Evaluating Compliance with Institutional Preoperative Testing Guidelines for Minimal-Risk Patients Undergoing Elective Surgery
المؤلفون المشاركون
Rattana-arpa, Sirirat
Chatrattanakulchai, Siritda
Saengtawan, Puttachard
Wangdee, Aungsumat
Siriussawakul, Arunotai
Nimmannit, Akarin
المصدر
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-07-07
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background.
Few investigations preoperatively are important for low-risk patients.
This study was designed to determine the level of compliance with preoperative investigation guidelines for ASA I patients undergoing elective surgery.
Secondary objectives included the following: to identify common inappropriate investigations, to evaluate the impact of abnormal testing on patient management, to determine factors affecting noncompliant tests, and to estimate unnecessary expenditure.
Methods.
This retrospective study was conducted on adult patients over a one-year period.
The institute’s guidelines recommend tests according to the patients’ age groups: a complete blood count (CBC) for those patients aged 18–45; CBC, chest radiograph (CXR) and electrocardiography (ECG) for those aged 46–60; and CBC, CXR, ECG, electrolytes, blood glucose, blood urea nitrogen (BUN), and creatinine (Cr) for patients aged 61–65.
Results.
The medical records of 1,496 patients were reviewed.
Compliant testing was found in only 12.1% (95% CI, 10.5–13.9).
BUN and Cr testings were the most frequently overprescribed tests.
Overinvestigations tended to be performed on major surgery and younger patients.
Overall, overinvestigation incurred an estimated cost of US 200,000 dollars during the study period.
Conclusions.
The need to utilize the institution’s preoperative guidelines should be emphasized in order to decrease unnecessary testing and the consequential financial burden.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Siriussawakul, Arunotai& Nimmannit, Akarin& Rattana-arpa, Sirirat& Chatrattanakulchai, Siritda& Saengtawan, Puttachard& Wangdee, Aungsumat. 2013. Evaluating Compliance with Institutional Preoperative Testing Guidelines for Minimal-Risk Patients Undergoing Elective Surgery. BioMed Research International،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-1030978
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Siriussawakul, Arunotai…[et al.]. Evaluating Compliance with Institutional Preoperative Testing Guidelines for Minimal-Risk Patients Undergoing Elective Surgery. BioMed Research International No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-1030978
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Siriussawakul, Arunotai& Nimmannit, Akarin& Rattana-arpa, Sirirat& Chatrattanakulchai, Siritda& Saengtawan, Puttachard& Wangdee, Aungsumat. Evaluating Compliance with Institutional Preoperative Testing Guidelines for Minimal-Risk Patients Undergoing Elective Surgery. BioMed Research International. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-1030978
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1030978
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر