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Evaluating Compliance with Institutional Preoperative Testing Guidelines for Minimal-Risk Patients Undergoing Elective Surgery
Joint Authors
Rattana-arpa, Sirirat
Chatrattanakulchai, Siritda
Saengtawan, Puttachard
Wangdee, Aungsumat
Siriussawakul, Arunotai
Nimmannit, Akarin
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-07-07
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1030978