The relevance of the coagulation screen before surgery

Area of Science:

• Anesthesiology
• Hematology
• Surgical Care

Background:

• Coagulation testing is a traditional preoperative assessment.
• The aim is to identify patients at risk of perioperative bleeding due to bleeding disorders.
• Low prevalence of bleeding disorders and healthcare system implications are concerns.

Purpose of the Study:

• To review the current evidence on preoperative coagulation testing.
• To provide a comprehensive view of its relevance in modern surgical practice.

Main Methods:

• Literature review of existing studies and guidelines.
• Analysis of the evidence supporting or refuting routine preoperative coagulation screens.

Main Results:

• Evidence suggests routine coagulation screening is not evidence-based.
• Current guidelines advocate against routine testing.
• Emphasis is shifting towards thorough patient bleeding history.

Conclusions:

• Routine preoperative coagulation testing is considered outdated.
• Personal and family bleeding history is recommended to guide further investigations.
• This approach optimizes patient care and resource utilization.