<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_1905-7415.0906.455_s_001_w2aab3b7c11b1b6b1aab1c16b1Aa"><h3>Background</h3><p>Laboratory blood tests rarely detect any abnormalities in apparently healthy patients. Moreover, unnecessary testing may not only upset pediatric patients and their parents, but may harm patients because of overtreatment of borderline or false-positive results.</p></sec><sec id="j_1905-7415.0906.455_s_002_w2aab3b7c11b1b6b1aab1c16b2Aa"><h3>Objectives</h3><p>To determine the prevalence and factors correlated with inappropriate preoperative testing of pediatric patients scheduled for elective surgery.</p></sec><sec id="j_1905-7415.0906.455_s_003_w2aab3b7c11b1b6b1aab1c16b3Aa"><h3>Methods</h3><p>We conducted a 6-month retrospective chart review of all children &lt;15 years of age who underwent elective surgery at Siriraj Hospital in Bangkok, Thailand. Demographic and clinical data were recorded, including age, sex, physical status class according to the American Society of Anesthesiologists (ASA), underlying diseases, diagnosis, operation, service unit, and grade of surgery. The requested preoperative laboratory tests were based on the surgeon’s decision. We assessed whether each test was appropriate based on the recommendations for preoperative testing from our Department of Anesthesiology.</p></sec><sec id="j_1905-7415.0906.455_s_004_w2aab3b7c11b1b6b1aab1c16b4Aa"><h3>Results</h3><p>We included data from 130 patients. The overall prevalence of inappropriate preoperative testing was 55%. Grade of surgery and service unit significantly affected inappropriate testing (P = 0.01 and P = 0.001 respectively). The highest prevalence of inappropriate test requests was for a complete blood count (37%), and all the risk factors, including ASA class I (P = 0.015), minor operation (P &lt; 0.001), and nonpediatric surgery unit (P &lt; 0.001), were significantly associated with this test.</p></sec><sec id="j_1905-7415.0906.455_s_005_w2aab3b7c11b1b6b1aab1c16b5Aa"><h3>Conclusions</h3><p>The prevalence of inappropriate preoperative testing was high, especially for healthy patients who underwent minor operations. Therefore, we recommend that surgical staff be educated to request laboratory tests only when indicated.</p></sec></abstract>

BackgroundLaboratory blood tests rarely detect any abnormalities in apparently healthy patients. Moreover, unnecessary testing may not only upset pediatric patients and their parents, but may harm patients because of overtreatment of borderline or false-positive results.ObjectivesTo determine the prevalence and factors correlated with inappropriate preoperative testing of pediatric patients scheduled for elective surgery.MethodsWe conducted a 6-month retrospective chart review of all children <15 years of age who underwent elective surgery at Siriraj Hospital in Bangkok, Thailand. Demographic and clinical data were recorded, including age, sex, physical status class according to the American Society of Anesthesiologists (ASA), underlying diseases, diagnosis, operation, service unit, and grade of surgery. The requested preoperative laboratory tests were based on the surgeon’s decision. We assessed whether each test was appropriate based on the recommendations for preoperative testing from our Department of Anesthesiology.ResultsWe included data from 130 patients. The overall prevalence of inappropriate preoperative testing was 55%. Grade of surgery and service unit significantly affected inappropriate testing (P = 0.01 and P = 0.001 respectively). The highest prevalence of inappropriate test requests was for a complete blood count (37%), and all the risk factors, including ASA class I (P = 0.015), minor operation (P < 0.001), and nonpediatric surgery unit (P < 0.001), were significantly associated with this test.ConclusionsThe prevalence of inappropriate preoperative testing was high, especially for healthy patients who underwent minor operations. Therefore, we recommend that surgical staff be educated to request laboratory tests only when indicated.

The prevalence of inappropriate blood tests in pediatric patients scheduled for elective surgery in Thailand: a retrospective chart review

Asian Biomedicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

BackgroundLaboratory blood tests rarely detect any abnormalities in apparently healthy patients. Moreover, unnecessary testing may not only upset pediatric...

The prevalence of inappropriate blood tests in pediatric patients scheduled for elective surgery in Thailand: a retrospective chart review

Article Category: Brief communication (Original)

Published Online: Jan 31, 2017

Page range: 809 - 815

DOI: https://doi.org/10.5372/1905-7415.0906.455

Keywords
Healthy pediatric patients, inappropriate preoperative order, minor surgery, pediatric anesthesia, preoperative testing

© 2015 Naiyana Aroonpruksakul, Thaniya Stimanont, Pattira Pianchob

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

The prevalence of inappropriate blood tests in pediatric patients scheduled for elective surgery in Thailand: a retrospective chart review

Article Category: Brief communication (Original)

Published Online: Jan 31, 2017

Page range: 809 - 815

DOI: https://doi.org/10.5372/1905-7415.0906.455

KeywordsHealthy pediatric patients, inappropriate preoperative order, minor surgery, pediatric anesthesia, preoperative testing

© 2015 Naiyana Aroonpruksakul, Thaniya Stimanont, Pattira Pianchob

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
Healthy pediatric patients, inappropriate preoperative order, minor surgery, pediatric anesthesia, preoperative testing