi\u1ec1u ng\u00e0nh c\u00f4ng nghi\u1ec7p, t\u1eeb in phun v\u00e0 in 3D \u0111\u1ebfn nghi\u00ean c\u1ee9u d\u01b0\u1ee3c l\u00fd v\u00e0 ki\u1ec3m tra ch\u1ea5t l\u01b0\u1ee3ng n\u01b0\u1edbc. Trong POCT, vi l\u01b0u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c thi\u1ebft b\u1ecb x\u00e9t nghi\u1ec7m \u0111\u01a1n (v\u00ed d\u1ee5, c\u00e1c x\u00e9t nghi\u1ec7m COVID-19) c\u0169ng nh\u01b0 c\u00e1c thi\u1ebft b\u1ecb “ph\u00f2ng th\u00ed nghi\u1ec7m tr\u00ean chip (lab-on-a-chip)” c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n nhi\u1ec1u ch\u1ee9c n\u0103ng ph\u00f2ng th\u00ed nghi\u1ec7m b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u1ed9t m\u1eabu ch\u1ea5t l\u1ecfng duy nh\u1ea5t. \u01afu \u0111i\u1ec3m c\u1ee7a c\u00e1c h\u1ec7 th\u1ed1ng d\u1ef1a tr\u00ean vi l\u01b0u bao g\u1ed3m kh\u1ea3 n\u0103ng x\u1eed l\u00fd ch\u1ea5t l\u1ecfng quy m\u00f4 microlit, ki\u1ec3m so\u00e1t ch\u1ea5t l\u1ecfng ch\u00ednh x\u00e1c cho x\u00e9t nghi\u1ec7m \u0111a th\u00e0nh ph\u1ea7n nhanh v\u00e0 gi\u1ea3m s\u1ef1 ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u h\u1ec7 th\u1ed1ng POCT. Theo m\u1ed9t b\u00e0i b\u00e1o c\u00f4ng b\u1ed1 v\u00e0o th\u00e1ng 3 n\u0103m 2025 tr\u00ean t\u1ea1p ch\u00ed Discover Chemistry [3], c\u00e1c h\u1ec7 th\u1ed1ng x\u00e9t nghi\u1ec7m t\u1ea1i ch\u1ed7 (POCT) d\u1ef1a tr\u00ean c\u00f4ng ngh\u1ec7 vi l\u01b0u (microfluidics) h\u1ee9a h\u1eb9n mang l\u1ea1i ti\u1ec1m n\u0103ng \u0111\u00e1ng k\u1ec3 cho c\u00e1c \u1ee9ng d\u1ee5ng ch\u1ea9n \u0111o\u00e1n t\u1ea1i nh\u1eefng khu v\u1ef1c h\u1ea1n ch\u1ebf v\u1ec1 ngu\u1ed3n l\u1ef1c. C\u00e1c thi\u1ebft b\u1ecb vi l\u01b0u c\u1ea7m tay c\u00f3 th\u1ec3 l\u00e0m t\u0103ng \u0111\u00e1ng k\u1ec3 kh\u1ea3 n\u0103ng ch\u1ea9n \u0111o\u00e1n b\u1ec7nh s\u1edbm \u1edf c\u00e1c khu v\u1ef1c kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ea3o t\u1ed3n v\u1edbi kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn h\u1ea1n ch\u1ebf v\u00e0o c\u00e1c ph\u00f2ng th\u00ed nghi\u1ec7m trung t\u00e2m [3]. \u0110\u1ea1i d\u1ecbch COVID-19 \u0111\u00e3 \u0111\u1ea9y nhanh vi\u1ec7c \u00e1p d\u1ee5ng POCT, nh\u1ea5n m\u1ea1nh t\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c ph\u00e1t hi\u1ec7n nhanh ch\u00f3ng, nh\u1ea1y c\u1ea3m c\u1ee7a vi-r\u00fat trong qu\u1ea3n l\u00fd b\u1ec7nh, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong c\u00e1c c\u01a1 s\u1edf ch\u0103m s\u00f3c kh\u1ea9n c\u1ea5p.<\/p>\n

S\u1eed d\u1ee5ng POCT trong ch\u0103m s\u00f3c b\u1ec7nh vi\u1ec7n<\/h2>\n

POCT t\u1eeb l\u00e2u \u0111\u00e3 l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 ch\u1ee7 y\u1ebfu trong c\u00e1c c\u01a1 s\u1edf ch\u0103m s\u00f3c t\u00edch c\u1ef1c nh\u01b0 c\u00e1c khoa c\u1ea5p c\u1ee9u (ED) v\u00e0 c\u00e1c \u0111\u01a1n v\u1ecb ch\u0103m s\u00f3c t\u00edch c\u1ef1c (ICU), n\u01a1i ch\u1ea9n \u0111o\u00e1n nhanh v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi k\u1ebft qu\u1ea3 t\u00edch c\u1ef1c c\u1ee7a b\u1ec7nh nh\u00e2n. B\u1ec7nh nh\u00e2n trong c\u00e1c c\u01a1 s\u1edf ch\u0103m s\u00f3c t\u00edch c\u1ef1c th\u01b0\u1eddng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f4ng bi\u1ec7t h\u00f3a nh\u01b0 \u0111au ng\u1ef1c, s\u1ed1t v\u00e0 th\u1edf d\u1ed1c; \u0111\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nhanh ch\u00f3ng, ch\u00ednh x\u00e1c l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 h\u01b0\u1edbng d\u1eabn can thi\u1ec7p k\u1ecbp th\u1eddi trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y. C\u00e1c \u1ee9ng d\u1ee5ng ch\u1ecdn l\u1ecdc cho POCT trong c\u00e1c b\u1ed1i c\u1ea3nh n\u00e0y bao g\u1ed3m ph\u00e2n t\u00edch c\u00e1c d\u1ea5u \u1ea5n sinh h\u1ecdc v\u1ec1 tim, vi\u00eam v\u00e0 huy\u1ebft h\u1ecdc; ch\u00fang \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 chi ti\u1ebft h\u01a1n d\u01b0\u1edbi \u0111\u00e2y. D\u1ea5u \u1ea5n sinh h\u1ecdc tim<\/em> D\u1ea5u \u1ea5n sinh h\u1ecdc tim \u0111\u01b0\u1ee3c ph\u00e2n t\u00edch b\u1eb1ng POCT bao g\u1ed3m troponin T v\u00e0 N-terminal pro B-type natriuretic peptide (NT-proBNP). Trong th\u1eed nghi\u1ec7m ng\u1eabu nhi\u00ean ARTICA, c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 k\u1ebft lu\u1eadn r\u1eb1ng vi\u1ec7c s\u1eed d\u1ee5ng x\u00e9t nghi\u1ec7m Troponin T t\u1ea1i ch\u1ed7 (POCT) trong b\u1ed1i c\u1ea3nh tr\u01b0\u1edbc khi nh\u1eadp vi\u1ec7n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 th\u1ea5p v\u00e0 lo\u1ea1i tr\u1eeb h\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p kh\u00f4ng c\u00f3 ST ch\u00eanh l\u00ean (NSTE-ACS) \u0111\u00e3 gi\u00fap gi\u1ea3m chi ph\u00ed ch\u0103m s\u00f3c y t\u1ebf trong v\u00f2ng 30 ng\u00e0y, \u0111\u1ed3ng th\u1eddi ghi nh\u1eadn t\u1ef7 l\u1ec7 th\u1ea5p c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch ch\u00ednh. V\u00ec x\u00e9t nghi\u1ec7m Troponin T POCT c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong b\u1ed1i c\u1ea3nh tr\u01b0\u1edbc khi nh\u1eadp vi\u1ec7n ho\u1eb7c ngo\u00e0i b\u1ec7nh vi\u1ec7n, n\u00f3 gi\u00fap gi\u1ea3m thi\u1ec3u c\u00e1c l\u01b0\u1ee3t th\u0103m kh\u00e1m kh\u00f4ng c\u1ea7n thi\u1ebft t\u1ea1i khoa c\u1ea5p c\u1ee9u (ED); nh\u1eefng l\u1ee3i \u00edch c\u1ee7a vi\u1ec7c n\u00e0y bao g\u1ed3m c\u1eaft gi\u1ea3m chi ph\u00ed c\u0169ng nh\u01b0 gi\u1ea3m t\u1ed1i \u0111a vi\u1ec7c v\u1eadn chuy\u1ec3n b\u1ec7nh nh\u00e2n v\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 g\u00e2y kh\u00f3 ch\u1ecbu li\u00ean quan [4]. Th\u1eed nghi\u1ec7m th\u00ed \u0111i\u1ec3m POC-HF \u0111\u00e3 nghi\u00ean c\u1ee9u xem c\u00e1c ph\u00e9p \u0111o NT-proBNP t\u1ea1i \u0111i\u1ec3m ch\u0103m s\u00f3c n\u1ed1i ti\u1ebfp c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n suy tim m\u1ea5t b\u00f9 c\u1ea5p hay kh\u00f4ng. C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u k\u1ebft lu\u1eadn r\u1eb1ng c\u00e1c ph\u00e9p \u0111o c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c t\u0103ng li\u1ec1u thu\u1ed1c nhanh h\u01a1n, gi\u1ea3m NT-proBNP r\u00f5 r\u1ec7t h\u01a1n v\u00e0 ph\u1ee5c h\u1ed3i nhanh h\u01a1n so v\u1edbi li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb theo tri\u1ec7u ch\u1ee9ng [5]. D\u1ea5u \u1ea5n sinh h\u1ecdc vi\u00eam<\/em> D\u1ea5u \u1ea5n sinh h\u1ecdc vi\u00eam c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111o b\u1eb1ng k\u1ef9 thu\u1eadt POCT bao g\u1ed3m protein ph\u1ea3n \u1ee9ng C (CRP) v\u00e0 procalcitonin (PCT). V\u00ec n\u1ed3ng \u0111\u1ed9 CRP t\u0103ng c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u cho nhi\u1ec5m tr\u00f9ng nghi\u00eam tr\u1ecdng v\u00e0 c\u00e1c t\u00ecnh tr\u1ea1ng vi\u00eam kh\u00e1c, th\u1ef1c hi\u1ec7n nhi\u1ec1u ph\u00e9p \u0111o CRP t\u1ea1i gi\u01b0\u1eddng b\u1ec7nh th\u00f4ng qua POCT cung c\u1ea5p m\u1ed9t ph\u01b0\u01a1ng ti\u1ec7n quan tr\u1ecdng, k\u1ecbp th\u1eddi \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xem s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 c\u1ea3i thi\u1ec7n khi \u0111i\u1ec1u tr\u1ecb hay kh\u00f4ng. V\u00ec n\u1ed3ng \u0111\u1ed9 PCT hi\u1ebfm khi t\u0103ng cao \u0111\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m virus, x\u00e9t nghi\u1ec7m PCT t\u1ea1i gi\u01b0\u1eddng b\u1ec7nh l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu hi\u1ec7u \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ngu\u1ed3n g\u1ed1c c\u1ee7a t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng, gi\u00fap tr\u00e1nh vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng sinh kh\u00f4ng c\u1ea7n thi\u1ebft. \u0110i\u1ec1u n\u00e0y \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng b\u1edfi t\u00ednh kh\u00e1ng thu\u1ed1c c\u1ee7a vi khu\u1ea9n \u0111ang t\u0103ng tr\u00ean to\u00e0n c\u1ea7u. K\u1ebft qu\u1ea3 k\u1ecbp th\u1eddi do POCT cung c\u1ea5p cho ph\u00e9p nh\u00e0 cung c\u1ea5p b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p m\u1ed9t c\u00e1ch nhanh ch\u00f3ng. V\u00ec m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m PCT t\u1ea1i ch\u1ed7 cung c\u1ea5p k\u1ebft qu\u1ea3 d\u01b0\u1edbi d\u1ea1ng c\u00e1c d\u1ea3i n\u1ed3ng \u0111\u1ed9 b\u00e1n \u0111\u1ecbnh l\u01b0\u1ee3ng, ch\u00fang c\u00f3 th\u1ec3 tr\u1edf n\u00ean \u0111\u1eb7c bi\u1ec7t gi\u00e1 tr\u1ecb khi c\u00e1c ph\u00e9p \u0111o \u0111\u1ecbnh l\u01b0\u1ee3ng ch\u00ednh x\u00e1c kh\u00f4ng c\u00f3 s\u1eb5n trong m\u1ed9t khung th\u1eddi gian ng\u1eafn [6]. T\u1ea1i h\u1ed9i \u0111\u1ed3ng chuy\u00ean gia POCT \u1edf Mumbai v\u00e0o th\u00e1ng 4 n\u00e0y, Ti\u1ebfn s\u0129 Kedar Toraskar, Gi\u00e1m \u0111\u1ed1c Ch\u0103m s\u00f3c \u0110\u1eb7c bi\u1ec7t t\u1ea1i B\u1ec7nh vi\u1ec7n Wockhardt, \u0111\u00e3 tr\u00ecnh b\u00e0y tr\u01b0\u1eddng h\u1ee3p m\u1ed9t ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng 66 tu\u1ed5i b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim tr\u01b0\u1edbc \u0111\u00f3 v\u00e0 gi\u1ea3m ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u t\u0129nh m\u1ea1ch tr\u00e1i (LVEF) v\u1edbi n\u1eb7ng ng\u1ef1c c\u1ea5p t\u00ednh, kh\u00f3 th\u1edf, h\u1ea1 huy\u1ebft \u00e1p v\u00e0 thi\u1ebfu oxy m\u00e1u. K\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng cho th\u1ea5y s\u1ed1c tim v\u00e0 nhi\u1ec5m tr\u00f9ng h\u1ed7n h\u1ee3p. Si\u00eau \u00e2m t\u1ea1i ch\u1ed7 (POCUS) \u0111\u00e3 ph\u00e1t hi\u1ec7n t\u00ecnh tr\u1ea1ng vi\u00eam ph\u1ed5i v\u00e0 ph\u00f9 ph\u1ed5i, trong khi k\u1ebft qu\u1ea3 \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 (ECG) cho th\u1ea5y \u0111o\u1ea1n ST ch\u00eanh xu\u1ed1ng \u1edf c\u00e1c chuy\u1ec3n \u0111\u1ea1o tr\u01b0\u1edbc tim, cung c\u1ea5p b\u1eb1ng ch\u1ee9ng c\u1ea7n thi\u1ebft v\u1ec1 t\u00ecnh tr\u1ea1ng qu\u00e1 t\u1ea3i tim c\u1ea5p t\u00ednh. K\u1ebft h\u1ee3p v\u1edbi n\u1ed3ng \u0111\u1ed9 CRP t\u0103ng \u0111\u00e1ng k\u1ec3, nh\u1eefng ph\u00e1t hi\u1ec7n n\u00e0y cho th\u1ea5y m\u1ed9t b\u1ec7nh l\u00fd k\u00e9p c\u1ee7a h\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p do nhi\u1ec5m tr\u00f9ng huy\u1ebft. Ch\u1ea9n \u0111o\u00e1n \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn khi b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u1eb7t stent LAD g\u1ea7n th\u00f4ng qua nong m\u1ea1ch ngo\u00e0i qu\u1ea3n l\u00fd nhi\u1ec5m tr\u00f9ng huy\u1ebft. Vi\u1ec7c s\u1eed d\u1ee5ng POCT h\u1ed7 tr\u1ee3 trong ch\u1ea9n \u0111o\u00e1n s\u1edbm nhi\u1ec5m tr\u00f9ng huy\u1ebft, ngay c\u1ea3 tr\u01b0\u1edbc khi c\u00e1c b\u00e1o c\u00e1o nu\u00f4i c\u1ea5y c\u00f3 s\u1eb5n t\u1eeb ph\u00f2ng th\u00ed nghi\u1ec7m trung t\u00e2m. S\u1ef1 kh\u1ea3 thi v\u00e0 t\u00ednh ch\u1ea5t nhanh ch\u00f3ng c\u1ee7a x\u00e9t nghi\u1ec7m CRP c\u0169ng cho ph\u00e9p B\u00e1c s\u0129 Kedar Toraskar v\u00e0 c\u00e1c chuy\u00ean gia Ch\u00e2u \u00c1 Th\u00e1i B\u00ecnh D\u01b0\u01a1ng c\u1ee7a \u00f4ng tham gia v\u00e0o vi\u1ec7c theo d\u00f5i h\u00e0ng ng\u00e0y li\u00ean t\u1ee5c \u0111\u1ec3 thi\u1ebft l\u1eadp xu h\u01b0\u1edbng ph\u1ea3n \u1ee9ng v\u00e0 h\u01b0\u1edbng d\u1eabn gi\u1ea3m d\u1ea7n kh\u00e1ng sinh k\u1ecbp th\u1eddi. B\u1ec7nh nh\u00e2n trong nghi\u00ean c\u1ee9u n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1eb7t b\u01a1m b\u00f3ng \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 nong m\u1ea1ch, v\u00e0 c\u00f3 th\u1ec3 ng\u1eebng kh\u00e1ng sinh k\u1ecbp th\u1eddi nh\u1edd c\u00e1c xu h\u01b0\u1edbng CRP cho th\u1ea5y c\u1ea3i thi\u1ec7n l\u00e2m s\u00e0ng. S\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa x\u00e9t nghi\u1ec7m t\u1ea1i ch\u1ed7 (POCT) v\u00e0 si\u00eau \u00e2m t\u1ea1i ch\u1ed7 (POCUS) mang l\u1ea1i gi\u00e1 tr\u1ecb c\u1ef1c k\u1ef3 cao trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ed1c v\u00e0 gi\u1ea3m oxy m\u00e1u ch\u01b0a r\u00f5 nguy\u00ean nh\u00e2n, cho ph\u00e9p \u0111\u01b0a ra c\u00e1c quy\u1ebft \u0111\u1ecbnh l\u00e2m s\u00e0ng t\u1ea1i gi\u01b0\u1eddng b\u1ec7nh m\u1ed9t c\u00e1ch nhanh ch\u00f3ng v\u00e0 ch\u00ednh x\u00e1c [7]. C\u00e1c d\u1ea5u \u1ea5n sinh h\u1ecdc v\u1ec1 huy\u1ebft h\u1ecdc<\/em> C\u00e1c d\u1ea5u \u1ea5n sinh h\u1ecdc v\u1ec1 huy\u1ebft h\u1ecdc c\u00f3 th\u1ec3 \u0111o b\u1eb1ng POCT bao g\u1ed3m hemoglobin v\u00e0 prothrombin (v\u1edbi k\u1ebft qu\u1ea3 \u0111\u01b0\u1ee3c \u0111\u01b0a ra d\u01b0\u1edbi d\u1ea1ng t\u1ef7 l\u1ec7 chu\u1ea9n h\u00f3a qu\u1ed1c t\u1ebf ho\u1eb7c PT-INR). \u1ede m\u1ed9t s\u1ed1 v\u00f9ng tr\u00ean th\u1ebf gi\u1edbi, n\u1ed3ng \u0111\u1ed9 hemoglobin th\u1ea5p l\u00e0 m\u1ed9t m\u1ed1i quan t\u00e2m l\u1edbn v\u1ec1 s\u1ee9c kh\u1ecfe. \u1ede \u1ea4n \u0110\u1ed9, thi\u1ebfu m\u00e1u \u1edf m\u1eb9 l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y ra k\u1ebft qu\u1ea3 b\u1ea5t l\u1ee3i cho thai nhi v\u00e0 tr\u1ebb s\u01a1 sinh. T\u1ef7 l\u1ec7 thi\u1ebfu m\u00e1u \u1edf \u1ea4n \u0110\u1ed9 thay \u0111\u1ed5i r\u1ea5t nhi\u1ec1u theo \u0111\u1ed9 tu\u1ed5i, v\u00f9ng v\u00e0 gi\u1edbi t\u00ednh. V\u00ed d\u1ee5: t\u1ef7 l\u1ec7 thi\u1ebfu m\u00e1u \u1edf nam gi\u1edbi \u1edf \u1ea4n \u0110\u1ed9 l\u00e0 kho\u1ea3ng 25%, so v\u1edbi 57% \u1edf ph\u1ee5 n\u1eef v\u00e0 67% \u1edf tr\u1ebb em trong \u0111\u1ed9 tu\u1ed5i t\u1eeb s\u00e1u th\u00e1ng \u0111\u1ebfn n\u0103m tu\u1ed5i [8]. L\u1ee3i \u00edch c\u1ee7a POCT \u0111\u1ed1i v\u1edbi b\u1ec7nh thi\u1ebfu m\u00e1u bao g\u1ed3m: s\u1eed d\u1ee5ng m\u00e1u mao m\u1ea1ch (m\u1edf r\u1ed9ng ph\u1ea1m vi \u1ee9ng d\u1ee5ng t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf kh\u00f4ng c\u00f3 nh\u00e2n vi\u00ean l\u1ea5y m\u00e1u t\u0129nh m\u1ea1ch ho\u1eb7c nh\u00e2n vi\u00ean ph\u00f2ng Lab), cho k\u1ebft qu\u1ea3 nhanh ch\u00f3ng (cho ph\u00e9p b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ngay trong ng\u00e0y), v\u00e0 t\u00ednh di \u0111\u1ed9ng c\u1ee7a thi\u1ebft b\u1ecb (v\u1edbi c\u00e1c m\u00e1y ph\u00e2n t\u00edch c\u1ea7m tay, ch\u1ea1y b\u1eb1ng pin, c\u00f3 th\u1ec3 ho\u1ea1t \u0111\u1ed9ng t\u1ea1i c\u00e1c khu v\u1ef1c n\u00f4ng th\u00f4n v\u00e0 n\u01a1i c\u00f3 h\u1ea1 t\u1ea7ng th\u1ea5p) [9]. Nh\u1eefng l\u1ee3i \u00edch n\u00e0y gi\u00fap \u0111\u01b0a d\u1ecbch v\u1ee5 ch\u1ea9n \u0111o\u00e1n \u0111\u1ebfn g\u1ea7n h\u01a1n v\u1edbi nh\u1eefng c\u1ed9ng \u0111\u1ed3ng ch\u01b0a \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn \u0111\u1ea7y \u0111\u1ee7 v\u00e0 gi\u1ea3m thi\u1ec3u t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n b\u1ecf l\u1ee1 c\u00e1c \u0111\u1ee3t th\u0103m kh\u00e1m ti\u1ebfp theo. S\u1eed d\u1ee5ng POCT trong ch\u0103m s\u00f3c phi t\u1eadp trung<\/em> M\u1eb7c d\u00f9 POCT truy\u1ec1n th\u1ed1ng ph\u1ed5 bi\u1ebfn trong c\u00e1c c\u01a1 s\u1edf ch\u0103m s\u00f3c t\u00edch c\u1ef1c c\u1ee7a b\u1ec7nh vi\u1ec7n, nh\u01b0ng gi\u00e1 tr\u1ecb c\u1ee7a c\u00f4ng ngh\u1ec7 \u0111\u00e3 thu \u0111\u01b0\u1ee3c s\u1ef1 h\u1ea5p d\u1eabn r\u1ed9ng r\u00e3i trong c\u00e1c c\u01a1 s\u1edf kh\u00e1c bao g\u1ed3m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe t\u1ea1i nh\u00e0, ch\u0103m s\u00f3c t\u1ea1i c\u01a1 s\u1edf thay th\u1ebf, v\u00f9ng s\u00e2u v\u00f9ng xa, khu v\u1ef1c c\u00f3 thu nh\u1eadp th\u1ea5p v\u00e0 khu v\u1ef1c c\u00f3 \u00e1p d\u1ee5ng m\u1ea1nh m\u1ebd ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe phi t\u1eadp trung. Ngo\u00e0i ra, \u0111\u1ea1i d\u1ecbch COVID-19 \u0111\u00e3 th\u00fac \u0111\u1ea9y s\u1ef1 quan t\u00e2m \u0111\u1ebfn s\u1ee9c kh\u1ecfe t\u1eeb xa v\u00e0 x\u00e9t nghi\u1ec7m nhanh b\u00ean ngo\u00e0i c\u00e1c c\u01a1 s\u1edf c\u1ee7a b\u1ec7nh vi\u1ec7n. H\u1ec7 th\u1ed1ng n\u00e0y \u0111em l\u1ea1i l\u1ee3i \u00edch cho c\u00e1c h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe, c\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe v\u00e0 c\u00f4ng ch\u00fang. Ph\u00e2n c\u1ea5p cho ph\u00e9p c\u00e1c h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe \u1ee9ng ph\u00f3 v\u1edbi t\u00ecnh tr\u1ea1ng chi ph\u00ed ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe t\u0103ng cao th\u00f4ng qua c\u00e1c ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 v\u1ec1 m\u1eb7t chi ph\u00ed \u0111\u1ec3 qu\u1ea3n l\u00fd ch\u0103m s\u00f3c, t\u1eadp trung v\u00e0o c\u00e1c d\u1ecbch v\u1ee5 quan tr\u1ecdng v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh \u0111\u00e0o t\u1ea1o \u0111\u01b0\u1ee3c chu\u1ea9n h\u00f3a cho ng\u01b0\u1eddi d\u00f9ng. \u0110\u1ed1i v\u1edbi c\u00e1c nh\u00e0 cung c\u1ea5p, ph\u00e2n c\u1ea5p cho ph\u00e9p th\u1ef1c hi\u1ec7n ch\u0103m s\u00f3c l\u1ea5y ng\u01b0\u1eddi b\u1ec7nh l\u00e0m trung t\u00e2m, th\u1eddi gian n\u1eb1m vi\u1ec7n ng\u1eafn h\u01a1n v\u00e0 t\u1eadp trung v\u00e0o c\u00e1c d\u1ecbch v\u1ee5 chuy\u00ean khoa. S\u1ef1 h\u00e0i l\u00f2ng c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0 n\u1ec1n t\u1ea3ng cho ch\u0103m s\u00f3c phi t\u1eadp trung, th\u00fac \u0111\u1ea9y t\u0103ng ch\u1ed7 \u1edf cho nhu c\u1ea7u c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 c\u1ea3i thi\u1ec7n trong cung c\u1ea5p d\u1ecbch v\u1ee5 [1]. M\u1ed9t c\u00e1ch ch\u1ee7 ch\u1ed1t \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0 cung c\u1ea5p kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn c\u00e1c d\u1ecbch v\u1ee5 y t\u1ebf \u1edf c\u00e1c khu v\u1ef1c xa v\u00e0 thi\u1ebfu ngu\u1ed3n v\u1ed1n; POCT c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng kh\u00f4ng ch\u1ec9 m\u1edf r\u1ed9ng ph\u1ea1m vi ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb m\u00e0 c\u00f2n l\u00e0m nh\u01b0 v\u1eady m\u1ed9t c\u00e1ch k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 \u0111\u1ea9y nhanh \u0111\u00e1ng k\u1ec3 th\u1eddi gian \u0111i\u1ec1u tr\u1ecb. Th\u00eam v\u00e0o \u0111\u00f3, t\u1ea1i \u1ea4n \u0110\u1ed9, ng\u01b0\u1eddi d\u00e2n v\u1eabn ph\u1ea3i t\u1ef1 b\u1ecf ti\u1ec1n t\u00fai ra tr\u1ea3 cho c\u00e1c d\u1ecbch v\u1ee5 y t\u1ebf l\u00e0 ch\u1ee7 y\u1ebfu (chi\u1ebfm t\u1edbi g\u1ea7n m\u1ed9t n\u1eeda t\u1ed5ng chi ph\u00ed y t\u1ebf c\u1ee7a c\u1ea3 n\u01b0\u1edbc) [10]. S\u1ef1 t\u1eadp trung c\u1ee7a c\u00e1c d\u1ecbch v\u1ee5 chuy\u00ean bi\u1ec7t trong c\u00e1c trung t\u00e2m th\u00e0nh ph\u1ed1 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn c\u1ee7a c\u01b0 dan \u1edf v\u00f9ng n\u00f4ng th\u00f4n, th\u01b0\u1eddng khi\u1ebfn nh\u1eefng c\u00e1 nh\u00e2n n\u00e0y ph\u1ea3i t\u1ed1n th\u00eam chi ph\u00ed \u0111i l\u1ea1i v\u00e0 \u0103n \u1edf [11]. POCT c\u00f3 th\u1ec3 gi\u1ea3m b\u1edbt c\u00e1c chi ph\u00ed b\u1ed5 sung n\u00e0y c\u0169ng nh\u01b0 cho ph\u00e9p th\u1eddi gian \u0111i\u1ec1u tr\u1ecb nhanh h\u01a1n, th\u00fac \u0111\u1ea9y vi\u1ec7c \u00e1p d\u1ee5ng c\u00f4ng ngh\u1ec7 t\u1ea1i \u0111i\u1ec3m ch\u0103m s\u00f3c. \u1ede c\u00e1c khu v\u1ef1c \u0111\u00f4ng d\u00e2n c\u01b0 tr\u00ean th\u1ebf gi\u1edbi, vi\u1ec7c \u00e1p d\u1ee5ng nhi\u1ec1u d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe phi t\u1eadp trung, ch\u1eb3ng h\u1ea1n nh\u01b0 \u1ea4n \u0110\u1ed9, vi\u1ec7c s\u1eed d\u1ee5ng POCT \u0111\u1ec3 cho ph\u00e9p ch\u1ea9n \u0111o\u00e1n v\u00e0 can thi\u1ec7p s\u1edbm c\u00f3 kh\u1ea3 n\u0103ng \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn vi\u1ec7c qu\u1ea3n l\u00fd c\u00e1c b\u1ec7nh m\u00e3n t\u00ednh nh\u01b0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng. Theo Li\u00ean \u0111o\u00e0n \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng Qu\u1ed1c t\u1ebf, t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng n\u0103m 2024 \u1edf \u1ea4n \u0110\u1ed9 l\u00e0 89,8 tri\u1ec7u \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i t\u1eeb 20-79 tu\u1ed5i (t\u1ef7 l\u1ec7 m\u1eafc \u0111\u01b0\u1ee3c ti\u00eau chu\u1ea9n h\u00f3a theo \u0111\u1ed9 tu\u1ed5i 10,5%); \u0111\u1ebfn n\u0103m 2050, con s\u1ed1 n\u00e0y d\u1ef1 ki\u1ebfn s\u1ebd t\u0103ng l\u00ean 156,7 tri\u1ec7u [12]. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 can thi\u1ec7p s\u1edbm c\u00f3 th\u1ec3 t\u1ea1o ra t\u00e1c \u0111\u1ed9ng \u0111\u00e1ng k\u1ec3 trong vi\u1ec7c gi\u1ea3m b\u1edbt g\u00e1nh n\u1eb7ng b\u1ec7nh t\u1eadt t\u1ea1i c\u00e1c khu v\u1ef1c nh\u01b0 \u1ea4n \u0110\u1ed9; trong \u0111\u00f3, x\u00e9t nghi\u1ec7m t\u1ea1i ch\u1ed7 (POCT) c\u00f3 kh\u1ea3 n\u0103ng \u0111\u01b0a c\u00e1c n\u0103ng l\u1ef1c ch\u1ea9n \u0111o\u00e1n \u0111\u1ebfn nh\u1eefng v\u00f9ng s\u00e2u v\u00f9ng xa, n\u01a1i vi\u1ec7c ti\u1ebfp c\u1eadn v\u1edbi c\u00e1c ngu\u1ed3n l\u1ef1c x\u00e9t nghi\u1ec7m t\u1eadp trung c\u00f2n nhi\u1ec1u h\u1ea1n ch\u1ebf [3]. C\u00f4ng ngh\u1ec7 n\u00e0y c\u0169ng c\u00f3 kh\u1ea3 n\u0103ng nhanh ch\u00f3ng ph\u00e2n bi\u1ec7t c\u00e1c b\u1ec7nh, mang l\u1ea1i cho b\u1ec7nh nh\u00e2n k\u1ebft qu\u1ea3 \u0111\u00e1ng tin c\u1eady nhanh ch\u00f3ng v\u00e0 th\u1eddi gian \u0111i\u1ec1u tr\u1ecb nhanh h\u01a1n; h\u00e3y xem nghi\u00ean c\u1ee9u t\u00ecnh hu\u1ed1ng d\u01b0\u1edbi \u0111\u00e2y. Nghi\u00ean c\u1ee9u t\u00ecnh hu\u1ed1ng b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng<\/em> T\u1ea1i h\u1ed9i \u0111\u1ed3ng chuy\u00ean gia v\u1ec1 c\u00e1c li\u1ec7u ph\u00e1p POCT \u0111\u00e3 \u0111\u1ec1 c\u1eadp tr\u01b0\u1edbc \u0111\u00f3, B\u00e1c s\u0129 Vishal Chopra, Ng\u01b0\u1eddi s\u00e1ng l\u1eadp Dr Vishal Chopra Diabetes and Thyroid Care, \u0111\u00e3 tr\u00ecnh b\u00e0y v\u1ec1 tr\u01b0\u1eddng h\u1ee3p m\u1ed9t ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng 54 tu\u1ed5i kh\u00f3 th\u1edf, m\u1ea5t ph\u01b0\u01a1ng h\u01b0\u1edbng, t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1ed5, v\u00e0 nghi ng\u1edd ng\u01b0ng th\u1edf t\u1eafc ngh\u1ebdn khi ng\u1ee7. Ti\u1ec1n s\u1eed b\u1ec7nh nh\u00e2n bao g\u1ed3m c\u00e1c ch\u1ea9n \u0111o\u00e1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00fdp 2, t\u0103ng huy\u1ebft \u00e1p, suy gi\u00e1p, v\u00e0 b\u00e9o ph\u00ec. X\u00e9t nghi\u1ec7m truy\u1ec1n th\u1ed1ng cho b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng bao g\u1ed3m x\u00e9t nghi\u1ec7m glucose v\u00e0 HbA1c; tuy nhi\u00ean, nhi\u1ec1u x\u00e9t nghi\u1ec7m c\u00f3 s\u1eb5n trong h\u1ec7 th\u1ed1ng POCT cho ph\u00e9p c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng ki\u1ec3m tra nhi\u1ec1u th\u00f4ng s\u1ed1 bao g\u1ed3m CRP v\u00e0 NT-proBNP. N\u1ed3ng \u0111\u1ed9 NT-proBNP t\u0103ng cao, ch\u1ec9 d\u1eabn c\u00e1c bi\u1ebfn ch\u1ee9ng v\u1ec1 tim, trong khi n\u1ed3ng \u0111\u1ed9 CRP cao ch\u1ec9 v\u1ec1 qu\u00e1 tr\u00ecnh vi\u00eam ho\u1eb7c nhi\u1ec5m tr\u00f9ng ti\u1ec1m \u1ea9n. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n suy tim b\u1ea3o t\u1ed3n LVEF v\u00e0 t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p th\u1ee9 ph\u00e1t do nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u. Bi\u1ec3u hi\u1ec7n ph\u1ee9c t\u1ea1p v\u00e0 ti\u1ec1n s\u1eed \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra s\u1ef1 ch\u1eadm tr\u1ec5 trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh b\u1ec7nh tim, nh\u01b0ng vi\u1ec7c s\u1eed d\u1ee5ng POCT cho ph\u00e9p ch\u1ea9n \u0111o\u00e1n v\u00e0 can thi\u1ec7p s\u1edbm, kh\u1ea3 n\u0103ng ng\u0103n ng\u1eeba m\u1ed9t s\u1ef1 ki\u1ec7n quan tr\u1ecdng [13].<\/p>\n

Th\u00f4ng tin chuy\u00ean s\u00e2u<\/h2>\n

M\u1eb7c d\u00f9 c\u00e1c chuy\u00ean gia nh\u1ea5n m\u1ea1nh nhu c\u1ea7u ph\u1ea3i c\u00f3 s\u1ef1 x\u00e1c nh\u1eadn k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m t\u1eeb c\u00e1c chuy\u00ean gia \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o b\u00e0i b\u1ea3n nh\u01b0 b\u00e1c s\u0129 gi\u1ea3i ph\u1eabu b\u1ec7nh v\u00e0 b\u00e1c s\u0129 vi sinh, vi\u1ec7c \u0111\u00e1nh gi\u00e1 c\u00e1c h\u1ec7 th\u1ed1ng POCT v\u1eabn r\u1ea5t t\u00edch c\u1ef1c, v\u1edbi nh\u1eefng l\u1ee3i \u00edch r\u00f5 r\u1ec7t trong nhi\u1ec1u b\u1ed1i c\u1ea3nh t\u1ea1i b\u1ec7nh vi\u1ec7n v\u00e0 ngo\u00e0i b\u1ec7nh vi\u1ec7n. L\u1ee3i \u00edch v\u1ec1 ti\u1ec7n \u00edch l\u00e2m s\u00e0ng li\u00ean quan \u0111\u1ebfn POCT l\u00e0 c\u00f4ng ngh\u1ec7 n\u00e0y cho ph\u00e9p \u0111\u01b0a ra c\u00e1c quy\u1ebft \u0111\u1ecbnh nhanh ch\u00f3ng, d\u1ef1a tr\u00ean b\u1eb1ng ch\u1ee9ng trong c\u00e1c l\u1ed9 tr\u00ecnh l\u00e2m s\u00e0ng kh\u1ea9n c\u1ea5p v\u1ec1 th\u1eddi gian, ho\u1eb7c t\u1ea1i nh\u1eefng khu v\u1ef1c v\u00f9ng s\u00e2u v\u00f9ng xa v\u00e0 h\u1ea1n ch\u1ebf v\u1ec1 ngu\u1ed3n l\u1ef1c, n\u01a1i vi\u1ec7c ti\u1ebfp c\u1eadn h\u1ea1 t\u1ea7ng ph\u00f2ng th\u00ed nghi\u1ec7m trung t\u00e2m c\u00f2n b\u1ecb th\u1eaft ch\u1eb7t. L\u1ee3i \u00edch ho\u1ea1t \u0111\u1ed9ng ch\u00ednh c\u1ee7a POCT l\u00e0 th\u1eddi gian tr\u1ea3 k\u1ebft qu\u1ea3 nhanh \u2013 y\u1ebfu t\u1ed1 r\u1ea5t quan tr\u1ecdng trong c\u00e1c t\u00ecnh hu\u1ed1ng kh\u1ea9n c\u1ea5p nh\u01b0 nhi\u1ec5m tr\u00f9ng huy\u1ebft v\u00e0 nh\u1ed3i m\u00e1u c\u01a1 tim. \u1ede c\u00e1c c\u01a1 s\u1edf phi t\u1eadp trung, l\u1ee3i \u00edch ch\u00ednh c\u1ee7a POCT l\u00e0 gi\u1ea3m th\u1eddi gian ch\u1edd \u0111\u1ee3i c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 kh\u1ea3 n\u0103ng gi\u1eef ch\u00e2n h\u1ecd \u0111\u1ec3 theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb ngay khi h\u1ecd \u0111ang c\u00f3 m\u1eb7t t\u1ea1i c\u01a1 s\u1edf; \u0111i\u1ec1u n\u00e0y \u0111\u1eb7c bi\u1ec7t c\u00f3 gi\u00e1 tr\u1ecb trong vi\u1ec7c s\u00e0ng l\u1ecdc ho\u1eb7c ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh l\u00fd m\u00e3n t\u00ednh nh\u01b0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng. Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng kh\u1ea9n c\u1ea5p trong m\u00f4i tr\u01b0\u1eddng ch\u0103m s\u00f3c ban \u0111\u1ea7u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1eb1ng POCT, trang b\u1ecb cho nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c ch\u00ednh \u0111\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh ph\u00e2n lo\u1ea1i ch\u00ednh x\u00e1c cho b\u1ec7nh nh\u00e2n (\u0111i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7 ho\u1eb7c g\u1eedi \u0111\u1ebfn b\u1ec7nh vi\u1ec7n \u0111\u1ec3 can thi\u1ec7p th\u00eam).<\/p>\n

K\u1ebft lu\u1eadn<\/h2>\n

POCT cung c\u1ea5p m\u1ed9t c\u00f4ng ngh\u1ec7 linh ho\u1ea1t, di \u0111\u1ed9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nhanh b\u1ec7nh v\u00e0 cho ph\u00e9p can thi\u1ec7p k\u1ecbp th\u1eddi, c\u00f3 kh\u1ea3 n\u0103ng c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ec7nh nh\u00e2n. \u0110i\u1ec1u n\u00e0y \u0111\u1eb7c bi\u1ec7t \u0111\u00fang t\u1ea1i c\u00e1c khu v\u1ef1c m\u00e0 vi\u1ec7c ti\u1ebfp c\u1eadn c\u00e1c b\u1ec7nh vi\u1ec7n hi\u1ec7n \u0111\u1ea1i v\u1edbi \u0111\u1ea7y \u0111\u1ee7 ph\u00f2ng x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n c\u00f2n h\u1ea1n ch\u1ebf; tuy nhi\u00ean, ngay c\u1ea3 trong b\u1ed1i c\u1ea3nh c\u00e1c b\u1ec7nh vi\u1ec7n l\u1edbn, POCT trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p v\u1eabn mang l\u1ea1i th\u1eddi gian tr\u1ea3 k\u1ebft qu\u1ea3 nhanh h\u01a1n so v\u1edbi c\u00e1c ph\u00f2ng x\u00e9t nghi\u1ec7m trung t\u00e2m, t\u1eeb \u0111\u00f3 gi\u00fap tri\u1ec3n khai \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi h\u01a1n. Khi d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe phi t\u1eadp trung tr\u1edf n\u00ean ph\u1ed5 bi\u1ebfn h\u01a1n tr\u00ean to\u00e0n c\u1ea7u, POCT s\u1ebd v\u1eabn l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng \u0111\u1ec3 c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe, v\u1edbi nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p s\u1eed d\u1ee5ng \u1edf c\u00e1c b\u1ec7nh vi\u1ec7n, ph\u00f2ng kh\u00e1m v\u00e0 m\u00f4i tr\u01b0\u1eddng c\u1ed9ng \u0111\u1ed3ng. S\u1ef1 ph\u00e1t tri\u1ec3n li\u00ean t\u1ee5c c\u1ee7a c\u00f4ng ngh\u1ec7 v\u00e0 m\u1edf r\u1ed9ng c\u1ee7a c\u00e1c x\u00e9t nghi\u1ec7m c\u00f3 s\u1eb5n h\u1ee9a h\u1eb9n s\u1ebd d\u00e2n ch\u1ee7 h\u00f3a h\u01a1n n\u1eefa ch\u1ea9n \u0111o\u00e1n, mang l\u1ea1i nhi\u1ec1u x\u00e9t nghi\u1ec7m h\u01a1n cho b\u1ec7nh nh\u00e2n v\u00e0 chuy\u1ec3n \u0111\u1ed5i ph\u00e2n ph\u1ed1i ch\u0103m s\u00f3c.<\/p>\n

\n

T\u00e0i li\u1ec7u tham kh\u1ea3o<\/em><\/p>\n

[1] Becker\u2019s Hospital Review (2024) <\/span>An essential strategy for the future of healthcare: decentralization<\/span><\/i>. C\u00f3 s\u1eb5n t\u1ea1i:<\/span> https:\/\/www.beckershospitalreview.com\/strategy\/an-essential-strategy-for-the-future-of-healthcare-decentralization\/<\/span><\/a> (Truy c\u1eadp: ng\u00e0y 7 th\u00e1ng 9 n\u0103m 2025).<\/span><\/p>\n

[2] Statista (2025) D\u00e2n s\u1ed1 n\u00f4ng <\/span>th\u00f4n v\u00e0 th\u00e0nh th\u1ecb \u1edf \u1ea4n \u0110\u1ed9<\/span><\/i>. C\u00f3 s\u1eb5n t\u1ea1i:<\/span> https:\/\/www.statista.com\/statistics\/621507\/rural-and-urban-population-india\/<\/span><\/a> (Truy c\u1eadp: ng\u00e0y 30 th\u00e1ng 9 n\u0103m 2025).<\/span><\/p>\n

[3] Das, A. v\u00e0 Prajapati, P. (2025) \u2018Navigating pharmaceuticals: microfluidic devices in analytical and formulation sciences\u2019, <\/span>Discovery Chemistry<\/span><\/i>, 2(49).<\/span><\/p>\n

[4] Aarts, G.W.A., Camaro, C., Adang, E.M.M., et al. (2024) \u2018Pre-hospital rule-out of non-ST-segment elevation acute coronary syndrome by a single troponin: final one-year outcomes of the ARTICA randomised trial\u2019, <\/span>European Heart Journal – Quality of Care and Clinical Outcomes<\/span><\/i>, 10(5), pp. 411-420.<\/span><\/p>\n

[5] Boesing, M., Bierreth, F., Abig, K., et al. (2024) \u2018Effects of serial NT-proBNP measurements in patients with acute decompensated heart failure: results of the POC-HF trial\u2019, <\/span>Global Cardiology Science and Practice<\/span><\/i>, (4), e202431.<\/span><\/p>\n

[6] National Library of Medicine (2023) <\/span>Point-of-care testing<\/span><\/i>. C\u00f3 s\u1eb5n t\u1ea1i:<\/span> https:\/\/www.ncbi.nlm.nih.gov\/sites\/books\/NBK539794\/<\/span><\/a> (Truy c\u1eadp: ng\u00e0y 7 th\u00e1ng 9 n\u0103m 2025).<\/span><\/p>\n

[7] Toraskar, K. (2025) \u2018Case Presentation: Mixed Cardiogenic and Septic Shock in a 66-year-old Patient\u2019, <\/span>LumiraDx\u2122 Think Tank: Real-world Experience Sharing<\/span><\/i>. Courtyard by Marriott, Mumbai, 12 April.<\/span><\/p>\n

[8] Jeevan, J., Karun, K.M., Puranik, A., et al. (2025) \u2018Prevalence of anemia in India: a systematic review, meta-analysis and geospatial analysis\u2019, <\/span>BMC Public Health<\/span><\/i>, 25, p. 1270.<\/span><\/p>\n

[9] An, R., Huang, Y., Man, Y., et al. (2022) \u2018Emerging point-of-care technologies for anemia detection\u2019, <\/span>Lab on a Chip<\/span><\/i>, 21(10), pp. 1843-1865.<\/span><\/p>\n

[10] Kamath, S., Maliyekkal, J., Raj, S.E.A., et al. (2025) \u2018Understanding out-of-pocket expenditure in India: a systematic review\u2019, <\/span>Frontiers in Public Health<\/span><\/i>, 13, 1594542.<\/span><\/p>\n

[11] <\/span>Cyr, M.E., Etchin, A.G., Guthrie, B.J., et al. (2019) \u2018Access to specialty healthcare in urban versus rural US populations: a systematic literature review\u2019, <\/span>BMC Health Services Research<\/span><\/i>, 19, p. 974.<\/span><\/p>\n

[12] International Diabetes Federation (2025) <\/span>India diabetes report 2025<\/span><\/i>. C\u00f3 s\u1eb5n t\u1ea1i:<\/span> https:\/\/diabetesatlas.org\/data-by-location\/country\/india\/<\/span><\/a> (Truy c\u1eadp: ng\u00e0y 7 th\u00e1ng 9 n\u0103m 2025).<\/span> [13] Chobra, V. (2025) \u2018Diabetes Care: In-Clinic Patient Management Case Study\u2019, <\/span>LumiraDx\u2122 Think Tank: Real-world Experience Sharing<\/span><\/i>. Courtyard by Marriott, Mumbai, 12 April.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Trong th\u1eadp k\u1ef7 qua, c\u00f3 m\u1ed9t xu h\u01b0\u1edbng to\u00e0n c\u1ea7u h\u01b0\u1edbng t\u1edbi ph\u00e2n c\u1ea5p trong l\u0129nh v\u1ef1c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf khu v\u1ef1c n\u00f4ng th\u00f4n, khu v\u1ef1c c\u00f3 thu nh\u1eadp th\u1ea5p v\u00e0 c\u00e1c khu v\u1ef1c \u0111ang ph\u00e1t tri\u1ec3n [1]. D\u1ecbch v\u1ee5 y t\u1ebf phi t\u1eadp trung chuy\u1ec3n quy\u1ec1n l\u1ef1c t\u1eeb quy\u1ec1n […]<\/p>\n","protected":false},"author":97,"featured_media":146785,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"tags":[],"pillarandcategory":[325,284,282,286,309],"reporter":[15264,15265],"class_list":["post-149762","acf_article","type-acf_article","status-publish","has-post-thumbnail","hentry","pillarandcategory-point-of-care","pillarandcategory-critical-care","pillarandcategory-disease-area","pillarandcategory-infectious-diseases","pillarandcategory-operations","reporter-kedar-toraskar","reporter-vishal-chopra"],"acf":[],"_links":{"self":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article\/149762","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article"}],"about":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/types\/acf_article"}],"author":[{"embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/users\/97"}],"version-history":[{"count":2,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article\/149762\/revisions"}],"predecessor-version":[{"id":149952,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article\/149762\/revisions\/149952"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/media\/146785"}],"wp:attachment":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/media?parent=149762"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/tags?post=149762"},{"taxonomy":"pillarandcategory","embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/pillarandcategory?post=149762"},{"taxonomy":"reporter","embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/reporter?post=149762"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}