VALUE OF ROUTINE PREOPERATIVE TESTS - A MULTICENTER STUDY IN 4 GENERAL HOSPITALS

被引：67

作者：

PEREZ, A

PLANELL, J

BACARDAZ, C

HOUNIE, A

FRANCI, J

BROTONS, C

CONGOST, L

BOLIBAR, I

机构：

[1] INST RECERCA EPIDEMIOL & CLIN, E-08301 MATARO, SPAIN

[2] HOSP 31, CONSORCI SANITARI MATARO, DEPT ANAESTHESIA, E-08301 MATARO, SPAIN

[3] HOSP SABADELL, DEPT ANAESTHESIA, E-08208 SABADELL, SPAIN

[4] HOSP GEN GRANOLLERS, DEPT ANAESTHESIA, E-08400 GRANOLLERS, SPAIN

[5] HOSP TERRASSA, DEPT ANAESTHESIA, E-08227 TERRASSA, SPAIN

[6] HOSP SABADELL, DEPT CLIN EPIDEMIOL & INFORMAT, E-08208 SABADELL, SPAIN

[7] PASS, SERV PREVENCIO ASSISTENCIALS & SOCIO SANITARIS, E-08301 MATARO, SPAIN

来源：

BRITISH JOURNAL OF ANAESTHESIA | 1995年 / 74卷 / 03期

关键词：

ANESTHESIA; AUDIT; GENERAL;

D O I：

10.1093/bja/74.3.250

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We have assessed the value of routine preoperative tests in asymptomatic patients and their influence on anaesthetic and surgical decisions. We studied 3131 ASA I and II patients from four general hospitals undergoing elective surgical procedures. A retrospective review of the medical records revealed that 853 (27%) patients had some abnormal test result, of which 465 (15%) were previously unknown and not suspected at the preanaesthetic visit; these comprised 8.6% chest radiographs, 5.6% electrocardiograms and biochemical tests, and 2.9% haematological tests. Perioperative management was altered in only 0.56-0.26% of patients, depending on the particular test. The present study confirms the need for selective and rational ordering of preoperative tests, the basis of which should be the clinical assessment during the preanaesthetic visit.

引用

页码：250 / 256

页数：7

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