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August 1, 2001Anaesthesia and Intensive CareOpen Access

Coagulation Studies in Preoperative Neurosurgical Patients

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Why the study?

Does routine preoperative coagulation testing predict postoperative bleeding in neurosurgical patients?

Population

1211 patients having neurosurgery over a one-year period

Design

Cohort

Authors

BSB. SchrammKLKate LesliePMPaul S. Myles

Discussion

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Overview

May not warrant routine coagulation testing in neurosurgery; leaves open whether history-guided strategies reduce unnecessary tests.

Structured PICO

Does routine preoperative coagulation testing predict postoperative bleeding in neurosurgical patients?

P
Population
1211 patients having neurosurgery over a one-year period
I
Intervention
Preoperative coagulation testing (aPTT, PT, platelet count) and historical factors
O
Outcome
Abnormal test results and prediction of postoperative bleedinghard clinical

Routine screening of all preoperative neurosurgical patients with coagulation studies is unnecessary as prolonged aPTT is predictable on history in most patients.

Cite This Study

Schramm et al. (2001) studied this question.

synapsesocial.com/papers/6a76238efa1990f79e6141c7https://doi.org/10.1177/0310057x0102900410
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