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Case Studies in Clinical Hemostasis Case Studies in ... - Pathology

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Preoperative Coagulation<br />

Test<strong>in</strong>g<br />

! Rohrer, Michelotti, and Nahrwold. Ann. Surg.<br />

208, 554, 1988<br />

! Efficacy of screen<strong>in</strong>g tests compared to<br />

efficacy of tests <strong>in</strong>dicated by history and/or<br />

physical examiantion<br />

! 1119 tests (BT, PT, PTT, PC) <strong>in</strong> 282 patients<br />

! 514 screen<strong>in</strong>g tests <strong>in</strong> 282 patients, 4.1%<br />

abnormal, none cl<strong>in</strong>ically significant<br />

! 605 <strong>in</strong>dicated tests, 7.4% abnormal<br />

! 44% of PT and PTTs, 59% of PCs, and 38% of<br />

BTs could be safely elim<strong>in</strong>ated, sav<strong>in</strong>g<br />

$370,000/year

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