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Anesthesia and analgesia · Nov 2009
A cost-effective screening method for preoperative hyperglycemia.
- Sasha Grek, Nikolaus Gravenstein, Timothy E Morey, and Mark J Rice.
- Department of Anesthesiology, University of FloridaCollege of Medicine, Gainesville, Florida 32610-0254, USA.
- Anesth. Analg. 2009 Nov 1;109(5):1622-4.
IntroductionThe preoperative encounter may offer a cost-effective opportunity for diabetes screening.MethodsThree 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).ResultsAfter 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.ConclusionsThis preoperative blood glucose screening test was implemented at a cost of approximately one-tenth of current methods.
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