Current use of screening laboratory tests before abdominal interventions: a survey of 603 radiologists
Autor: | Richard G. Swensson, Steven E. Seltzer, Stuart G. Silverman, B F Coughlin, Peter R. Mueller |
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Rok vydání: | 1991 |
Předmět: |
Radiography
Abdominal medicine.medical_specialty Bleeding Time Psychological intervention Radiology Interventional Suction Catheterization Surveys and Questionnaires Biopsy medicine Humans Radiology Nuclear Medicine and imaging In patient Practice Patterns Physicians' Hemostatic function Prothrombin time Aspirin medicine.diagnostic_test business.industry Biopsy Needle Catheter Radiology Blood Coagulation Tests business Partial thromboplastin time medicine.drug |
Zdroj: | Radiology. 181(3) |
ISSN: | 0033-8419 |
Popis: | A survey of 2,153 radiologists was conducted to assess both their current practices of evaluating hemostatic function and their use of blood tests before performing image-guided nonvascular abdominal interventions. Among the 603 (28%) who responded, more radiologists routinely perform prothrombin time (81%) or partial thromboplastin time (78%) tests than platelet counts (59%), and relatively few (7%) obtain bleeding times. The most common practice (51%) is to order all of the first three tests. Use of laboratory tests is quite common (greater than 75%) before biopsy of splenic masses, hemangiomas, or hepatomas and before all catheter insertions. These tests are used less frequently (less than or equal to 70%) before fine-needle procedures, including biopsy and cyst aspiration. Only one-third of the radiologists alter their evaluation in patients who have taken aspirin. Most respondents (64%) believe that there should be written guidelines on how to evaluate patients before interventional procedures. Virtually all (97%) thought such evaluation should be the radiologist's responsibility. |
Databáze: | OpenAIRE |
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