Nielsen S E, Andersen B, Baden H
Acta Chir Scand. 1976;142(2):97-8.
The value of the erythrocyte sedimentation rate (ESR) as a screening test has been assessed through a retrospective analysis of 1648 surgical patients, in whom this test was not necessary for diagnosis, treatment or evaluation of risk factors. The ESR was inexplicably elevated in 42 patients (2.5%), but a marked increase was found in only very few cases, and in none had this finding been of any consequence for the admission in question. One patient had a malignant disease, which was not diagnosed during hospitalization, but the reasons for this were incorrect interpretation of relevant diagnostic procedures. We conclude that ESR can be excluded as a screening test in surgical patients, when diagnosis and therapeutic measures can be decided by history-taking and physical examination.
通过对1648例外科手术患者进行回顾性分析，评估了红细胞沉降率（ESR）作为筛查试验的价值。在这些患者中，该试验对诊断、治疗或危险因素评估并无必要。42例患者（2.5%）的ESR莫名升高，但仅在极少数病例中发现显著升高，且这一发现对相关入院情况均无任何影响。有1例患者患有恶性疾病，但住院期间未被诊断出来，不过原因是对相关诊断程序的解读有误。我们得出结论，当通过病史采集和体格检查就能决定诊断和治疗措施时，ESR可被排除作为外科手术患者的筛查试验。
