Kuwajima M, Ohnishi Y
Department of Clinical Laboratories, Kagawa Prefectural Central Hospital, Takamatsu.
Rinsho Byori. 1993 Jul;41(7):759-65.
To evaluate the diagnostic utility of admission biochemical tests in the "Essential Laboratory Tests" proposed by the Japan Society of Clinical Pathology, we examined performance, abnormality and undetected abnormality in the tests of 250 randomly selected new patients admitted to the internal medicine wards of a prefectural general hospital during a year period. Each admission biochemical test was performed in 63% to 93% of the patients, and abnormal rates were obtained in 13% to 53% of each type of test performed. It is noteworthy that 37% of the patients were positive for HCV antibody and 32% had elevated blood glucose levels. In 28 of 250 patients, clinical diagnoses were supplemented or changed because of abnormal test results. However, in 15 cases, significant test results were overlooked. To promote appropriate action by the attending physician, we presented interpretative laboratory reports. Clinical usefulness of the reports was also evaluated. During the past four years, 100 interpretative biochemical test reports were accumulated. Diagnoses and treatments were supplemented or changed in 36 cases and 26 cases, respectively, because of the reports. In conclusion, effective and appropriate use of biochemical tests is promoted by interpretative reports.
为评估日本临床病理学会提出的“基本实验室检查”中入院生化检查的诊断效用，我们对一家县级综合医院内科病房一年内随机选取的250例新入院患者的检查结果进行了性能、异常情况及未检测到的异常情况调查。各项入院生化检查在63%至93%的患者中进行，每种检查的异常率在13%至53%之间。值得注意的是，37%的患者丙肝抗体呈阳性，32%的患者血糖水平升高。在250例患者中，有28例因检查结果异常补充或更改了临床诊断。然而，有15例重要检查结果被忽视。为促使主治医师采取适当行动，我们提供了解读性实验室报告，并对报告的临床实用性进行了评估。在过去四年中，积累了100份解读性生化检查报告。由于这些报告，分别有36例诊断和26例治疗得到补充或更改。总之，解读性报告促进了生化检查的有效和适当使用。
