Routine coagulation testing in intensive care
© 2016, Australasian Medical Publishing co. All Rights Reserved.Objective: To test a simple clinical guideline to reduce unnecessary routine testing of coagulation status. Design, setting and participants: A prospective, unblinded, observational study of coagulation testing frequency before and afte...
| Main Authors: | , , , , |
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| Format: | Journal Article |
| Published: |
Australasian Academy of Critical Care Medicine
2016
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| Online Access: | http://hdl.handle.net/20.500.11937/5280 |
| _version_ | 1848744753016864768 |
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| author | Musca, S. Desai, S. Roberts, B. Paterson, T. Anstey, Matthew |
| author_facet | Musca, S. Desai, S. Roberts, B. Paterson, T. Anstey, Matthew |
| author_sort | Musca, S. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | © 2016, Australasian Medical Publishing co. All Rights Reserved.Objective: To test a simple clinical guideline to reduce unnecessary routine testing of coagulation status. Design, setting and participants: A prospective, unblinded, observational study of coagulation testing frequency before and after introduction of a simple clinical guideline. We included 253 patients admitted to a tertiary intensive care unit: 100 patients consecutively enrolled before our intervention (May - July 2015) and 153 patients consecutively enrolled after our intervention (August - September 2015). Intervention: We introduced a clinical guideline and educational program in the ICU from 18 August 2015. Main outcome measures: The number of coagulation tests performed per patient bed-day, and the associated pathology costs. Results: Over the 3-month sample period, 999 coagulation profiles were performed for 253 patients: 720 (72%) in 100 patients before, and 279 (28%) in 153 patients after our intervention. The testing frequency fell from 1.12 to 0.41 per patient bed-day (P < 0.001). A total of 463 pre-intervention coagulation profiles (64%) were classified as unnecessary, and the cost of all coagulation tests fell by 60.5% per bed-day after the intervention. Conclusion: A simple clinical guideline and educational package reduced unnecessary coagulation tests and costs in a tertiary referral ICU. |
| first_indexed | 2025-11-14T06:06:28Z |
| format | Journal Article |
| id | curtin-20.500.11937-5280 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T06:06:28Z |
| publishDate | 2016 |
| publisher | Australasian Academy of Critical Care Medicine |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-52802017-01-30T10:45:06Z Routine coagulation testing in intensive care Musca, S. Desai, S. Roberts, B. Paterson, T. Anstey, Matthew © 2016, Australasian Medical Publishing co. All Rights Reserved.Objective: To test a simple clinical guideline to reduce unnecessary routine testing of coagulation status. Design, setting and participants: A prospective, unblinded, observational study of coagulation testing frequency before and after introduction of a simple clinical guideline. We included 253 patients admitted to a tertiary intensive care unit: 100 patients consecutively enrolled before our intervention (May - July 2015) and 153 patients consecutively enrolled after our intervention (August - September 2015). Intervention: We introduced a clinical guideline and educational program in the ICU from 18 August 2015. Main outcome measures: The number of coagulation tests performed per patient bed-day, and the associated pathology costs. Results: Over the 3-month sample period, 999 coagulation profiles were performed for 253 patients: 720 (72%) in 100 patients before, and 279 (28%) in 153 patients after our intervention. The testing frequency fell from 1.12 to 0.41 per patient bed-day (P < 0.001). A total of 463 pre-intervention coagulation profiles (64%) were classified as unnecessary, and the cost of all coagulation tests fell by 60.5% per bed-day after the intervention. Conclusion: A simple clinical guideline and educational package reduced unnecessary coagulation tests and costs in a tertiary referral ICU. 2016 Journal Article http://hdl.handle.net/20.500.11937/5280 Australasian Academy of Critical Care Medicine restricted |
| spellingShingle | Musca, S. Desai, S. Roberts, B. Paterson, T. Anstey, Matthew Routine coagulation testing in intensive care |
| title | Routine coagulation testing in intensive care |
| title_full | Routine coagulation testing in intensive care |
| title_fullStr | Routine coagulation testing in intensive care |
| title_full_unstemmed | Routine coagulation testing in intensive care |
| title_short | Routine coagulation testing in intensive care |
| title_sort | routine coagulation testing in intensive care |
| url | http://hdl.handle.net/20.500.11937/5280 |