[麻醉前实验室检查选择性开具的价值]

[Value of selective prescription of preanesthetic laboratory tests].

作者信息

Mignonsin D, Degui S, Kane M, Bondurand A

机构信息

Département d'Anesthésie-Réanimation, CHU de Cocody.

出版信息

Cah Anesthesiol. 1996;44(1):13-7.

PMID:8762245

Abstract

The aim of this study was to determine the comparative value of routine or selective ordering of preoperative tests. 400 ASA I, II, III patients were enrolled in the study. Two periods were considered: a retrospective period where the patients (n = 200) underwent routine preoperative tests and a prospective period where the patients (n = 200) had only preoperative tests according to the results of questioning and clinical examination. During the retrospective period 1.408 tests were effected with 44 abnormal results. During the prospective period, the abnormal results among 855 prescribed tests were: 0.8% in ASA I patients, 7.5% in ASA II and 5.9% in ASA III patients. The ASA I patients had an average of 3.47 +/- 1.28 tests each, ASA II patients 4.50 +/- 1.21 and ASA III 7.50 +/- 1.50. No complication inducing sequelae or death could be linked to lacking tests. The mean cost of tests was reduced by 50 percent.

摘要

本研究的目的是确定术前检查常规或选择性安排的比较价值。400例ASA I、II、III级患者纳入本研究。研究分为两个阶段：回顾性阶段，200例患者接受常规术前检查；前瞻性阶段，200例患者仅根据问诊和临床检查结果进行术前检查。回顾性阶段共进行了1408项检查，其中44项结果异常。前瞻性阶段，在855项规定检查中，异常结果比例为：ASA I级患者0.8%，ASA II级患者7.5%，ASA III级患者5.9%。ASA I级患者平均每人进行3.47±1.28项检查，ASA II级患者为4.50±1.21项，ASA III级患者为7.50±1.50项。没有并发症导致后遗症或死亡与检查缺失有关。检查的平均费用降低了50%。