Optimisation of perioperative investigations among elective orthopaedic patients in a Dublin-based teaching hospital
| Autor: | Gerry Fitzpatrick, David Neil Cooper, Jane O'Sullivan, Lachmann Kumar, Frances Meehan, John Quinlan, Donal B. O’Connor, Jack R. Collins, Ana Magdalina |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Hematologic Tests business.industry media_common.quotation_subject Clinical Chemistry Tests General Medicine Perioperative Perioperative Care Teaching hospital 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Excellence Elective Surgical Procedures Family medicine Surgical Procedures Operative medicine Humans 030212 general & internal medicine business Hospitals Teaching Ireland media_common |
| Zdroj: | Journal of perioperative practice. 29(9) |
| ISSN: | 2515-7949 |
| Popis: | Background The current National Institute for Health and Care Excellence guidelines, in accordance with the Association of Anaesthetists of Great Britain and Ireland guidelines, recommend the following haematological investigations for all patients undergoing major elective surgery: full blood count, renal profile and coagulation screen if clinically indicated. However, the guidelines fail to specify a time-interval for which normal blood results remain valid. Currently all patients in Ireland undergoing substantial elective surgery requiring general or regional anaesthetic have a preoperative assessment prior to the surgery. Patients have phlebotomy performed as part of this assessment. Patients admitted for elective surgery often have these bloods repeated on the morning of surgery. Objectives To determine if blood investigations taken over a one-year period prior to surgery can be used as a baseline for clinically stable patients undergoing elective surgery. Study design and methods All consecutive day of surgery admission patients >18 years of age undergoing elective orthopaedic surgery in Tallaght Hospital between 1 December 2014 and 1 December 2015 were identified using hospital records. Their blood results in the one-year period prior to surgery were compared to the blood results on the morning of surgery, using a McNemar’s test. A further clinical analysis was performed. Results There was no statistically significant change between blood results from three months prior to the surgery and the morning of surgery (P Conclusions There appears to be neither a statistical nor clinical benefit to repeating blood tests on the morning of surgery, following normal bloods |
| Databáze: | OpenAIRE |
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