PMID: 3772598Jul 1, 1986Paper

The admission urinalysis: impact on patient care

Journal of General Internal Medicine
K KroenkeJ L Carpenter

Abstract

Although urinalysis is one of the most frequently ordered tests in primary care, its usefulness in screening has not been demonstrated. A retrospective review of 1,607 admission urinalyses for inpatients in a referral/community hospital identified 861 as clinically indicated and 746 as routine. Routine urinalyses were abnormal less frequently than clinically indicated urinalyses (18.1% vs 39.6%) and when abnormal, were responded to less often (33.3% vs 75.4%). Forty-five (6.0%) of the routine urinalyses yielded an abnormality that led to diagnostic action. Of these, 18 were normal on repeat testing and 17 were considered unlikely to represent significant disease. Therefore, only ten (1.3%) of the routine urinalyses affected patient therapy. In eight of these cases, the abnormality was pyuria, of which six proved to be asymptomatic bacteriuria. The admission urinalysis as a routine test had little impact on patient care in the authors' institution.

References

Feb 15, 1975·Lancet·D C SavageM I Wilson
Oct 14, 1978·Lancet·A M KessonA Z Gyory
Apr 1, 1979·American Journal of Clinical Pathology·G B Schumann, N F Greenberg
Aug 23, 1979·The New England Journal of Medicine·J Y GillenwaterC M Kunin
Nov 1, 1979·The Medical Clinics of North America·J A Robbins, A I Mushlin
Oct 1, 1978·The Journal of Urology·M McguckinR R Macgregor
Aug 1, 1975·Annals of Internal Medicine·C C KorvinJ Stanley
Apr 22, 1976·The New England Journal of Medicine·D M OlsenP H Proctor
Jan 24, 1985·The New England Journal of Medicine·F A HubbellF A Wyle
Jan 1, 1985·Archives of Internal Medicine·J BenbassatS Margaliot
Mar 15, 1985·JAMA : the Journal of the American Medical Association·S T ShawE T Wong
May 11, 1968·Lancet·B HaswellH E de Wardener
Oct 28, 1972·The Medical Journal of Australia·A H Pollard
Aug 1, 1970·Archives of Environmental Health·T J CooganJ C Lashof
Dec 21, 1970·JAMA : the Journal of the American Medical Association·B Bates, J Mulinare
Sep 18, 1967·JAMA : the Journal of the American Medical Association·J W WilliamsonG E Miller
Jul 28, 1983·The American Journal of Medicine·W E Stamm
Jan 7, 1984·British Medical Journal·P FroomJ Benbassat
Feb 4, 1983·JAMA : the Journal of the American Medical Association·E C RichD P Connelly
Jul 13, 1984·JAMA : the Journal of the American Medical Association·M F ShapiroS Greenfield
Apr 1, 1982·Human Pathology·D P ConnellyE S Benson
Jun 1, 1961·Annals of Internal Medicine·T W CLARKK A ELSOM

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Citations

May 12, 1998·The American Journal of Medicine·D W BatesM J Tanasijevic
Jun 11, 2005·São Paulo Medical Journal = Revista Paulista De Medicina·Fábio Yoshito AjimuraFábio Santana Machado
Feb 1, 1993·The American Journal of Medicine·S RüttimannU C Dubach
Jan 1, 1989·Journal of Clinical Epidemiology·V A LawrenceM Gross
Jan 1, 1993·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·V Velanovich
Jan 28, 2015·The Cochrane Database of Systematic Reviews·Lasse T KrogsbøllPeter C Gøtzsche
Oct 1, 2009·NDT Plus·Sándor GyörikClaudio Marone
Sep 1, 1989·Journal of General Internal Medicine·W M TierneyC J McDonald
Nov 1, 1987·Journal of General Internal Medicine·E B FryeL Rucker
Apr 1, 1994·Journal of Medical Screening·S Rüttimann, D Clémençon
Sep 1, 1991·World Journal of Surgery·J A Heine, D A Rothenberger
Apr 1, 1991·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·M J Berber, N McFeely
Feb 11, 2003·The Medical Clinics of North America·Gerald W Smetana, David S Macpherson

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