PREOPERATIVE LABORATORY TESTING - SHOULD ANY TESTS BE ROUTINE BEFORE SURGERY

被引:47
作者
MACPHERSON, DS [1 ]
机构
[1] UNIV PITTSBURGH, DEPT MED, PITTSBURGH, PA 15260 USA
关键词
D O I
10.1016/S0025-7125(16)30252-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Routine preoperative testing of all patients before elective surgery is unjustified. The frequency of unanticipated abnormalities or abnormalities shown to change patient management is too low to justify a practice pattern of testing all patients. Furthermore, little evidence exists that test result abnormalities are associated with perioperative morbidity. Table 12 lists a compilation of the findings from this article and recommendations regarding routine testing.
引用
收藏
页码:289 / 308
页数:20
相关论文
共 68 条
[1]  
Blery C, 1983, Eff Health Care, V1, P111
[2]  
BLERY C, 1986, LANCET, V1, P139
[3]   USEFULNESS OF ROUTINE PREOPERATIVE CHEST ROENTGENOGRAMS IN ELDERLY PATIENTS [J].
BOGHOSIAN, SG ;
MOORADIAN, AD .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1987, 35 (02) :142-146
[4]   PURSUIT OF ABNORMAL COAGULATION SCREENING-TESTS GENERATES MODEST HIDDEN PREOPERATIVE COSTS [J].
BUSHICK, JB ;
EISENBERG, JM ;
KINMAN, J ;
CEBUL, RD ;
SCHWARTZ, JS .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1989, 4 (06) :493-497
[5]  
CARLINER N H, 1986, Canadian Journal of Cardiology, V2, P134
[6]  
CARSON JL, 1988, LANCET, V1, P727
[7]   DESIGNING A STUDY FOR EVALUATING A PROTOCOL FOR THE SELECTIVE PERFORMANCE OF PREOPERATIVE TESTS [J].
CHARPAK, Y ;
BLERY, C ;
CHASTANG, C .
STATISTICS IN MEDICINE, 1987, 6 (07) :813-822
[8]   USEFULNESS OF SELECTIVELY ORDERED PREOPERATIVE TESTS [J].
CHARPAK, Y ;
BLERY, C ;
CHASTANG, C ;
BENKEMMOUN, R ;
PHAM, J ;
BRAGE, D ;
ZINDEL, G ;
TREF, D ;
TAVIOT, F .
MEDICAL CARE, 1988, 26 (02) :95-104
[9]   POSTOPERATIVE HYPONATREMIA - A PROSPECTIVE-STUDY [J].
CHUNG, HM ;
KLUGE, R ;
SCHRIER, RW ;
ANDERSON, RJ .
ARCHIVES OF INTERNAL MEDICINE, 1986, 146 (02) :333-336
[10]   PREDICTING CARDIAC COMPLICATIONS IN PATIENTS UNDERGOING NONCARDIAC SURGERY [J].
DETSKY, AS ;
ABRAMS, HB ;
MCLAUGHLIN, JR ;
DRUCKER, DJ ;
SASSON, Z ;
JOHNSTON, N ;
SCOTT, JG ;
FORBATH, N ;
HILLIARD, JR .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1986, 1 (04) :211-219