| Autor: |
Britto MT; Division of Adolescent Medicine, Children's Hospital Medical Center, Cincinnati, OH 45229-3039, USA. |
| Jazyk: |
angličtina |
| Zdroj: |
The American journal of managed care [Am J Manag Care] 1997 Oct; Vol. 3 (10), pp. 1507-9. |
| Abstrakt: |
Routine screening of adolescents for iron-deficiency anemia is a widespread but unproven practice. Using evidence-based quality improvement techniques, including literature synthesis and presentation of clinic-specific data, my colleagues and I reevaluated a clinic policy of obtaining complete blood counts to screen for anemia in all new adolescent patients. Medical record review revealed clinically unsuspected anemia in 8 (3.5) of 229 patients screened. All cases were mild, and only two patients received iron therapy. These data, coupled with national recommendations, led to a reversal of the clinic's policy requiring screening of all new patients. One year later, complete blood counts were obtained for only 6% of new patients. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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