Home|Journals|Articles by Year Follow on Twitter

Directory for Medical Articles
 

Open Access

Original Article

IJMDC. 2020; 4(12): 2253-2258


Routine blood investigations before any elective surgery for normal patient: are they valuable?

Sultan Hamad Alsaigh, Hind Khalaf Alanazi, Sarah Abdulrahman Alkuraydis, Hajar Abdullah Alsudairi, Hanan Muneer Alraddadi, Afnan Qushaym Alqahtani, Rawan Fahad AlSubaie.

Abstract
Background: Unnecessary laboratory testing is common during the preoperative evaluation of patients. This study aims to determine the prevalence of abnormalities in the preoperative investigation in patients with American Society of Anesthesiologists (ASA) grade I and II undergoing all elective operations and their impact on the decision of surgery on postoperative complications.
Methodology: A retrospective chart review was conducted from all records of patients with ASA grade I and II undergoing any elective operations from January 1 2016 to March 31 2019 in King Fahad Specialist Hospital in Buraidah, Saudi Arabia.
Results This study included a total of 1,473 patients who underwent surgery. As per the ASA grade, 641 (43.5%) had grade I and 832 (56.5%) had grade II. General surgeons handled most cases [976 (66.3%)]. The most common procedure performed by general surgeons was laparoscopic cholecystectomy, accounting for 261 cases (26.7%). The serum creatinine test revealed that 32% of ASA I and 26.1% of ASA II patients had low creatinine levels. Only 4.1% of ASA I and 5.6% of ASA II patients had high blood urea nitrogen levels. In our study, 5.3% of
patients with ASA I and 3.4% of patients with ASA II showed leukopenia. Moreover, 8.9% of patients with ASA I and II each showed high prothrombin time.
Conclusion We should preserve preoperative tests for high-risk patients. They should be ordered if there is an indication in the history or physical examination.

Key words: American Society of Anesthesiologists, elective, surgery, preoperative, investigation



Similar Articles

Rethinking the health implications of society-environment relationships in built areas: An assessment of the access to healthy and hazards index in the context of COVID-19.
Moore HE, Hill B, Siriwardena AN, Tanser F, Spaight R
Landscape and urban planning. 2022; 217(): 104265

Investigation of Mycobacterium ulcerans Glycan Interactions Using Glycan Array and Surface Plasmon Resonance.
Day CJ, Poole J, Pluschke G, Jennings MP
Methods in molecular biology (Clifton, N.J.). 2022; 2387(): 29-40

The Importance of Experimental Investigation of the CNS Oxytocin System.
Boulton KA, Guastella AJ
Methods in molecular biology (Clifton, N.J.). 2022; 2384(): 53-65

The Importance of Experimental Investigation of the Peripheral Oxytocin System.
Assinder SJ
Methods in molecular biology (Clifton, N.J.). 2022; 2384(): 1-27

Experimental nerve transfer model in the neonatal rat.
Sporer ME, Aman M, Bergmeister KD, Depisch D, Scheuba KM, Unger E, Podesser BK, Aszmann OC
Neural regeneration research. 2022; 17(5): 1088-1095


Full-text options


Latest Statistics about COVID-19
• pubstat.org


Add your Article(s) to Indexes
• citeindex.org






Covid-19 Trends and Statistics
ScopeMed.com
CiteIndex.org
CancerLine
FoodsLine
PhytoMedline
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.



ScopeMed Web Sites