Resumen

LEON-JIMENEZ, Franco et al. Unnecessary preoperative test and the cost in a hospital of Lambayeque. Acta méd. peruana [online]. 2014, vol.31, n.2, pp.90-94. ISSN 1728-5917.

Introduction. In daily practice, before surgery, preoperative tests often ordered without any utility. Comorbidities and physical examination, ancillary tests, are the determinants of outcome patient during surgery. Objectives. To determine the frequency of unnecessary preoperative test and cost in patients with elective surgery in the Hospital Regional Lambayeque from October 2012 to July 2013. Material and method. It’s a transversal descriptive study; simple random sampling. Requested tests were compared with those recommended by the clinical practice guideline of the National Institute for Health and Care Excellence (NICE) 2003: Preoperative tests: The use of preoperative routine tests for elective surgery. Results. The clinical histories of 96 patients were reviewed and show the next results: 62 cholecystectomies (64,5 %), inguinal hernia repair 16 (16,67 %), 12 phacoemulsification (12,5 %), 5 surgeries open fracture (5,21 %) and one abdominal hernia repair (1,04 %). Were found 1 214 preoperative test, 839 (69,1 %) were unnecessary, being the most common surgical risk (in 92,2 % of patients was unnecessary), bleeding time (92 %) and group and factor (unnecessary in 89,8 %). The test costliest was serological test for hepatitis B (S/. 1 428) and surgical risk (S/. 1 185). The total cost of unnecessary preoperative tests from October 2012 to July 2013 was S/. 8858 (S/. 10 630 about 1 year). Conclusion. In Hospital Regional Lambayeque from October 2012 to July 2013, there was a high frequency of unnecessary preoperative tests in elective surgeries and high costs associated with them. The tests that contributed more to the total cost were surface antigen for hepatitis B and surgical risk.

Palabras clave : Costs and cost analysis; preoperative period; preoperative care; routine diagnostic tests; risk management.

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