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Titolo:
The utility of routine electrolytes and blood cell counts in patients withchest pain
Autore:
Desai, B; Seaberg, DC;
Indirizzi:
Univ Florida, Hlth Sci Ctr, Dept Emergency Med, Jacksonville, FL 32209 USAUniv Florida Jacksonville FL USA 32209 cy Med, Jacksonville, FL 32209 USA
Titolo Testata:
AMERICAN JOURNAL OF EMERGENCY MEDICINE
fascicolo: 3, volume: 19, anno: 2001,
pagine: 196 - 198
SICI:
0735-6757(200105)19:3<196:TUOREA>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; EMERGENCY;
Keywords:
laboratory testing; electrolytes; blood cell counts; chest pain;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Seaberg, DC Univ Florida, Dept Emergency Med, POB 100186, Gainesville, FL 32610 USA Univ Florida POB 100186 Gainesville FL USA 32610 FL 32610 USA
Citazione:
B. Desai e D.C. Seaberg, "The utility of routine electrolytes and blood cell counts in patients withchest pain", AM J EMER M, 19(3), 2001, pp. 196-198

Abstract

The objective of the study was to determine whether the routine screening laboratory tests, electrolytes (E) and hemoglobin and hematocrits (HM), could have been safely avoided in ED patients presenting with chest pain. Retrospective case series over a 3-month period were reviewed. Acceptable indications for E and WH test ordering were prospectively developed using American College of Emergency Physicians (ACEP) guidelines. Charts were reviewed to determine whether any indications were present, whether the E and WH laboratory tests were abnormal, and whether the abnormal test affected treatment or disposition, Patients were excluded if they had an abnormal electrocardiogram (ECG) indicating ischemia or electrolyte abnormality, This resulted in 191 patients meeting inclusion criteria, Sixty eight patients did not have any criteria for ordering E or WH, Of these, only one (1.5%) had an abnormal laboratory test. The sensitivity of the guidelines for predicting anabnormal laboratory test was 96% (95 CI, 82 to 100%) and the specificity was 46% (95CI, 38 to 54%), There were no interventions, consultations, or any change in disposition based on E or HM testing in these patients. Of the 123 patients that met at least one criteria for ordering laboratory tests, 27 (18%) had an abnormal result, It was concluded that practice guidelines may reduce the number of E and WH tests ordered without missing significantabnormalities. A prospective trial is needed to validate these findings. (Am J Emerg Med 2001;19:198-198, Copyright (C) 2001 by W.B. Saunders Company).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/04/20 alle ore 19:29:12