Data from the 1970s is not always relevant
to the present day.
This discussion is about specific
admission profiles tailored to the needs of consultants and clinical teams. It
is not about running the same 18 channel SMA profile on every admission. The
admission profile really consists of the tests which should be requested anyway
on these patients. In terms of lab finance it is a better use of expensive manpower
to measure amylase on every A&E admission for abdo pain than to find and
reanalyse the sample for an add-on.
Mike Collins
BMS3
Biochemistry Automation
From:
Clinical biochemistry discussion list [mailto:[log in to unmask]]
On Behalf Of John Doran (ABMU NHS
Trust)
Sent: 26 September 2008 15:18
To:
[log in to unmask]
Subject: Re: Admission tests
There was some
similar data from
John
From:
Clinical biochemistry discussion list [mailto:[log in to unmask]]
On Behalf Of gordon challand
Sent: 26 September 2008 15:14
To:
[log in to unmask]
Subject: Re: Admission tests
Dear Trevor
It is amazing how things tend to go full circle! More than
30 years ago Tom Whitehead's group did a careful study on the benefits
associated with 'biochemical profiling' on admission (based I believe on the
old Technicon 6-60 and 12-60 analyzers - a battery of some 18 analytes). They
came to the conclusion that this increased rather than decreased average
hospital stay, mainly owing to the need to investigate the 'unexpected
abnormalities' which cropped up which required further investigation. There was
no evidence to support your 'best opinion (which was then, and I believe still
is widely accepted)!
with best wishes
Gordon Challand
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