Abstract
A follow-up study of 1,046 patients in a community hospital was conducted to evaluate the significance of new data uncovered in a routine profile chemistry screening consisting of 18 different tests. Of the patients screened, 4% had alternative or new diagnoses established related to the finding of “abnormal” profile values. Overall, 43.2% of the total profiles were found to be “abnormal,” but more than 70% of the total “abnormal” profiles were accounted for by past or presently-diagnosed conditions. The greater proportion of the “abnormal” profiles and new findings secondary to these occurred in patients on the medical service. The most frequently encountered “abnormal” chemistry values were those for uric acid, glutamic oxalacetic transaminase, glucose, and lactic dehydrogenase. The information gathered from this study suggests that the utilization of routine profile chemistry screening in the community hospital merits further consideration.
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