术前检测 术前检测 术前检测
Alana Sigmund1, Matthew A Pappas2, Jason F Shiffermiller3
1Weill Medical College of Cornell University; Arthroplasty Hospital for Special Surgery, 541 East 71st Street, New York, NY 10021, USA.
The Medical clinics of North America
|September 28, 2024
概括
常规的手术前检测不是基于证据的,可能不会改善结果. 对于接受门诊手术的低风险患者,测试往往无法降低并发症风险.
科学领域:
- 医疗评估 医疗评估
- 麻醉学 麻醉学
- 外科手术的结果
背景情况:
- 术前医学评估旨在改善患者的治疗结果,并简化护理.
- 无差别的手术前检测可能是低效和反作用的.
- 主要卫生组织的指导方针不鼓励在没有临床指示的情况下进行例行手术前检测.
研究的目的:
- 评估支持常规手术前检测的证据.
- 确定在低风险的手术患者中进行手术前检测的有用性.
主要方法:
- 审查英国国家医疗保健与卓越研究所,欧洲麻醉学会和美国麻醉学会的指导方针.
- 关于美国麻醉学会 (ASA) 分类1或2的患者进行外科医疗手术前检测的证据分析.
主要成果:
- 证据不支持常规的手术前检测.
- 只有当存在特定的临床适应症时,才建议进行测试.
- 在接受门诊手术的低风险患者 (ASA 1-2) 进行手术前检测似乎没有降低并发症风险.
结论:
- 在临床指示的指导下,谨慎使用手术前测试至关重要.
- 不建议进行常规的手术前检测,特别是对于低风险的手术候选人.
- 专注于临床指示优化了手术前评估和资源分配.
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