A Cost-Effective Screening Method for Preoperative Hyperglycemia

作者：Grek Sasha; Gravenstein Nikolaus; Morey Timothy E; Rice Mark J^*

来源：Anesthesia and Analgesia, 2009, 109(5): 1622-1624.

DOI：10.1213/ANE.0b013e3181b7c626

INTRODUCTION: The preoperative encounter may offer a cost-effective opportunity for diabetes screening.
METHODS: Three hundred forty-seven fasting patients had a preoperative glucose measurement determined from blood residue left on the IV needle, measured with an Accu-Chek glucometer (Roche Diagnostics, Indianapolis, IN).
RESULTS: After excluding patients with a diabetes history, 4.0% had a glucose measurement between 100 and 125 mg/dL, at a cost of $14.22 per identification, and 1.2%, had a glucose measurement more than 125 mg/dL, at a cost of $32.00 per identification.
CONCLUSIONS: This preoperative blood glucose screening test was implemented at a cost of approximately one-tenth of current methods. (Anesth Analg 2009;109:1622-4)

• 出版日期2009-11