Evaluation of the Relevance and the Cost of Prescribing Preoperative Paraclinical Examinations at the Sourô Sanou Teaching Hospital in Bobo Dioulasso

Guibla Ismael; Traoré Ibrahim Alain; Ki Bertille; Ilboudo Charles

doi:doi:10.11648/j.ijacm.20190702.16

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Evaluation of the Relevance and the Cost of Prescribing Preoperative Paraclinical Examinations at the Sourô Sanou Teaching Hospital in Bobo Dioulasso

Guibla Ismael, Traoré Ibrahim Alain, Ki Bertille, Ilboudo Charles

Published in International Journal of Anesthesia and Clinical Medicine (Volume 7, Issue 2)

Received: 23 October 2019 Accepted: 14 November 2019 Published: 31 December 2019

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Abstract

The pre-anesthetic consultation is an important step before any surgical procedure. It may include paraclinical examinations in addition to the clinical examination. The objective of this study was to evaluate the relevance and the cost of prescribing preoperative checkups by Sourô Sanou Teaching Hospital (CHUSS) surgeons. It was a prospective cross-sectional study from March to August 2016. All preoperative examinations were analyzed according to the formal recommendations of experts from the French Society of Anesthesia- intensive Care Medicine. The medico-economic impact of the implementation of the recommendations was also analyzed. A total of 2603 pre-operative checkups prescribed in 400 patients were analyzed. The mean age of the patients was 28.59 years with a sex ratio of 0.83. Intermediate surgical risk (59.7%) was the most observed. The majority of patients were ASA 1 and 2 (99%). The most popular checkups were CBC (99%) followed by blood glucose (96.7%) and serum creatinine (92.7%). We found that 5.6% of the checkups were abnormal. Of the checkups prescribed, 74.6% did not comply with international recommendations. The CBC prescription had a high compliance rate (69.2%). The lowest compliance rates were: blood glucose (1.5%), renal function, and coagulation profile (17%). The cost generated by the excess prescription of preoperative examinations was estimated at 5484, 01 US dollar for all patients (13,715 US dollar/ patient on average). The preoperative checkups performed as part of a planned surgery are mostly inadequate with a real medico-economic impact.

Published in	International Journal of Anesthesia and Clinical Medicine (Volume 7, Issue 2)
DOI	10.11648/j.ijacm.20190702.16
Page(s)	55-59
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Preoperative Checkups, Cost, Relevance, Low Income Country

References

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APA Style

Guibla Ismael, Traoré Ibrahim Alain, Ki Bertille, Ilboudo Charles. (2019). Evaluation of the Relevance and the Cost of Prescribing Preoperative Paraclinical Examinations at the Sourô Sanou Teaching Hospital in Bobo Dioulasso. International Journal of Anesthesia and Clinical Medicine, 7(2), 55-59. https://doi.org/10.11648/j.ijacm.20190702.16

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ACS Style

Guibla Ismael; Traoré Ibrahim Alain; Ki Bertille; Ilboudo Charles. Evaluation of the Relevance and the Cost of Prescribing Preoperative Paraclinical Examinations at the Sourô Sanou Teaching Hospital in Bobo Dioulasso. Int. J. Anesth. Clin. Med. 2019, 7(2), 55-59. doi: 10.11648/j.ijacm.20190702.16

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AMA Style

Guibla Ismael, Traoré Ibrahim Alain, Ki Bertille, Ilboudo Charles. Evaluation of the Relevance and the Cost of Prescribing Preoperative Paraclinical Examinations at the Sourô Sanou Teaching Hospital in Bobo Dioulasso. Int J Anesth Clin Med. 2019;7(2):55-59. doi: 10.11648/j.ijacm.20190702.16

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@article{10.11648/j.ijacm.20190702.16,
  author = {Guibla Ismael and Traoré Ibrahim Alain and Ki Bertille and Ilboudo Charles},
  title = {Evaluation of the Relevance and the Cost of Prescribing Preoperative Paraclinical Examinations at the Sourô Sanou Teaching Hospital in Bobo Dioulasso},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {7},
  number = {2},
  pages = {55-59},
  doi = {10.11648/j.ijacm.20190702.16},
  url = {https://doi.org/10.11648/j.ijacm.20190702.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20190702.16},
  abstract = {The pre-anesthetic consultation is an important step before any surgical procedure. It may include paraclinical examinations in addition to the clinical examination. The objective of this study was to evaluate the relevance and the cost of prescribing preoperative checkups by Sourô Sanou Teaching Hospital (CHUSS) surgeons. It was a prospective cross-sectional study from March to August 2016. All preoperative examinations were analyzed according to the formal recommendations of experts from the French Society of Anesthesia- intensive Care Medicine. The medico-economic impact of the implementation of the recommendations was also analyzed. A total of 2603 pre-operative checkups prescribed in 400 patients were analyzed. The mean age of the patients was 28.59 years with a sex ratio of 0.83. Intermediate surgical risk (59.7%) was the most observed. The majority of patients were ASA 1 and 2 (99%). The most popular checkups were CBC (99%) followed by blood glucose (96.7%) and serum creatinine (92.7%). We found that 5.6% of the checkups were abnormal. Of the checkups prescribed, 74.6% did not comply with international recommendations. The CBC prescription had a high compliance rate (69.2%). The lowest compliance rates were: blood glucose (1.5%), renal function, and coagulation profile (17%). The cost generated by the excess prescription of preoperative examinations was estimated at 5484, 01 US dollar for all patients (13,715 US dollar/ patient on average). The preoperative checkups performed as part of a planned surgery are mostly inadequate with a real medico-economic impact.},
 year = {2019}
}

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TY - JOUR
T1 - Evaluation of the Relevance and the Cost of Prescribing Preoperative Paraclinical Examinations at the Sourô Sanou Teaching Hospital in Bobo Dioulasso
AU - Guibla Ismael
AU - Traoré Ibrahim Alain
AU - Ki Bertille
AU - Ilboudo Charles
Y1 - 2019/12/31
PY - 2019
N1 - https://doi.org/10.11648/j.ijacm.20190702.16
DO - 10.11648/j.ijacm.20190702.16
T2 - International Journal of Anesthesia and Clinical Medicine
JF - International Journal of Anesthesia and Clinical Medicine
JO - International Journal of Anesthesia and Clinical Medicine
SP - 55
EP - 59
PB - Science Publishing Group
SN - 2997-2698
UR - https://doi.org/10.11648/j.ijacm.20190702.16
AB - The pre-anesthetic consultation is an important step before any surgical procedure. It may include paraclinical examinations in addition to the clinical examination. The objective of this study was to evaluate the relevance and the cost of prescribing preoperative checkups by Sourô Sanou Teaching Hospital (CHUSS) surgeons. It was a prospective cross-sectional study from March to August 2016. All preoperative examinations were analyzed according to the formal recommendations of experts from the French Society of Anesthesia- intensive Care Medicine. The medico-economic impact of the implementation of the recommendations was also analyzed. A total of 2603 pre-operative checkups prescribed in 400 patients were analyzed. The mean age of the patients was 28.59 years with a sex ratio of 0.83. Intermediate surgical risk (59.7%) was the most observed. The majority of patients were ASA 1 and 2 (99%). The most popular checkups were CBC (99%) followed by blood glucose (96.7%) and serum creatinine (92.7%). We found that 5.6% of the checkups were abnormal. Of the checkups prescribed, 74.6% did not comply with international recommendations. The CBC prescription had a high compliance rate (69.2%). The lowest compliance rates were: blood glucose (1.5%), renal function, and coagulation profile (17%). The cost generated by the excess prescription of preoperative examinations was estimated at 5484, 01 US dollar for all patients (13,715 US dollar/ patient on average). The preoperative checkups performed as part of a planned surgery are mostly inadequate with a real medico-economic impact.
VL - 7
IS - 2
ER -

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Author Information

Guibla Ismael

Department of Anesthesia and Intensive Care Unit, Sour?-Sanou Teaching Hospital, Nazi Boni University, Bobo Dioulasso, Burkina-Faso
Traoré Ibrahim Alain

Department of Anesthesia and Intensive Care Unit, Sour?-Sanou Teaching Hospital, Nazi Boni University, Bobo Dioulasso, Burkina-Faso
Ki Bertille

Department of Anesthesia and Intensive Care Unit, Charles-De-Gaulle Teaching Hospital, Joseph Ki Zerbo University, Ouagadougou, Burkina-Faso
Ilboudo Charles

Department of Anesthesia and Intensive Care Unit, Sour?-Sanou Teaching Hospital, Nazi Boni University, Bobo Dioulasso, Burkina-Faso

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Guibla Ismael, Traoré Ibrahim Alain, Ki Bertille, Ilboudo Charles. (2019). Evaluation of the Relevance and the Cost of Prescribing Preoperative Paraclinical Examinations at the Sourô Sanou Teaching Hospital in Bobo Dioulasso. International Journal of Anesthesia and Clinical Medicine, 7(2), 55-59. https://doi.org/10.11648/j.ijacm.20190702.16

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ACS Style

Guibla Ismael; Traoré Ibrahim Alain; Ki Bertille; Ilboudo Charles. Evaluation of the Relevance and the Cost of Prescribing Preoperative Paraclinical Examinations at the Sourô Sanou Teaching Hospital in Bobo Dioulasso. Int. J. Anesth. Clin. Med. 2019, 7(2), 55-59. doi: 10.11648/j.ijacm.20190702.16

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AMA Style

Guibla Ismael, Traoré Ibrahim Alain, Ki Bertille, Ilboudo Charles. Evaluation of the Relevance and the Cost of Prescribing Preoperative Paraclinical Examinations at the Sourô Sanou Teaching Hospital in Bobo Dioulasso. Int J Anesth Clin Med. 2019;7(2):55-59. doi: 10.11648/j.ijacm.20190702.16

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@article{10.11648/j.ijacm.20190702.16,
  author = {Guibla Ismael and Traoré Ibrahim Alain and Ki Bertille and Ilboudo Charles},
  title = {Evaluation of the Relevance and the Cost of Prescribing Preoperative Paraclinical Examinations at the Sourô Sanou Teaching Hospital in Bobo Dioulasso},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {7},
  number = {2},
  pages = {55-59},
  doi = {10.11648/j.ijacm.20190702.16},
  url = {https://doi.org/10.11648/j.ijacm.20190702.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20190702.16},
  abstract = {The pre-anesthetic consultation is an important step before any surgical procedure. It may include paraclinical examinations in addition to the clinical examination. The objective of this study was to evaluate the relevance and the cost of prescribing preoperative checkups by Sourô Sanou Teaching Hospital (CHUSS) surgeons. It was a prospective cross-sectional study from March to August 2016. All preoperative examinations were analyzed according to the formal recommendations of experts from the French Society of Anesthesia- intensive Care Medicine. The medico-economic impact of the implementation of the recommendations was also analyzed. A total of 2603 pre-operative checkups prescribed in 400 patients were analyzed. The mean age of the patients was 28.59 years with a sex ratio of 0.83. Intermediate surgical risk (59.7%) was the most observed. The majority of patients were ASA 1 and 2 (99%). The most popular checkups were CBC (99%) followed by blood glucose (96.7%) and serum creatinine (92.7%). We found that 5.6% of the checkups were abnormal. Of the checkups prescribed, 74.6% did not comply with international recommendations. The CBC prescription had a high compliance rate (69.2%). The lowest compliance rates were: blood glucose (1.5%), renal function, and coagulation profile (17%). The cost generated by the excess prescription of preoperative examinations was estimated at 5484, 01 US dollar for all patients (13,715 US dollar/ patient on average). The preoperative checkups performed as part of a planned surgery are mostly inadequate with a real medico-economic impact.},
 year = {2019}
}

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