Rutinmässig screening med APTT är inte indicerad före operation
(2022) In Lakartidningen 119.- Abstract
Activated partial thromboplastin time (APTT) is widely practiced in preoperative screening. The value of using this test to predict the risk of perioperative bleeding is not well documented in Sweden. In this article, a literature review is performed to determine whether unselected APTT testing can predict abnormal perioperative bleeding. The current literature does not support coagulation screening with APTT in routine perioperative bleeding assessment, as preoperative screening with APTT has a low sensitivity for detection of clinically significant bleeding disorder. While a comprehensive bleeding history is crucial, the APTT test should only be performed on patients with a history of increased bleeding tendency. The conclusion of... (More)
Activated partial thromboplastin time (APTT) is widely practiced in preoperative screening. The value of using this test to predict the risk of perioperative bleeding is not well documented in Sweden. In this article, a literature review is performed to determine whether unselected APTT testing can predict abnormal perioperative bleeding. The current literature does not support coagulation screening with APTT in routine perioperative bleeding assessment, as preoperative screening with APTT has a low sensitivity for detection of clinically significant bleeding disorder. While a comprehensive bleeding history is crucial, the APTT test should only be performed on patients with a history of increased bleeding tendency. The conclusion of this literature review is that patients with a negative bleeding history do not require routine screening with APTT prior to surgery, which, if implemented, would lead to a more cost-effective perioperative routine.
(Less)
- author
- Bian, Li ; Baghaei, Fariba ; Antovic, Jovan ; Fagerberg Blixter, Inger ; Hillarp, Andreas LU ; Strandberg, Karin LU ; Willman, David and L Lindahl, Tomas
- alternative title
- Routine screening with APTT is not indicated before surgery
- publishing date
- 2022-06-17
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Blood Coagulation Tests, Hemorrhage, Humans, Mass Screening, Partial Thromboplastin Time, Sweden
- in
- Lakartidningen
- volume
- 119
- article number
- 21240
- publisher
- Swedish Medical Association
- external identifiers
-
- pmid:35713306
- ISSN
- 0023-7205
- language
- Swedish
- LU publication?
- no
- id
- ec4ff6ed-4b6f-4ecd-bcbd-a1d76a65aa43
- alternative location
- https://lakartidningen.se/wp-content/uploads/2022/04/21240.pdf
- date added to LUP
- 2022-08-29 10:03:13
- date last changed
- 2022-08-30 13:17:07
@article{ec4ff6ed-4b6f-4ecd-bcbd-a1d76a65aa43, abstract = {{<p>Activated partial thromboplastin time (APTT) is widely practiced in preoperative screening. The value of using this test to predict the risk of perioperative bleeding is not well documented in Sweden. In this article, a literature review is performed to determine whether unselected APTT testing can predict abnormal perioperative bleeding. The current literature does not support coagulation screening with APTT in routine perioperative bleeding assessment, as preoperative screening with APTT has a low sensitivity for detection of clinically significant bleeding disorder. While a comprehensive bleeding history is crucial, the APTT test should only be performed on patients with a history of increased bleeding tendency. The conclusion of this literature review is that patients with a negative bleeding history do not require routine screening with APTT prior to surgery, which, if implemented, would lead to a more cost-effective perioperative routine.</p>}}, author = {{Bian, Li and Baghaei, Fariba and Antovic, Jovan and Fagerberg Blixter, Inger and Hillarp, Andreas and Strandberg, Karin and Willman, David and L Lindahl, Tomas}}, issn = {{0023-7205}}, keywords = {{Blood Coagulation Tests; Hemorrhage; Humans; Mass Screening; Partial Thromboplastin Time; Sweden}}, language = {{swe}}, month = {{06}}, publisher = {{Swedish Medical Association}}, series = {{Lakartidningen}}, title = {{Rutinmässig screening med APTT är inte indicerad före operation}}, url = {{https://lakartidningen.se/wp-content/uploads/2022/04/21240.pdf}}, volume = {{119}}, year = {{2022}}, }