Necessity of performing routine tests in trauma patients referring to emergency departments

Fatemeh Jahanian; Seyed Hosseininejad; Nadia Rostamian; Siavash Moradi; Farzad Bozorgi; Seyed Montazer; Seyyedeh Pashaei

doi:10.5114/ms.2019.91243

eISSN: 2300-6722
ISSN: 1899-1874

Medical Studies/Studia Medyczne

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4/2019
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abstract:

Original paper

Necessity of performing routine tests in trauma patients referring to emergency departments

Fatemeh Jahanian

¹

,

Seyed Mohammad Hosseininejad

²

,

Nadia Rostamian

³

,

Siavash Moradi

⁴

,

Farzad Bozorgi

⁵

,

Seyed Hossain Montazer

⁵

,

Seyyedeh Masoume Pashaei

⁶

Gut and Liver Research Centre, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Diabetes Research Centre, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Mazandaran University of Medical Sciences, Sari, Iran
Education Development Centre, Mazandaran University of Medical Sciences, Sari, Iran
Orthopaedic Research Centre, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran

Medical Studies/Studia Medyczne 2019; 35 (4): 271–276

DOI: https://doi.org/10.5114/ms.2019.91243

Online publish date: 2019/12/30

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Introduction
Congestion and unnecessary tests in Emergency Departments are a serious problem, leading to long waiting times and delays in providing care.

Aim of the research
In the present study, the necessity of routine laboratory tests that were ordered for trauma patients in an Emergency Department are evaluated.

Material and methods
Patients’ physical and clinical condition along with frequency and results of the routine tests requested were recorded. All patients were followed up to the final diagnosis. All tests were analysed in the central and emergency laboratory of the hospital.

Results
A total of 340 cases completed this descriptive-cross sectional study, with a mean age of 32.77 ±12.47 years, and 71.8% were male. The most common type of trauma was car occupant (41.8%), the most common injured body region was lower extremity (36.88%), the most common clinical finding was pain (92.4%), and the most common ordered routine test was CBC; the only statistically significant relationship was between swelling (clinical finding) and biochemistry results (p = 0.034). The final diagnosis in 150 (44.1%) cases was fracture. The mean admission time was 25.09 ±8.79 h, mean hospitalisation time was 3.00 ±2.05 days, and the relationship between final diagnosis and lab results was not statistically significant.

Conclusions
The findings revealed that the most frequently ordered lab tests in patients presented to our Emergency Department with major trauma is CBC, followed by PT and PTT. In addition, routine laboratory tests are not targeted; therefore, reducing unnecessary ordered lab tests may reduce health costs.

keywords:

Necessity of performing routine tests in trauma patients referring to emergency departments

Fatemeh Jahanian 1 , Seyed Mohammad Hosseininejad 2 , Nadia Rostamian 3 , Siavash Moradi 4 , Farzad Bozorgi 5 , Seyed Hossain Montazer 5 , Seyyedeh Masoume Pashaei 6

routine tests, trauma, emergency, diagnostic value, lab tests

Fatemeh Jahanian

¹

,

Seyed Mohammad Hosseininejad

²

,

Nadia Rostamian

³

,

Siavash Moradi

⁴

,

Farzad Bozorgi

⁵

,

Seyed Hossain Montazer

⁵

,

Seyyedeh Masoume Pashaei

⁶