A cost-effective screening method for preoperative hyperglycemia.

Full Abstract

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.

Author information

Author/s: Grek, Sasha (S); Gravenstein, Nikolaus (N); Morey, Timothy E (TE); Rice, Mark J (MJ);

Affiliation: Department of Anesthesiology, University of FloridaCollege of Medicine, Gainesville, Florida 32610-0254, USA.

Journal and publication information

Publication Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't

Journal: Anesthesia and analgesia (Anesth Analg), published in United States. (Language: eng)

Reference: 2009-Nov; vol 109 (issue 5) : pp 1622-4

Dates: Created 2009/10/21; Completed 2009/11/05;

PMID: 19843800, status: MEDLINE (last retrieval date: 11/5/2009, IMS Date: )

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