March 1, 2005Sao Paulo Medical JournalOpen Access

Preoperative laboratory evaluation of patients aged over 40 years undergoing elective non-cardiac surgery

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Why the study?

Does routine preoperative laboratory screening change clinical management in patients over 40 years undergoing elective non-cardiac surgery?

Population

991 patients aged over 40 years undergoing elective non-cardiac surgery, mean age 63.6, 54.6% male…

Design

Cross-sectional

Authors

FAFábio Yoshito AjimuraUniversidade de São Paulo AMAlex Silva Santos Freire MaiaUniversidade de São Paulo AHAdriana HachiyaHospital São Paulo

Discussion

Member takes

Implication

Abnormal preoperative tests did not alter management; leaves open whether routine screening warrants de-implementation in elective non-cardiac surgery.

Structured PICO

Does routine preoperative laboratory screening change clinical management in patients over 40 years undergoing elective non-cardiac surgery?

Population

991 patients aged over 40 years undergoing elective non-cardiac surgery, mean age 63.6, 54.6% male, evaluated at a University Hospital in São Paulo, Brazil.

Intervention

Routine preoperative screening tests including blood cell count, serum sodium, potassium, urea, creatinine, prothrombin time, thrombin time, partial thromboplastin time, electrocardiogram, and chest X-ray.

Outcome

Percentage of abnormalities on laboratory tests and correlation with changes in preoperative evaluation management.

Routine preoperative laboratory testing in patients over 40 undergoing non-cardiac surgery frequently reveals abnormalities but rarely alters clinical management, suggesting indiscriminate testing may be unnecessary.

Cite This Study

Ajimura et al. (2005) studied this question.

synapsesocial.com/papers/6a76238efa1990f79e6141c3 https://doi.org/10.1590/s1516-31802005000200003

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March 1, 2005Sao Paulo Medical JournalOpen Access

Preoperative laboratory evaluation of patients aged over 40 years undergoing elective non-cardiac surgery

View Full Paper

Ask AI

Bookmark

Why the study?

Does routine preoperative laboratory screening change clinical management in patients over 40 years undergoing elective non-cardiac surgery?

Population

991 patients aged over 40 years undergoing elective non-cardiac surgery, mean age 63.6, 54.6% male…

Design

Cross-sectional

Authors

FAFábio Yoshito AjimuraUniversidade de São Paulo AMAlex Silva Santos Freire MaiaUniversidade de São Paulo AHAdriana HachiyaHospital São Paulo

Discussion

Member takes

Implication

Abnormal preoperative tests did not alter management; leaves open whether routine screening warrants de-implementation in elective non-cardiac surgery.

Structured PICO

Does routine preoperative laboratory screening change clinical management in patients over 40 years undergoing elective non-cardiac surgery?

Population

991 patients aged over 40 years undergoing elective non-cardiac surgery, mean age 63.6, 54.6% male, evaluated at a University Hospital in São Paulo, Brazil.

Intervention

Outcome

Percentage of abnormalities on laboratory tests and correlation with changes in preoperative evaluation management.

Cite This Study

Ajimura et al. (2005) studied this question.

synapsesocial.com/papers/6a76238efa1990f79e6141c3 https://doi.org/10.1590/s1516-31802005000200003

Also Consider

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