Value and relevance of routine postoperative blood sample analysis after general surgery-a single centre analysis of 1198 patients.

IF 2.1 3区医学 Q2 SURGERY

Langenbeck's Archives of Surgery Pub Date : 2025-05-29 DOI:10.1007/s00423-025-03726-4

Dalil Ali, Claudius Juergens, Markus Unnewehr, Maximilian Schmeding

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引用次数: 0

Abstract

Background: Routine blood sample analysis is performed in most surgical institutions after general surgery on the first postoperative day. Substantial economical impact is thereby generated in addition to patient distress caused by venous puncture.

Aim: The presented study was designed to analyse the relevance of postoperative routine blood sampling with special focus on patient safety.

Methods: 1198 patients undergoing minor general surgical procedures (appendectomy, cholecystectomy, groin hernia repair) at our institution were retrospectively analysed. Data was gathered and forwarded to statistical evaluation with respect to patient safety and economical impact / cost-saving potential.

Results: In 5,3% of our patients there was clinical impact of postoperative blood sampling. Relevant medical treatment consequences were derived for complicated appendectomy cases only.

Discussion: Our data suggests that routine postoperative blood sample analysis after minor general surgery has very little impact on the further clinical course. Patient safety is not at risk. Regarding the economical and distressing impacts of routine blood-drawing post-operatively it should be evaluated if routine sampling may be limited to special interest cases.

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普通手术后常规血液样本分析的价值和相关性——1198例患者的单中心分析。

背景：大多数外科机构在普外科术后第一天进行常规血样本分析。除了静脉穿刺引起的患者痛苦外，还产生了实质性的经济影响。目的：本研究旨在分析术后常规血液采样与患者安全的相关性。方法：回顾性分析我院1198例小手术（阑尾切除术、胆囊切除术、腹股沟疝修补术）患者的资料。收集数据并转发给患者安全性和经济影响/节约成本潜力方面的统计评估。结果：5.3%的患者术后采血有临床影响。仅对复杂的阑尾切除术病例进行了相关的医疗结果分析。讨论：我们的数据表明，小普外科术后常规血液样本分析对进一步的临床病程影响很小。患者的安全没有风险。关于术后常规抽血的经济和痛苦的影响，应该评估常规抽样是否可能仅限于特殊利益的情况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Langenbeck's Archives of Surgery 医学-外科

CiteScore

3.30

自引率

8.70%

发文量

342

审稿时长

4-8 weeks

期刊介绍： Langenbeck''s Archives of Surgery aims to publish the best results in the field of clinical surgery and basic surgical research. The main focus is on providing the highest level of clinical research and clinically relevant basic research. The journal, published exclusively in English, will provide an international discussion forum for the controlled results of clinical surgery. The majority of published contributions will be original articles reporting on clinical data from general and visceral surgery, while endocrine surgery will also be covered. Papers on basic surgical principles from the fields of traumatology, vascular and thoracic surgery are also welcome. Evidence-based medicine is an important criterion for the acceptance of papers.