Grek S, Gravenstein N, Morey TE, Rice MJ
A cost-effective screening method for preoperative hyperglycemia. [Evaluation Studies, Journal Article, Research Support, Non-U.S. Gov't]
Anesth Analg 2009 Nov; 109(5):1622-4.
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.
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