| Preoperative coagulation screening for adenotonsillectomy: a review and comparison of current physician practices. | |
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MedLine Citation:
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PMID: 19328344 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the current practice of pediatric otolaryngologists on a national level and general otolaryngologists on a regional level regarding preoperative coagulation screening prior to adenotonsillectomy. STUDY DESIGN: A five-question survey of members of the American Society of Pediatric Otolaryngology (ASPO) and the Massachusetts Society of Otolaryngology-Head and Neck Surgery (MSO-HNS). SUBJECTS AND METHODS: Surveys results were analyzed to determine current preoperative screening practices relative to awareness of screening recommendations published in the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) 1999 Clinical Indicators Compendium. RESULTS: The survey response rate was 27 percent (54/190) and 29 percent (76/260) for MSO-HNS and ASPO members, respectively. In patients with no known bleeding risk, 21 percent of respondents continue to obtain coagulation screening including, at a minimum, a partial thromboplastin time and a prothrombin time. MSO-HNS respondents reported ordering more preoperative coagulation studies than did ASPO respondents (35% vs 10%). Interestingly awareness of the AAO-HNS consensus statement was similar between the two groups and did not impact screening practices. CONCLUSIONS: The survey results indicate a discrepancy between current practice relative to pre-adenotonsillectomy coagulation screening and the recommendations of the AAO-HNS 1999 consensus statement. |
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Authors:
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Aaron Wieland; Laura Belden; Michael Cunningham |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery Volume: 140 ISSN: 0194-5998 ISO Abbreviation: Otolaryngol Head Neck Surg Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-03-30 Completed Date: 2009-05-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508176 Medline TA: Otolaryngol Head Neck Surg Country: United States |
Other Details:
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Languages: eng Pagination: 542-547 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA 02116, USA. aaron_wieland@meei.harvard.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adenoidectomy* Blood Coagulation Disorders / diagnosis*, etiology Child Health Care Surveys Humans Otolaryngology* Physician's Practice Patterns* Practice Guidelines as Topic Preoperative Care* Risk Factors Tonsillectomy* United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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