UNNECESSARY PARACLINICAL TESTS BEFORE ELECTIVE SURGERIES

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MOGHIMI MEHRDAD; MARASHI SEYED ALI; SALEHIAN M.T.; MOTAVALIZADEH KAKHAKI A.R.

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Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2008 | Volume:30 | Issue:62 Page(s): 33-70

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Title

UNNECESSARY PARACLINICAL TESTS BEFORE ELECTIVE SURGERIES

Author(s)

MOGHIMI MEHRDAD | MARASHI SEYED ALI | SALEHIAN M.T. | MOTAVALIZADEH KAKHAKI A.R. | Issue Writer Certificate

Keywords

PREOPERATIVEQ3

EVALUATIONQ3

PARACLINICAL TESTSQ3

ELECTIVE SURGERYQ3

Abstract

Introduction: The aim of this study was to assess incidence of abnormalities in PREOPERATIVE screening tests and to determine their necessity in PREOPERATIVE assessment.Materials and Methods: In this descriptive study, 1220 patients underwent ELECTIVE SURGERY at general and vascular surgery wards of Taleghani Hospital between April 2005 and March 2006. The tests included Chest X-ray, white blood cell count (WBC), hemoglobin (Hb), blood urea nitrogen (BUN), creatinine (Cr), sodium (Na), potassium (K), blood sugar (BS) and urinalysis (U/A) were classified as normal or abnormal.Results: Of 10980 tests, abnormal tests were detected in CXR (9.6%), WBC (1.3%), BUN (3.5%), Cr (2.4%), BS (8.4%), Na (0.2%), K (0.3%), and U/A (10.3%). Abnormal level of Hb was totally detected in 11.5% of female and 4.0% of male patients. Abnormalities were increasing with age, so that they were detected in 18% and 7.7% of BS and Hb (men) in over 50 years old, 23.7% and 14.4% of BUN and Cr respectively in over 60 years old, 0.2% and 0.3% of Na and K respectively in over 70 years old, 70.8% and 4.1% of CXR and WBC respectively in over 80 years old. Abnormal level of Hb was detected in all age groups of females. It is estimated that about $57,000 was spent for these 10980 tests.Conclusion: Routine PREOPERATIVE tests should be justified by a specific symptom, sign, or diagnosis identified during the history or physical examination. According to our result selecting test, instead of routine test, can be justified by using both age and history or observation. This policy can reduce number of unnecessary PREOPERATIVE PARACLINICAL TESTS and their expensive cost.

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APA: Copy

MOGHIMI, MEHRDAD, MARASHI, SEYED ALI, SALEHIAN, M.T., & MOTAVALIZADEH KAKHAKI, A.R.. (2008). UNNECESSARY PARACLINICAL TESTS BEFORE ELECTIVE SURGERIES. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 30(62), 33-70. SID. https://sid.ir/paper/63188/en

Vancouver: Copy

MOGHIMI MEHRDAD, MARASHI SEYED ALI, SALEHIAN M.T., MOTAVALIZADEH KAKHAKI A.R.. UNNECESSARY PARACLINICAL TESTS BEFORE ELECTIVE SURGERIES. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2008;30(62):33-70. Available from: https://sid.ir/paper/63188/en

IEEE: Copy

MEHRDAD MOGHIMI, SEYED ALI MARASHI, M.T. SALEHIAN, and A.R. MOTAVALIZADEH KAKHAKI, “UNNECESSARY PARACLINICAL TESTS BEFORE ELECTIVE SURGERIES,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 30, no. 62, pp. 33–70, 2008, [Online]. Available: https://sid.ir/paper/63188/en

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