Romfh R F
Mil Med. 1989 Mar;154(3):140-4.
This paper reports a survey of routine admission and preoperative diagnostic studies required by regulation at fifteen USAF hospitals. The results show that each hospital differs from the others on studies required. Clinical reports show that routine diagnostic studies are inappropriate on hospital admission. Clinical investigation has found that for preoperative patients a routine hemoglobin or hematocrit is indicated over age 60 years, an electrocardiogram over age 40 to 55, and a chest X-ray over age 60 to 70. The consensus of investigators is that diagnostic studies should be performed only when clinically indicated. Military hospitals could realize a substantial cost savings by not requiring unindicated diagnostic studies.
本文报道了一项对美国空军15家医院按照规定所需的常规入院和术前诊断检查的调查。结果显示，每家医院在所需检查项目上都与其他医院不同。临床报告表明，常规诊断检查在入院时并不合适。临床调查发现，对于术前患者，60岁以上应进行常规血红蛋白或血细胞比容检查，40至55岁应进行心电图检查，60至70岁应进行胸部X光检查。调查人员的共识是，只有在临床有指征时才应进行诊断检查。军事医院若不要求进行无指征的诊断检查，可实现大幅成本节约。
