Examination of Preoperative Pulmonology Consultations and Risk Modification in Adult Non-Cardiothoracic Surgery: A Retrospective Cohort Study

Ela Erten

Makale detayları

Examination of Preoperative Pulmonology Consultations and Risk Modification in Adult Non-Cardiothoracic Surgery: A Retrospective Cohort Study

Yazarlar:

Ela Erten

Yayıncı:

Ankara University

Ana Başlıklar:

Anaesthesiology

Dergi:

Ankara Üniversitesi Tıp Fakültesi Mecmuası Vol.77 Issue 2, pp.215-221

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001349766

pISSN:

0365-8104

Anahtar kelimeler:

Özet:

 Objectives: During the preoperative evaluation, the anesthesiologist may request opinions from different branches for the diagnosis and treatment of patients who may be risky in the perioperative process andor have symptoms. One of the most frequently consulted branches is the chest diseases clinic. In this study, we aimed to investigate the causes of Chest Disease Consultation CDC requested from patients who will undergo noncardiothoracic surgery in anesthesia outpatient clinic and their effects on perioperative process. Materials and Methods: In this study, the records of CDC requested for preoperative evaluation from 321 patients over the age of 18 who underwent non-cardiothoracic surgery in a tertiary care hospital between January 2022 and July 2022 were retrospectively examined through the hospital information record system. The general characteristics of the patients, the type of surgery planned, the reasons for requesting CDC, the additional examinations requested if any, the risk values given as a result of the consultation and those who developed Postoperative Pulmonary Complication PPC were examined and recorded. Results: Of the 13,342 patients who came to the anesthesia outpatient clinic for preoperative evaluation, 321 patients were asked for CDC. Of these patients, 146 45.5 were male and 65.312.7 years old and 175 54.5 were female and 62.714.7 years old. Consultation was requested from the patients to be operated by the General Surgery Clinic most frequently. The most common reason for requesting consultation was the detection of undiagnosed pulmonary symptomssigns 52.95. It was found that 2.32 of the patients who completed CDC developed PPC and there was no significant relationship between the risk given by the CD doctor and PPC p0.146. However, there was a significant relationship between American Society of Anesthesiologists score and PPC p0.048. Conclusion: Accurate risk stratification and, if necessary, careful preparation of patients with a multidisciplinary approach with consultations from related branches are important for the prevention of postoperative complications.

 Objectives: During the preoperative evaluation, the anesthesiologist may request opinions from different branches for the diagnosis and treatment of patients who may be risky in the perioperative process andor have symptoms. One of the most frequently consulted branches is the chest diseases clinic. In this study, we aimed to investigate the causes of Chest Disease Consultation CDC requested from patients who will undergo noncardiothoracic surgery in anesthesia outpatient clinic and their effects on perioperative process. Materials and Methods: In this study, the records of CDC requested for preoperative evaluation from 321 patients over the age of 18 who underwent non-cardiothoracic surgery in a tertiary care hospital between January 2022 and July 2022 were retrospectively examined through the hospital information record system. The general characteristics of the patients, the type of surgery planned, the reasons for requesting CDC, the additional examinations requested if any, the risk values given as a result of the consultation and those who developed Postoperative Pulmonary Complication PPC were examined and recorded. Results: Of the 13,342 patients who came to the anesthesia outpatient clinic for preoperative evaluation, 321 patients were asked for CDC. Of these patients, 146 45.5 were male and 65.312.7 years old and 175 54.5 were female and 62.714.7 years old. Consultation was requested from the patients to be operated by the General Surgery Clinic most frequently. The most common reason for requesting consultation was the detection of undiagnosed pulmonary symptomssigns 52.95. It was found that 2.32 of the patients who completed CDC developed PPC and there was no significant relationship between the risk given by the CD doctor and PPC p0.146. However, there was a significant relationship between American Society of Anesthesiologists score and PPC p0.048. Conclusion: Accurate risk stratification and, if necessary, careful preparation of patients with a multidisciplinary approach with consultations from related branches are important for the prevention of postoperative complications.

 Objectives: During the preoperative evaluation, the anesthesiologist may request opinions from different branches for the diagnosis and treatment of patients who may be risky in the perioperative process andor have symptoms. One of the most frequently consulted branches is the chest diseases clinic. In this study, we aimed to investigate the causes of Chest Disease Consultation CDC requested from patients who will undergo noncardiothoracic surgery in anesthesia outpatient clinic and their effects on perioperative process. Materials and Methods: In this study, the records of CDC requested for preoperative evaluation from 321 patients over the age of 18 who underwent non-cardiothoracic surgery in a tertiary care hospital between January 2022 and July 2022 were retrospectively examined through the hospital information record system. The general characteristics of the patients, the type of surgery planned, the reasons for requesting CDC, the additional examinations requested if any, the risk values given as a result of the consultation and those who developed Postoperative Pulmonary Complication PPC were examined and recorded. Results: Of the 13,342 patients who came to the anesthesia outpatient clinic for preoperative evaluation, 321 patients were asked for CDC. Of these patients, 146 45.5 were male and 65.312.7 years old and 175 54.5 were female and 62.714.7 years old. Consultation was requested from the patients to be operated by the General Surgery Clinic most frequently. The most common reason for requesting consultation was the detection of undiagnosed pulmonary symptomssigns 52.95. It was found that 2.32 of the patients who completed CDC developed PPC and there was no significant relationship between the risk given by the CD doctor and PPC p0.146. However, there was a significant relationship between American Society of Anesthesiologists score and PPC p0.048. Conclusion: Accurate risk stratification and, if necessary, careful preparation of patients with a multidisciplinary approach with consultations from related branches are important for the prevention of postoperative complications.

 Amaç: Preoperatif değerlendirme esnasında anestezi doktoru perioperatif süreçte riskli olabileceğini düşündüğü veveya semptomları bulunan hastaların tanı ve tedavisi için farklı branşlardan görüş isteyebilmektedir. En sık konsültasyon istenen branşlardan biri de göğüs hastalıkları kliniğidir. Bu çalışmada anestezi polikliniğinde non-kardiyotorasik cerrahi geçirecek hastalardan istenen Göğüs Hastalıkları Konsültasyonu GHK nedenlerini ve perioperatif sürece etkilerini araştırmayı amaçladık. Gereç ve Yöntem: Çalışmada üçüncü basamak bir hastanede Ocak 2022-Temmuz 2022 tarihleri arasında nonkardiyotorasik cerrahi geçirecek 18 yaş üzeri 321 hastadan preoperatif değerlendirme amaçlı istenen GHKye ait kayıtlar hastane bilgi kayıt sistemi üzerinden retrospektif olarak incelendi. Hastaların genel özellikleri, planlanan cerrahi tipi, GHK istenme nedenleri, varsa istenen ek tetkikler ve konsültasyon sonucunda verilen risk değerleri ile Postoperatif Pulmoner Komplikasyon PPK gelişmiş olanlar incelenip kayıt altına alındı. Bulgular: Anestezi polikliniğine preoperatif değerlendirme amaçlı gelen 13.342 hastanın 321inden GHK istenmişti. Bu hastaların 146sı 45,5 erkek ve 65,312,7 yaş aralığında, 175i 54,5 kadın ve 62,714,7 yaş aralığındaydı. En sık genel cerrahi kliniğince opere edilecek hastalardan konsültasyon istenmişti. En sık konsültasyon isteme nedeni tanısız pulmoner semptombulgu saptanmasıydı 52,95. GHK tamamlayan hastaların 2,32sinde PPK geliştiği ve göğüs hastalıkları doktoru tarafından verilen risk ile PPK arasında anlamlı bir ilişki olmadığı tespit edildi p0,146. Bununla Amerikan Anestezistler Derneği skoru ile PPK arasında anlamlı ilişki olduğu tespit edildi p0,048. Sonuç: Hastaların doğru risk sınıflandırması ve eğer gerekiyorsa ilgili branşlardan alınan konsültasyonlar ile multidisipliner bir yaklaşımla dikkatli şekilde hazırlanması postoperatif komplikasyonların önlenmesi açısından önemlidir.

Makale detayları

Examination of Preoperative Pulmonology Consultations and Risk Modification in Adult Non-Cardiothoracic Surgery: A Retrospective Cohort Study

Yazarlar:

Ela Erten

Yayıncı:

Ankara University

Ana Başlıklar:

Anaesthesiology

Dergi:

Ankara Üniversitesi Tıp Fakültesi Mecmuası Vol.77 Issue 2, pp.215-221

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001349766

pISSN:

0365-8104

Consultation

pulmonology

preoperative

evaluationKonsültasyon

göğüs hastalıkları

preoperatif

değerlendirme

Sayı

Makale detayları

Yazarlar: Ela Erten

Yayıncı: Ankara University

Ana Başlıklar: Anaesthesiology

Dergi: Ankara Üniversitesi Tıp Fakültesi Mecmuası Vol.77 Issue 2, pp.215-221

Belge Tipi: Makale

Yayın Tarihi: 12/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001349766

pISSN: 0365-8104

Sayı

Yazarlar:

Ela Erten

Yayıncı:

Ankara University

Ana Başlıklar:

Anaesthesiology

Dergi:

Ankara Üniversitesi Tıp Fakültesi Mecmuası Vol.77 Issue 2, pp.215-221

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001349766

pISSN:

0365-8104