Pre-operative investigations: yield and conformity to national guidelines.

Autor: Juliana H; Anaesthesiology Unit, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Hospital Kuala Lumpur, Jalan Masjid, 50586, Kuala Lumpur., Lim TA, Inbasegaran K
Jazyk: angličtina
Zdroj: The Medical journal of Malaysia [Med J Malaysia] 2003 Mar; Vol. 58 (1), pp. 5-16.
Abstrakt: Routine ordering of pre-operative investigations yields a low true positive rate and is not cost effective. In this study, case notes of 251 adults who underwent elective surgery were reviewed. Pre-operative investigations were classified as 'indicated' or 'not indicated', based on the national guidelines. Only 56% of all tests done were indicated. The overall rates of expected and unexpected abnormal values from pre-operative blood investigations were 51.1% and 34.4% respectively. This study found that selective testing based on guidelines was beneficial. However, the results also suggest that the local guidelines need to be reviewed.
Databáze: MEDLINE