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[Routine preoperative testing in adults undergoing elective non-cardiothoracic surgery].

N Benahmed1, G Briat1, K Rondia1

  • 1Centre fédéral d'Expertise des Soins de Santé (KCE), Bruxelles.

Revue Medicale De Bruxelles
|May 4, 2018
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Summary
This summary is machine-generated.

This guideline provides evidence-based recommendations for routine preoperative testing in adults undergoing elective non-cardiothoracic surgery, optimizing patient care and safety.

Keywords:
Elective surgical proceduresPractice guidelinePreoperative careRoutine

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Area of Science:

  • Health Policy
  • Clinical Practice Guidelines
  • Preoperative Medicine

Background:

  • The Belgian Health Care Knowledge Center (KCE) developed a guideline for routine preoperative testing in adults.
  • The guideline targets healthcare providers involved in preoperative and perioperative management.

Purpose of the Study:

  • To provide clinicians with evidence-based recommendations for preoperative testing.
  • To support informed decision-making for optimal patient care and safety.

Main Methods:

  • Adapted an existing guideline from NICE (National Institute for Health and Care Excellence) for the Belgian context.
  • Developed new clinical questions not covered in the NICE guideline.

Main Results:

  • Recommended tests under specific conditions include ECG, full blood count, kidney function, haemostasis, urinalysis, and non-invasive cardiac stress imaging.
  • Not routinely recommended tests: echocardiography, CPET, chest X-ray, polysomnography, lung function tests, HbA1c, liver function tests, and coronary CT angiography.

Conclusions:

  • The guideline aids clinicians in selecting appropriate preoperative tests based on patient history and evidence.
  • Tools are provided to enhance the practical application of the guideline in daily practice.