O'Grady I, McCarthy C, Kaliaperumal C, Marks J C, Kaar G, O'Sullivan M
Neurosurgery Department, Cork University Hospital, Wilton, Cork.
Ir Med J. 2013 Jan;106(1):18-20.
To ensure continuing patient care in a cost effective and efficient manner and to determine the importance of routine pre-op bloods in patients undergoing spine surgery, a retrospective audit of 170 patients was carried out in the Neurosurgery Department at Cork University Hospital. There were 94 males and 76 females. No test had less than 87.4% normal results. There were 17 (10.7%) abnormal haemoglobin levels, 13 (8.2%) abnormal white cell count levels, 14 (8.9%) abnormal creatinine levels and of sodium and potassium levels, 5 (3.2%) and 3 (2%) were abnormal respectively. Of the abnormal results, the majority fell close to reference range. 95% of the total cost incurred in performing the procedure was attributed to normal blood results. Abnormal blood results in this cohort of patients did not alter management. We conclude that routine blood tests, including coagulation screen, may not be necessary in healthy individuals undergoing elective spine surgery.
为了以具有成本效益和高效的方式确保持续的患者护理，并确定脊柱手术患者常规术前血液检查的重要性，科克大学医院神经外科对170例患者进行了回顾性审计。其中男性94例，女性76例。所有检查的正常结果均不少于87.4%。血红蛋白水平异常者17例（10.7%），白细胞计数水平异常者13例（8.2%），肌酐水平异常者14例（8.9%），钠和钾水平异常者分别为5例（3.2%）和3例（2%）。在异常结果中，大多数接近参考范围。该手术总费用的95%归因于血液检查结果正常。该组患者的异常血液检查结果并未改变治疗方案。我们得出结论，对于接受择期脊柱手术的健康个体，包括凝血筛查在内的常规血液检查可能没有必要。
