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October 4, 2013Journal of Neurosurgery Pediatrics

Routine preoperative blood testing in pediatric neurosurgery

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Key result

Routine preoperative blood testing in pediatric neurosurgery detected abnormalities in 9% of patients, but led to procedure cancellation in only 1 patient (0.28%) due to a false-positive result.

Why the study?

Does routine preoperative blood testing affect patient management or financial costs in children undergoing elective neurosurgery?

Population

355 children admitted to the neurosurgical department for elective procedures. Excluded: patients admitted…

Design

Cohort

Authors

FAFajer AlmesbahTMTafadzwa MandiwanzaCKChandrasekaran Kaliaperumal

Discussion

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Overview

Routine preoperative testing rarely alters management in pediatric neurosurgery; leaves open whether selective strategies reduce costs without added risk.

Study Design

Type

Observational (n=355)

Structured PICO

Does routine preoperative blood testing affect patient management or financial costs in children undergoing elective neurosurgery?

P
Population
355 children admitted for elective neurosurgical procedures over a 5-year period, excluding those requiring only local anesthesia or imaging.
E
Exposure
Routine preoperative blood testing
O
Outcome
Effects on patient management (abnormalities detected, procedure cancellations) and overall financial costs

Routine preoperative blood testing in pediatric neurosurgery rarely alters clinical management and adds unnecessary financial costs, supporting selective testing based on clinical indication.

Cite This Study

Almesbah et al. (2013) conducted an observational in pediatric neurosurgery (n=355). Routine preoperative blood testing was evaluated on Procedure cancellation due to blood test abnormality. Routine preoperative blood testing in pediatric neurosurgery detected abnormalities in 9% of patients, but led to procedure cancellation in only 1 patient (0.28%) due to a false-positive result.

synapsesocial.com/papers/6a650c78dfe9f9fc9bef41d0https://doi.org/10.3171/2013.8.peds13254
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Preoperative Screening: Value of Previous Tests1990 · 76 citations
  2. 2The Usefulness of Preoperative Laboratory Screening1985 · 481 citations
  3. 3On the value of routine prothrombin time screening in elective neurosurgical procedures2012 · 28 citations
  4. 4Coagulation Studies in Preoperative Neurosurgical Patients2001 · 42 citations
  5. 5Role of routine laboratory investigations in preoperative evaluation2011 · 107 citations