The Utility of Preoperative Electrocardiograms in the Ambulatory Surgical Patient

Routine preoperative testing: a systematic review of the evidence.

“…Our search identified 30 studies of preoperative electrocardiography, of which 16 reported outcome data in a usable form. 35,37,40,[45][46][47][48]56,57,[59][60][61][62][63][64][65] All were simple case-series. Nine studies were in adults, 37,40,45,46,56,57,60,63,65 two studies in both adults and children, 47,64 and in the remainder of the studies the age of the study population was not specified.…”

“…35,37,40,[45][46][47][48]56,57,[59][60][61][62][63][64][65] All were simple case-series. Nine studies were in adults, 37,40,45,46,56,57,60,63,65 two studies in both adults and children, 47,64 and in the remainder of the studies the age of the study population was not specified. 35,48,59,61,62 Of the 16 studies, all measured abnormality rates, ten measured impact on clinical management, 35,37,40,45,47,48,59,61,63,64 and five measured the number of adverse events in patients with an abnormal test finding.…”

“…35,48,59,61,62 Of the 16 studies, all measured abnormality rates, ten measured impact on clinical management, 35,37,40,45,47,48,59,61,63,64 and five measured the number of adverse events in patients with an abnormal test finding. 37,56,59,57,64 Routine tests could be distinguished from indicated tests for eight studies. 37,45,47,48,59,61,63,65 Details of the studies are summarised in Table 7.…”

“…In the review from the Basque country 2 there is reference to one paper from Table 7, 64 as well as a review 54 and a paper we were unable to obtain. 68 The conclusion in this report is similar to that in the Swedish report:…”

Das präoperative EKG als Routineuntersuchung bei Kindern

“…Da bei der Planung einer Operation immer mehrere Ärzte beteiligt sind, macht es durchaus Sinn zu überlegen, ob ein standardisiertes Programm für präope-rative Untersuchungen zur Risikominderung beitragen kann. Während es für erwachsene Patienten eine umfangreiche Literatur über die Notwendigkeit von präoperativen Untersuchungen gibt [4, 10, 25, 30, 47-49, 63, 65] [4,6,12,13,15,17,18,20,25,39,43,45,47,49].…”