The Utility of Preoperative Laboratory Testing Before Urogynecologic Surgery

Female Pelvic Medicine & Reconstructive Surgery
Katherine E HuskJennifer M Wu

Abstract

National guidelines for preoperative laboratory testing are based on limited, low-quality evidence. The role of age as a risk factor for testing is unclear. We sought to compare the prevalence of abnormal preoperative laboratory results in older vs younger urogynecologic surgical patients. In this retrospective cohort study of women undergoing urogynecologic surgery, we compared older (age, ≥65 years) with younger (age, 50-64 years) women. Our primary outcome was the prevalence of an abnormal preoperative laboratory result. We included 317 women, with 167 (52.7%) in the older cohort (ages, 65-91 years; mean, 73.3 ± 5.6 years) and 150 (47.3%) in the younger cohort (ages, 50-64 years; mean, 57.3 ± 4.1 years). Overall, 18.3% of participants had at least one abnormal preoperative laboratory, with older women more likely to have an abnormal result (28.7% vs 10.7%, P < 0.001). Compared with the younger cohort, older women had higher rates of abnormal hemoglobin (13.8% vs 6.0%, P = 0.02) and creatinine values (10.8% vs 2.7%, P = 0.005), with no significant differences for platelets (3.0% vs 1.3%, P = 0.53), sodium (3.0% vs 0.7%, P = 0.22), or potassium (6.0% vs 3.3%, P = 0.27). After adjusting for potential confounders, older age rema...Continue Reading

References

Jun 14, 2000·American Journal of Ophthalmology·O D ScheinE P Steinberg
Jan 31, 2002·Anesthesiology·UNKNOWN American Society of Anesthesiologists Task Force on Preanesthesia Evaluation
May 20, 2005·American Journal of Obstetrics and Gynecology·Kevin J SteppMark D Walters
Nov 18, 2005·Current Opinion in Critical Care·Martine LeblancRavindra Mehta
Jan 5, 2006·Annals of Clinical Biochemistry·T M ReynoldsUNKNOWN Clinical Scince Reviews Committee of the Association for Clinical Biochemistry
Jun 15, 2007·JAMA : the Journal of the American Medical Association·Wen-Chih WuPeter D Friedmann
Jan 20, 2009·Anesthesia and Analgesia·Frances ChungDavid T Wong
Dec 29, 2010·The American Journal of Medicine·Sushrut S WaikarSteven M Brunelli
Sep 12, 2012·Archives of Internal Medicine·Alexander A LeungDavid W Bates
Apr 13, 2013·British Journal of Anaesthesia·T JohanssonA C Sönnichsen
May 16, 2014·British Journal of Anaesthesia·D M BaronUNKNOWN European Society of Anaesthesiology
Apr 25, 2016·Clinical Chemistry and Laboratory Medicine : CCLM·Pradeep AroraNader D Nader
Oct 27, 2016·Female Pelvic Medicine & Reconstructive Surgery·Cecile A UngerBeri Ridgeway
Feb 22, 2017·The British Journal of Surgery·M E O'ConnorJ R Prowle
May 4, 2017·Intensive Care Medicine·L G ForniM Joannidis

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Citations

Jul 7, 2018·Female Pelvic Medicine & Reconstructive Surgery·Julia Geynisman-TanKimberly Kenton

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