Abstract：
OBJECTIVE:To determine the frequency of tests done in the year before elective surgery that might substitute for preoperative screening tests and to determine the frequency of test results that change from a normal value to a value likely to alter perioperative management. DESIGN:Retrospective cohort analysis of computerized laboratory data (complete blood count, sodium, potassium, and creatinine levels, prothrombin time, and partial thromboplastin time). SETTING:Urban tertiary care Veterans Affairs Hospital. PATIENTS:Consecutive sample of 1109 patients who had elective surgery in 1988. MEASUREMENTS AND MAIN RESULTS:At admission, 7549 preoperative tests were done, 47% of which duplicated tests performed in the previous year. Of 3096 previous results that were normal as defined by hospital reference range and done closest to the time of but before admission (median interval, 2 months), 13 (0.4%; 95% CI, 0.2% to 0.7%), repeat values were outside a range considered acceptable for surgery. Most of the abnormalities were predictable from the patient's history, and most were not noted in the medical record. Of 461 previous tests that were abnormal, 78 (17%; CI, 13% to 20%) repeat values at admission were outside a range considered acceptable for surgery (P less than 0.001, frequency of clinically important abnormalities of patients with normal previous results with those with abnormal previous results). CONCLUSIONS:Physicians evaluating patients preoperatively could safely substitute the previous test results analyzed in this study for preoperative screening tests if the previous tests are normal and no obvious indication for retesting is present.
journal_name
Ann Intern Medjournal_title
Annals of internal medicineauthors
Macpherson DS,Snow R,Lofgren RPdoi
10.7326/0003-4819-113-12-969subject
Has Abstractpub_date
1990-12-15 00:00:00pages
969-73issue
12eissn
0003-4819issn
1539-3704journal_volume
113pub_type
杂志文章abstract：:To increase the utility of administrative databases, it has been recommended that they include disease-specific, patient-centered outcome measures. This paper reviews practical and theoretical considerations and the critical evidence to support this recommendation. The strengths and weaknesses of the recommended appro...
journal_title：Annals of internal medicine
pub_type： 杂志文章,评审
doi：10.7326/0003-4819-127-8_part_2-199710151-00060
更新日期：1997-10-15 00:00:00
abstract：:Under the current system of disability determination and workers' compensation for occupational lung disease, disabled workers or their survivors can reasonably count on being compensated. However, by rejecting established scientific truth in order to pay workers' compensation in circumstances where disability or deat...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：10.7326/0003-4819-97-6-908
更新日期：1982-12-01 00:00:00
abstract：:Recent research on human macrophage activation has reemphasized the critical role of the lymphokine-secreting T cell in converting quiescent macrophages to efficient microbicidal phagocytes. Interferon-gamma, a key lymphokine secreted by antigen-triggered T4+ helper cells, is capable of inducing the macrophage to act ...
journal_title：Annals of internal medicine
pub_type： 杂志文章,评审
doi：10.7326/0003-4819-108-4-595
更新日期：1988-04-01 00:00:00
abstract：BACKGROUND:Pharmacologic thromboprophylaxis reduces the risk for venous thromboembolism after total hip replacement (THR) or total knee replacement (TKR). New oral anticoagulants (NOACs), including direct thrombin inhibitors and factor Xa inhibitors, are emerging options for thromboprophylaxis after these procedures. ...
journal_title：Annals of internal medicine
pub_type： 杂志文章,评审
doi：10.7326/0003-4819-159-4-201308200-00008
更新日期：2013-08-20 00:00:00
abstract：:The irritable bowel syndrome is a common chronic disorder having a broad clinical spectrum of severity. Although only a small proportion of those afflicted seek medical help for their symptoms, a subset have severe and intractable symptoms. A positive diagnosis should be established from the history and physical exami...
journal_title：Annals of internal medicine
pub_type： 杂志文章,评审
doi：10.7326/0003-4819-116-12-1009
更新日期：1992-06-15 00:00:00
abstract：OBJECTIVE:To assess factors related to consensus among community physicians regarding appropriate screening intervals for eight cancer screening procedures for which guidelines have been published. DESIGN:Interviews were conducted with a national random sample of 3436 physicians in family practice, internal medicine, ...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：10.7326/0003-4819-120-7-199404010-00012
更新日期：1994-04-01 00:00:00
abstract：:One hundred ninety-eight patients with chronic myelogenous leukemia received marrow transplants after intensive chemotherapy and total body irradiation. Multivariate analysis showed disease status at time of transplantation to be the most powerful predictor of survival. The probability of long-term survival for alloge...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：10.7326/0003-4819-104-2-155
更新日期：1986-02-01 00:00:00
abstract：BACKGROUND:Primary prevention of Alzheimer disease and other types of dementia (all-cause dementia) is an important public health goal. Evidence to date is insufficient to recommend any lifestyle change to prevent or delay the onset of dementia. OBJECTIVE:To assess the association between objectively measured midlife ...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：10.7326/0003-4819-158-3-201302050-00005
更新日期：2013-02-05 00:00:00
abstract：:In 1978 the Institute of Medicine issued "A Manpower Policy for Health Care," the report of a study of major issues bearing on the availability of an adequate number of physicians for provision of primary care and on potential strategies for an appropriate manpower policy. The report was analyzed by committees of the ...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：10.7326/0003-4819-92-6-843
更新日期：1980-06-01 00:00:00
abstract：:An investigation of patient care in four hospitals compared levels of resource use between 1964 and 1974 for patients with a primary diagnosis of pneumonia. Results showed a decreased length of stay in all hospitals. Unique patterns of increases and decreases existed in each hospital for the changing use of diagnostic...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：10.7326/0003-4819-85-5-648
更新日期：1976-11-01 00:00:00
abstract：BACKGROUND:Two recent double-blind, randomized, controlled trials (RCTs) showed that oral steroids and nonsteroidal anti-inflammatory drugs have similar analgesic effectiveness for management of gout, but the trials had small sample sizes and other methodological limitations. OBJECTIVE:To compare the effectiveness and...
journal_title：Annals of internal medicine
pub_type： 杂志文章,多中心研究
doi：10.7326/M14-2070
更新日期：2016-04-05 00:00:00
abstract：:Physician performance failures are not rare and pose substantial threats to patient welfare and safety. Few hospitals respond to such failures promptly or effectively. Failure to ensure the quality and safety of the performance of colleagues is a breach of medicine's fiduciary responsibility to the public. A major rea...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：10.7326/0003-4819-144-2-200601170-00008
更新日期：2006-01-17 00:00:00
abstract：:It is well recognized that physicians' relationships with their patients can have healing effects, but the skills in this area of medical practice are understudied. This article reports on research designed to identify a core set of healing skills. The authors interviewed 50 practitioners, who were identified by their...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：10.7326/0003-4819-149-10-200811180-00006
更新日期：2008-11-18 00:00:00
abstract：OBJECTIVE:To determine whether prolonging the duration of tamoxifen administration beyond the cessation of a combined chemotherapy regimen benefits patients with primary breast cancer with positive findings in axillary nodes who benefit initially from the combined regimen. DESIGN:Nonrandomized, nonconcurrent cohort st...
journal_title：Annals of internal medicine
pub_type： 临床试验,杂志文章
doi：10.7326/0003-4819-106-5-649
更新日期：1987-05-01 00:00:00
abstract：OBJECTIVE:To explore how frequently physicians lose medical malpractice cases despite providing standard care and to assess whether severity of patient injury influences the frequency of plaintiff payment. DESIGN:Retrospective cohort study. SETTING:Physicians from the state of New Jersey insured by one insurance comp...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：10.7326/0003-4819-117-9-780
更新日期：1992-11-01 00:00:00
abstract：OBJECTIVE:To determine whether oral acyclovir reduces the incidence of recurrent herpes labialis in otherwise healthy patients with proven frequently recurrent disease. DESIGN:Randomized, double-blind, placebo-controlled, crossover trial. SETTING:Outpatient facility of the Clinical Center, National Institutes of Heal...
journal_title：Annals of internal medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.7326/0003-4819-118-4-199302150-00004
更新日期：1993-02-15 00:00:00
abstract：:The exocrine pancreas secretes into the gut on demand more than 20 proteins that are indispensable for digestion. In-vivo autodigestion is prevented by an array of natural safeguards. In acute pancreatitis, inappropriate intrapancreatic activation and release of pancreatic hydrolases occur, but the pathogenetic mechan...
journal_title：Annals of internal medicine
pub_type： 杂志文章,评审
doi：10.7326/0003-4819-103-1-86
更新日期：1985-07-01 00:00:00
abstract：BACKGROUND:Poor patient attendance to scheduled flexible sigmoidoscopy or colonoscopy may contribute to deficient colorectal cancer screening. OBJECTIVE:To examine the association of physician appointment-keeping behavior with attendance to scheduled endoscopic studies of the colon. DESIGN:Retrospective cohort. SETT...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：10.7326/0003-4819-140-7-200404060-00013
更新日期：2004-04-06 00:00:00
abstract：Background:The 2013 pooled cohort equations (PCEs) are central in prevention guidelines for cardiovascular disease (CVD) but can misestimate CVD risk. Objective:To improve the clinical accuracy of CVD risk prediction by revising the 2013 PCEs using newer data and statistical methods. Design:Derivation and validation ...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：10.7326/M17-3011
更新日期：2018-07-03 00:00:00
abstract：BACKGROUND:Although several agents are available to treat osteoporosis, the relative efficacy and toxicity of these agents when used to prevent fractures has not been well described. PURPOSE:To compare the benefits in fracture reduction and the harms from adverse events of various therapies for osteoporosis. DATA SOU...
journal_title：Annals of internal medicine
pub_type： 杂志文章,meta分析
doi：10.7326/0003-4819-148-3-200802050-00198
更新日期：2008-02-05 00:00:00
abstract：:Infection with human immunodeficiency virus (HIV) may cause viral antigenemia, detected primarily as p24 viral core protein. Among 16 patients with the acquired immunodeficiency syndrome (AIDS) or AIDS-related complex studied serially, 12 had or developed antigenemia ranging from 16 to 3006 pg/mL in plasma. The level ...
journal_title：Annals of internal medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.7326/0003-4819-108-2-175
更新日期：1988-02-01 00:00:00
abstract：:In two patients with thyroiditis caused by Coccidioides immitis, presented thyroid symptoms and findings were characteristic of subacute thyroiditis. Fine needle aspiration biopsy of the thyroid proved useful in establishing the diagnosis of coccidioidomycosis. This is the first report of coccidioidomycosis presenting...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：10.7326/0003-4819-91-3-409
更新日期：1979-09-01 00:00:00
abstract：BACKGROUND:Several adverse outcomes attributed to atypical antipsychotic drugs, specifically quetiapine, risperidone, and olanzapine, are known to cause acute kidney injury (AKI). Such outcomes include hypotension, acute urinary retention, and the neuroleptic malignant syndrome or rhabdomyolysis. OBJECTIVE:To investig...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：10.7326/M13-2796
更新日期：2014-08-19 00:00:00
abstract：:Fifty-three consecutive patients with inferior myocardial infarction were evaluated prospectively, by physical examination and right heart catheterization within 36 hours of the onset of symptoms, to determine whether physical findings can separate such patients into those with and without associated right ventricular...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：10.7326/0003-4819-99-5-608
更新日期：1983-11-01 00:00:00
abstract：:Delirium is a common and distressing symptom that constitutes a significant challenge for end-of-life care. However, reliable techniques are available for the diagnosis of delirium, and effective therapies exist as well. This consensus paper uses a case-based format that begins with an overview of the definition and p...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：10.7326/0003-4819-135-1-200107030-00011
更新日期：2001-07-03 00:00:00
abstract：BACKGROUND:Preeclampsia is a leading cause of maternal and perinatal morbidity and mortality. PURPOSE:To systematically review benefits and harms of low-dose aspirin for preventing morbidity and mortality from preeclampsia. DATA SOURCES:MEDLINE, Database of Abstracts of Reviews of Effects, PubMed, and Cochrane Centra...
journal_title：Annals of internal medicine
pub_type： 杂志文章,评审
doi：10.7326/M13-2844
更新日期：2014-05-20 00:00:00
abstract：:A cohort of both active and retired older cotton textile workers was examined prospectively over a 6-year period to establish the nature and extent of chronic lung disease. Respiratory symptoms and lung function were studied in these workers and in a group of similarly aged controls. The cotton textile workers had hig...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：10.7326/0003-4819-97-5-645
更新日期：1982-11-01 00:00:00
abstract：:The relationship between oral contraceptives and death from thromboembolism shown by studies of vital statistics, and the contribution of cigarette smoking to these deaths are reviewed. In 1968 a British study showed that a slight increase in deaths from thromboembolism had occurred in young women, proportional to th...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：
更新日期：1970-09-01 00:00:00
abstract：:We developed a model to project morbidity, mortality, and costs attributable to type A influenza virus infections in nursing homes and to evaluate the relative benefits and costs of programs for prevention and control. Influenza vaccination was the most cost-effective intervention under various simulations in the mode...
journal_title：Annals of internal medicine
pub_type： 杂志文章
doi：10.7326/0003-4819-107-5-732
更新日期：1987-11-01 00:00:00
abstract：BACKGROUND:Despite advances in prevention and treatment, sexually transmitted infections (STIs) remain an important cause of morbidity and mortality in the United States. PURPOSE:To systematically review the evidence for behavioral counseling interventions to prevent STIs in adolescents and adults (nonpregnant and pre...
journal_title：Annals of internal medicine
pub_type： 杂志文章,评审
doi：10.7326/0003-4819-149-7-200810070-00011
更新日期：2008-10-07 00:00:00
