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December 1, 2006Saudi Medical Journal

Is routine pre-operative blood testing in children necessary?

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Key result

Routine pre-operative blood testing in children undergoing minor surgery yielded 9.2% abnormal results, none of which altered management, postponed surgery, or predicted complications.

Why the study?

Does routine pre-operative blood testing change management or predict complications in children undergoing minor elective surgery?

Population

342 children who presented for elective minor surgical procedures under general anesthesia

Design

Cohort

Authors

MMMohammad Saquib MallickKing Fahd Medical City

Discussion

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Overview

May support selective over routine pre-op testing in pediatric minor surgery; hypothesis-generating and requires prospective confirmation.

Study Design

Type

Observational (n=342)

Multicenter

No

Structured PICO

Does routine pre-operative blood testing change management or predict complications in children undergoing minor elective surgery?

P
Population
342 children admitted for routine minor elective surgery over a one-year period to evaluate the utility of pre-operative blood tests.
E
Exposure
Routine pre-operative investigations (full blood count, urea and electrolytes)
O
Outcome
Frequency of abnormalities and whether preoperative management was changed when results were abnormal

Routine pre-operative blood testing in children undergoing minor elective surgery has very limited value in patient management and does not predict complications.

Cite This Study

Mohammad Saquib Mallick (2006) conducted an observational in Routine minor elective surgical procedures (n=342). Routine pre-operative blood testing (full blood count, urea, and electrolytes) was evaluated on Frequency of abnormal test results and changes to preoperative management. Routine pre-operative blood testing in children undergoing minor surgery yielded 9.2% abnormal results, none of which altered management, postponed surgery, or predicted complications.

synapsesocial.com/papers/6a650c78dfe9f9fc9bef41d9https://doi.org/10.15537/1658-3175.3698
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Also Consider

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

  1. 1Preoperative Laboratory Testing of Children Undergoing Elective Surgery1990 · 55 citations
  2. 2Pre-operative haemoglobin estimation in paediatric ENT surgery1993 · 9 citations
  3. 3Routine pre‐operative blood testing: is it necessary?2002 · 77 citations
  4. 4The Value of Preoperative Screening Investigations in Otherwise Healthy Individuals1987 · 186 citations
  5. 5Preoperative laboratory evaluation of patients aged over 40 years undergoing elective non-cardiac surgery2005 · 36 citations