Herráez Carrera Óscar, Jarabo Bueno María Del Monte
Clinical Analysis Laboratory, La Mancha Centro Hospital, Av. Constitución, 3, 13600, Alcázar De San Juan, Ciudad Real, Spain.
Pharmacoecon Open. 2020 Dec;4(4):605-613. doi: 10.1007/s41669-020-00200-3.
Current practice for urinalysis mainly entails different manual or semi-automated procedures that generate substantial financial costs, as well as a high and time-consuming workload for laboratory personnel.
The aim of this study was to assess whether the availability of integrated and fully automated urinalysis systems such as the UN-Series™ from Sysmex could resolve such concerns.
The target population was established based on 92,459 urine samples, which is the total average number of urine samples collected in the clinical and microbiology laboratory department of La Mancha Centro Hospital over a 10-year period (2008-2018). Financial data were retrieved from the eSalud database. Reference and test scenarios were defined based on clinical features found in reports from public websites. The cost and savings analyses were based on total costs over a 1-year time frame for the reference and test scenarios. The total average annual time savings for laboratory personnel were also calculated.
The comparison of annual costs for current practice versus the automated examination of urine samples found average cost savings of €340,003 per year. Assessment of body fluids using the automated analysis system would provide average annual savings of €1063. The use of the UN-Series™ would save 1615 h annually for laboratory personnel.
Implementing the UN-Series™ for the automated analysis of urine samples within routine practice in clinical laboratories could minimise costs, provide substantial savings for investment and improve laboratory procedures. Furthermore, the UN-Series™ could contribute to synergy between clinical analysis and microbiology laboratories in Spain.
目前尿液分析的做法主要涉及不同的手动或半自动程序，这会产生高昂的财务成本，同时给实验室人员带来繁重且耗时的工作量。
本研究的目的是评估诸如Sysmex公司的UN-Series™这类集成式全自动尿液分析系统的可用性是否能够解决此类问题。
目标人群基于92459份尿液样本确定，这是拉曼恰中心医院临床和微生物检验科在10年期间（2008 - 2018年）收集的尿液样本的总平均数量。财务数据从eSalud数据库中获取。根据公共网站报告中发现的临床特征定义了参考和测试场景。成本和节约分析基于参考和测试场景在1年时间范围内的总成本。还计算了实验室人员每年平均节省的总时间。
将当前做法的年度成本与尿液样本的自动检测进行比较，发现每年平均节约成本340,003欧元。使用自动分析系统进行体液检测每年平均可节省1063欧元。使用UN-Series™每年可为实验室人员节省1615小时。
在临床实验室的常规操作中采用UN-Series™进行尿液样本的自动分析可将成本降至最低，为投资提供可观的节约，并改善实验室程序。此外，UN-Series™可促进西班牙临床分析实验室和微生物实验室之间的协同作用。
