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October 1, 1986Postgraduate Medical JournalOpen Access

Rational preoperative evaluation

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Why the study?

Does routine preoperative testing change clinical management in patients undergoing surgical procedures?

Population

200 consecutive patients undergoing surgical procedures at the Salt Lake City VA Hospital

Design

Cohort

Follow-up

postoperative period

Authors

AMAlan MuskettJMJames M. McGreevyFairview Health Services

Discussion

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Implication

Supports selective preoperative testing based on clinical evaluation; leaves open need for randomized trials on outcomes before practice change.

Structured PICO

Does routine preoperative testing change clinical management in patients undergoing surgical procedures?

P
Population
200 consecutive patients undergoing surgical procedures at the Salt Lake City VA Hospital
I
Intervention
Routine preoperative testing (blood count, differential, electrolytes, chemistry panel, urinalysis, prothrombin time, partial thromboplastin time, electrocardiogram, and chest X-ray)
O
Outcome
Frequency with which abnormal test results affected preoperative care

Routine preoperative testing rarely changes management and can often be safely eliminated in favor of targeted testing based on history and physical examination.

Cite This Study

Muskett et al. (1986) studied this question.

synapsesocial.com/papers/6a90ea652aca35fe3992ca7chttps://doi.org/10.1136/pgmj.62.732.925
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Also Consider

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

  1. 1The role of the routine pre-operative chest X-ray in the elderly general surgical patient1982 · 25 citations
  2. 2Usefulness of Screening Chest Roentgenograms in Preoperative Patients1983 · 103 citations
  3. 3THE ROLE OF THE ROUTINE PRE-OPERATIVE ELECTRO-CARDIOGRAM IN THE ELDERLY SURGICAL PATIENT1983 · 49 citations
  4. 4Prothrombin and Partial Thromboplastin Times as Preoperative Screening Tests1982 · 131 citations
  5. 5Routine pre‐operative chest radiography. 1977 compared with 1955 at Peterborough District General Hospital1978 · 19 citations