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Current Practice and Regional Variability in Recommendations for Patient Preparation for Laboratory Testing in
Maria Salinas1,2, Maite López-Garrigós1, Emilio Flores1,3
1Clinical Laboratory, Hospital Universitario de San Juan, San Juan de Alicante, Spain.
Background:
Preparation of the patient for laboratory tests is crucial. Our aim was to investigate the current practice and regional variability of recommendations regarding patient preparation for laboratory testing.
Methods:
A call for data was posted by email. Spanish laboratories were invited to fill out and submit a survey.
Results:
Sixty-eight laboratories participated in the study. In 73% of those laboratories, fasting was always recommended regardless of the requested tests. Only one-third of the laboratories systematically recommended a 12-hour fast before the tests. In 71% of the laboratories, water intake was allowed without restrictions during the fasting period. In 57% of the laboratories, computerized order entry offered the possibility to print customized recommendations automatically in the primary care doctor's office according to the requested tests. Seventy-two percent of the laboratories agreed with the proposed recommendation.
Conclusions:
There was high variability in patient preparation for laboratory testing. A significant proportion of centers did not follow international guidelines.
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