4 RATIONALIZE PRACTICE AND REDUCTION OF WORK LOAD AT GENERAL HOSPITAL RETROSPECTIVE STUDY OF 802 PATIENTS
Journal Title: Indian journal of applied basic medical sciences - Year 2015, Vol 17, Issue 24
Abstract
Background: Patients undergo few unnecessary investigations for detection of asymptomatic disease during routine preoperative assessment. Method: The aim is to find out unnecessary investigations carried out in elective general surgical patients during the period of March to August 2013. Investigations which evaluated were CBC, RBS, RFT, S. Electrolyte, LFT, ECG, CXR and urine analysis.Observations Percentages of unnecessary investigation were calculated. Percentages of abnormal investigations were assessed in the terms of how many patients were required treatments for that abnormal investigations and whether the plan of anaesthesia was changed or not. Only 10-13% of patients showed abnormal values in investigations related to biochemistry while 13.46% of patients of less than 40 years of age showed abnormality in ECG but none of them required any treatment before surgery or did not have any adverse event during peri-operative period. Only 4.18% of patients of more than 40 years of age showed abnormality that required treatment. Only 5.73% of patients aged more than 40 years were needed treatment for abnormal CXR results. Conclusion: Investigations Protocol for preoperative patients to reduce workload of hospital is suggested.
Authors and Affiliations
Dr. Kamla Mehta, Dr. Sarala. C. Baria
Keywords
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