The utility of pre-operative haemoglobin testing in adult day-case surgical patients

  • PU Nze Department of Anaesthesia, University of Nigeria Teaching Hospital, Enugu, Nigeria

Abstract

The aim of this study is to evaluate the prevalence of abnormal preoperative haemoglobin (Hb) concentrations in adult day-case surgical patients and to determine the cost effectiveness of such routine haemoglobin testing. A retrospective review of the results of preoperative haemoglobin tests of adult day-case surgical patients over a 2-year period was used as tool. Results shows that during the study period, 500 patients underwent day-case surgical procedures under general anaesthesia. Thirty (6%) out of the 500 patients had abnormal haemoglobin concentration (Hb < 10g/dl). Twenty-four (80%) of the 30 cases of low Hb concentrations were females between the ages of 18 and 59 years old. This study has demonstrated that only a small percentage (6%) of adult day-case surgical patients present with abnormally low pre-operative haemoglobin concentrations. It is therefore suggested that preoperative haemoglobin tests should only be ordered when specifically indicated by a thorough history and physical examination.

Keywords: preoperative haemoglobin, day-case surgery, cost containment

The Tropical Journal of Health Sciences Vol. 13(2) 2006: 39-41
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Articles

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eISSN: 1117-4153