Screening laboratory and radiology panels for trauma patients have low utility and are not cost effective

Journal of Trauma - Injury, Infection and Critical Care

Volumn 65, Issue 5, 2008, Pages 1114-1116

  Tasse, James L ^a   Janzen, Mark L ^a   Ahmed, Naveed A ^a   Chung, Raphael S ^a  

^a Huron Hospital   (United States)

Author keywords

Trauma screening panels; Wasteful trauma tests

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; CLINICAL PRACTICE; COST EFFECTIVENESS ANALYSIS; EMERGENCY CARE; FEMALE; HEALTH CARE UTILIZATION; HUMAN; INJURY; LABORATORY TEST; MAJOR CLINICAL STUDY; MALE; PATIENT CARE; PRIORITY JOURNAL; RADIODIAGNOSIS; SCREENING TEST; BLOOD; COST BENEFIT ANALYSIS; DIAGNOSIS, MEASUREMENT AND ANALYSIS; DIAGNOSTIC TEST; ECONOMICS; MASS SCREENING; MEDICAL AUDIT; MIDDLE AGED; RADIOGRAPHY; RETROSPECTIVE STUDY;

ADOLESCENT; ADULT; COST-BENEFIT ANALYSIS; DIAGNOSTIC TESTS, ROUTINE; FEMALE; HUMANS; LABORATORY TECHNIQUES AND PROCEDURES; MALE; MASS SCREENING; MEDICAL AUDIT; MIDDLE AGED; RADIOGRAPHY; RETROSPECTIVE STUDIES; WOUNDS AND INJURIES;

EID: 67650594244     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e318184b4f2     Document Type: Article

References (9)

1. John J. Fildes, ed. American College of Surgeons National Trauma Data Bank® 2006. Version 6.0.
2. Chu UB, Clevenger FW, Imami ER, et al. The impact of selective laboratory evaluation on utilization of laboratory resources and patient care in a level-I trauma center. Am J Surg. 1996; 5: 558-562; discussion 562-563.
3. Tortella BJ, Lavery RF, Rekunt M. Utility of routine admission serum chemistry panels in adult trauma patients. Acad Emerg Med. 1995; 3: 190-194.
4. Namias N, McKenney MG, Martin LC. Utility of admission chemistry and coagulation profiles in trauma patients: a reappraisal of traditional practice. J Trauma. 1996; 1: 21-25.
5. Miller-Murphy, R. New York Blood Center. In promotion of national sickle cell awareness month New York Blood Center, Kings County Hospital Center and civic leaders to call on Brooklyn community to donate blood. Rubenstein Communications: September 19, 2005.
6. Committee on Trauma. American College of Surgeons. Resources for optimal care of the injured patient. 2006 ed.: 116.
7. Committee on Trauma. American College of Surgeons. ATLS Student Course Manual. 7th ed. 2004: 18.
8. Anderson RE. Billions for defense: the pervasive nature of defensive medicine. Arch Int Med. 1999; 159: 2399-2402.
9. Burton J, Wolfson A, Rockoff S. Routine laboratory testing in emergency department trauma patients at Level I trauma centers: a national survey. Acad Emerg Med. 1995; 2: 408.