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British Journal of Anaesthesia, 1995, Vol. 74, No. 3 250-256
© 1995 The Board of Management and Trustees of the British Journal of Anaesthesia

research-article

Value of routine preoperative tests: a multicentre study in four general hospitals{dagger}

A. PEREZ, J. PLANELL, C. BACARDAZ, A. HOUNIE, J. FRANCI, C. BROTONS, L. CONGOST and I. BOLIBAR

Department of Anaesthesia, Consorci Sanitari dc Mataro Hospital, 31. 08301 Mataro, Spain
Department of Anaesthesia, Hospital de Sabadell Pare Tauli, s/n 08208 Sabadell, Spain
Department of Anaesthesia, Hospital General de Granollers, Placa Francesc Ribas s/n 08400 Granollers, Spain
Department of Anaesthesia, Hospital de Terrassa Carretera Torrebonica, s/n 08227 Terrassa, Spain
Department of Clinical Epidemiology and Information, Hospital de Sabadell Pare Tauli, s/n 08208 Sabadell, Spain
Serveis de Prevenció, Assistencials i Sócio-Sanitaris PASS, Jordi Joan 5. 08301 Mataró, Spain
Institut de Recerca Epidemioldgica i Clinica, IREC Jordi Joan 5. 08301 Mataro, Spain

We have assessed the value of routine preoperative tests in asymptomatic patients and their influence on anaesthetic and surgical decisions. We studied 3131 ASA I and II patients from four general hospitals undergoing elective surgical procedures. A retrospective review of the medical records revealed that 853 (27%) patients had some abnormal test result, of which 465 (15%) were previously unknown and not suspected at the preanaesthetic visit; these comprised 8.6% chest radiographs, 5.6% electrocardiograms and biochemical tests, and 2.9% haematological tests. Perioperative management was altered in only 0.56–0.26% of patients, depending on the particular test. The present study confirms the need for selective and rational ordering of preoperative tests, the basis of which should be the clinical assessment during the preanaesthetic visit. (Br. J. Anaesth. 1995: 74: 250–256)

{dagger} Presented in part at the 5th Congress of the Spanish Society of Public Health and Health Administration, Granada, Spain, October 28, 1993.


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