Globally patients with inter-current medical diseases are common place and are likely to present for anaesthesia and surgery at some point in their life. Surgical patients with inter-current medical diseases pose a great challenge to the anaesthetist; optimal perioperative care has to be provided to prevent adverse events, and thus reduce morbidity and mortality. Where preoperative optimization of the disease is not optimal, cancellation with its attendant consequencies becomes inevitable. This prospective observational study was carried out at the University of Abuja Teaching Hospital, Gwagwalada, Abuja between February 2018 and July 2018. All patients presenting for surgery at our general modular operating rooms formed the subjects of this study. A standardized questionnaire was used to document patient demographics, the presence and type of comorbidity, level of control of comorbidity, facility where care was being assessed for the inter-current illness, surgical diagnosis, nature of surgery and the decision or otherwise to proceed with the planned surgery. Questionnaires were administered pre induction on arrival at the Reception. A total of 215 (21%) patients had comorbidities. The cardiovascular system was the most affected, 55.8% and Hypertension (51.6%) was the most common comorbidity. There were a total of 10 (4.7%) cancellations. Cancellation was highest among the adult age group 70%, the female 80% and the Obstetric population 30%. Comorbidity is common among patients presenting for surgery. Cancellation of surgery on the day of surgery as a result of comorbidity despite preoperative review a day before surgery is possible though with a low incidence. Good preoperative review and optimization of the comorbidity will minimize this day of surgery cancellation.
| Published in | International Journal of Anesthesia and Clinical Medicine (Volume 11, Issue 1) |
| DOI | 10.11648/j.ijacm.20231101.21 |
| Page(s) | 49-57 |
| 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), 2023. Published by Science Publishing Group |
Comorbidity, Preoperative Assessment, Hypertension, Day of Surgery Cancellation, Elective Surgery, Emergency Surgery
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APA Style
Felicia Dele Asudo. (2023). Impact of Comorbidities on Cancellation of Surgery in Patients Previously Reviewed: A Prospective Observational Study. International Journal of Anesthesia and Clinical Medicine, 11(1), 49-57. https://doi.org/10.11648/j.ijacm.20231101.21
ACS Style
Felicia Dele Asudo. Impact of Comorbidities on Cancellation of Surgery in Patients Previously Reviewed: A Prospective Observational Study. Int. J. Anesth. Clin. Med. 2023, 11(1), 49-57. doi: 10.11648/j.ijacm.20231101.21
AMA Style
Felicia Dele Asudo. Impact of Comorbidities on Cancellation of Surgery in Patients Previously Reviewed: A Prospective Observational Study. Int J Anesth Clin Med. 2023;11(1):49-57. doi: 10.11648/j.ijacm.20231101.21
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Download@article{10.11648/j.ijacm.20231101.21,
author = {Felicia Dele Asudo},
title = {Impact of Comorbidities on Cancellation of Surgery in Patients Previously Reviewed: A Prospective Observational Study},
journal = {International Journal of Anesthesia and Clinical Medicine},
volume = {11},
number = {1},
pages = {49-57},
doi = {10.11648/j.ijacm.20231101.21},
url = {https://doi.org/10.11648/j.ijacm.20231101.21},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20231101.21},
abstract = {Globally patients with inter-current medical diseases are common place and are likely to present for anaesthesia and surgery at some point in their life. Surgical patients with inter-current medical diseases pose a great challenge to the anaesthetist; optimal perioperative care has to be provided to prevent adverse events, and thus reduce morbidity and mortality. Where preoperative optimization of the disease is not optimal, cancellation with its attendant consequencies becomes inevitable. This prospective observational study was carried out at the University of Abuja Teaching Hospital, Gwagwalada, Abuja between February 2018 and July 2018. All patients presenting for surgery at our general modular operating rooms formed the subjects of this study. A standardized questionnaire was used to document patient demographics, the presence and type of comorbidity, level of control of comorbidity, facility where care was being assessed for the inter-current illness, surgical diagnosis, nature of surgery and the decision or otherwise to proceed with the planned surgery. Questionnaires were administered pre induction on arrival at the Reception. A total of 215 (21%) patients had comorbidities. The cardiovascular system was the most affected, 55.8% and Hypertension (51.6%) was the most common comorbidity. There were a total of 10 (4.7%) cancellations. Cancellation was highest among the adult age group 70%, the female 80% and the Obstetric population 30%. Comorbidity is common among patients presenting for surgery. Cancellation of surgery on the day of surgery as a result of comorbidity despite preoperative review a day before surgery is possible though with a low incidence. Good preoperative review and optimization of the comorbidity will minimize this day of surgery cancellation.},
year = {2023}
}
TY - JOUR T1 - Impact of Comorbidities on Cancellation of Surgery in Patients Previously Reviewed: A Prospective Observational Study AU - Felicia Dele Asudo Y1 - 2023/06/15 PY - 2023 N1 - https://doi.org/10.11648/j.ijacm.20231101.21 DO - 10.11648/j.ijacm.20231101.21 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 - 49 EP - 57 PB - Science Publishing Group SN - 2997-2698 UR - https://doi.org/10.11648/j.ijacm.20231101.21 AB - Globally patients with inter-current medical diseases are common place and are likely to present for anaesthesia and surgery at some point in their life. Surgical patients with inter-current medical diseases pose a great challenge to the anaesthetist; optimal perioperative care has to be provided to prevent adverse events, and thus reduce morbidity and mortality. Where preoperative optimization of the disease is not optimal, cancellation with its attendant consequencies becomes inevitable. This prospective observational study was carried out at the University of Abuja Teaching Hospital, Gwagwalada, Abuja between February 2018 and July 2018. All patients presenting for surgery at our general modular operating rooms formed the subjects of this study. A standardized questionnaire was used to document patient demographics, the presence and type of comorbidity, level of control of comorbidity, facility where care was being assessed for the inter-current illness, surgical diagnosis, nature of surgery and the decision or otherwise to proceed with the planned surgery. Questionnaires were administered pre induction on arrival at the Reception. A total of 215 (21%) patients had comorbidities. The cardiovascular system was the most affected, 55.8% and Hypertension (51.6%) was the most common comorbidity. There were a total of 10 (4.7%) cancellations. Cancellation was highest among the adult age group 70%, the female 80% and the Obstetric population 30%. Comorbidity is common among patients presenting for surgery. Cancellation of surgery on the day of surgery as a result of comorbidity despite preoperative review a day before surgery is possible though with a low incidence. Good preoperative review and optimization of the comorbidity will minimize this day of surgery cancellation. VL - 11 IS - 1 ER -
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