A cost-effective screening method for preoperative hyperglycemia.
BACKGROUND
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.
Department of Anesthesiology, University of FloridaCollege of Medicine, Gainesville, Florida 32610-0254, USA.
Sasha
S
Grek
Nikolaus
N
Gravenstein
Timothy E
TE
Morey
Mark J
MJ
Rice
D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000032:analysis*; D001800:Blood Specimen Collection / Q000191:economics* / Q000295:instrumentation; D002404:Catheterization / Q000191:economics* / Q000295:instrumentation; D017046:Cost Savings; D003362:Cost-Benefit Analysis; D005215:Fasting / Q000097:blood; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000097:blood / Q000175:diagnosis*; D008297:Male; D008403:Mass Screening / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D008875:Middle Aged; D009339:Needles / Q000191:economics; D011237:Predictive Value of Tests; D011300:Preoperative Care / Q000191:economics* / Q000295:instrumentation; D011934:Reagent Strips / Q000191:economics; D015203:Reproducibility of Results
D001786:Blood Glucose; D011934:Reagent Strips