-transparent.png){kind=logo}
A retrospective study was done with 325 patients who had preadmission testing prior to ambulatory surgery. At least one laboratory abnormality was noted in 84% of the patients. The serial multiple analysis (SMA)-7 was abnormal 63% of the time. Abnormalities were seen in 54% of the SMA-12 panels and 38% of the urinalyses performed. Twenty-four percent of the patients treated had an abnormal electrocardiogram (ECG). An abnormal chest roentgenogram was found in 19% of the patients. Only three (1%) patients potentially benefited from preadmission testing. Ninety-six percent of the abnormal laboratory results were ignored by the attending physicians. Therefore, we conclude that preadmission testing should be done on a selective basis. Patients older than 50 years of age should have an ECG. A hematocrit should be obtained only if major blood loss is anticipated. All other tests should be ordered based on the history and physical examination.
R Golub, and
R Cantu, and
J J Sorrento, and
H D Stein
July 1993,
American journal of surgery,
R Golub, and
R Cantu, and
J J Sorrento, and
H D Stein
March 1987,
Annals of internal medicine,
R Golub, and
R Cantu, and
J J Sorrento, and
H D Stein
August 1993,
Journal of post anesthesia nursing,
R Golub, and
R Cantu, and
J J Sorrento, and
H D Stein
January 1971,
Hospitals,
R Golub, and
R Cantu, and
J J Sorrento, and
H D Stein
June 1997,
AORN journal,
R Golub, and
R Cantu, and
J J Sorrento, and
H D Stein
January 1999,
Today's surgical nurse,
R Golub, and
R Cantu, and
J J Sorrento, and
H D Stein
January 2000,
American journal of medical quality : the official journal of the American College of Medical Quality,
R Golub, and
R Cantu, and
J J Sorrento, and
H D Stein
September 1972,
British medical journal,
R Golub, and
R Cantu, and
J J Sorrento, and
H D Stein
July 1992,
Nursing management,
R Golub, and
R Cantu, and
J J Sorrento, and
H D Stein
October 2003,
AORN journal,
