کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5718454 1411251 2017 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
CAPS PaperCorrected to uncorrected? The metabolic conundrum of hypertrophic pyloric stenosis
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
CAPS PaperCorrected to uncorrected? The metabolic conundrum of hypertrophic pyloric stenosis
چکیده انگلیسی

ObjectivesThe purpose of this study was to evaluate factors associated with repeat blood testing after establishment of normal metabolic parameters and factors associated with reversal of metabolic correction back an uncorrected form in preoperative management of infants with Hypertrophic Pyloric Stenosis (HSP).MethodsA retrospective review of infants with HSP undergoing repeat serum chemistries after already having normal labs were identified. Variables associated with repeating normal bloodwork and reversion of normal to abnormal labs were identified. Associations between reversion to abnormal and ordering of repeat labs were determined.Results255 cases were studied with a median of 2 lab tests drawn per patient (range 1-9). Of 142 serum chemistry tests repeated after a normal test, 27% became abnormal, most commonly hyperkalemia. 61% of these went to surgery. No variables were associated with a normal test becoming abnormal. However, a time lapse of > 12 h was associated with the reordering of bloodwork despite it already being normal.ConclusionsThere is little evidence to support need for repeat serum chemistry testing in cases of HPS once normality has been established. Development of clinical pathways to reduce the use of unnecessary serum testing may improve efficiency of patient care and limit unnecessary resource utilization.Level of evidenceRetrospective Case control: 3b.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 52, Issue 5, May 2017, Pages 734-738
نویسندگان
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