TY - JOUR AU - Leal Mateos, Manrique AU - Madrigal Solis, Juan B PY - 2010/06/14 Y2 - 2024/03/29 TI - Analysis of Preoperative Test Screening in Patients Undergoing Elective Surgery at the Gynecology Department of the “Rafael Ángel Calderón Guardia” Hospital during 2009 JF - Acta Médica Costarricense JA - AMC VL - 52 IS - 3 SE - Originales DO - 10.51481/amc.v52i3.743 UR - http://actamedica.medicos.cr/index.php/Acta_Medica/article/view/743 SP - 154-158 AB - <p class="MsoNormal" style="text-align: justify; margin: 0cm 0cm 0pt;"><strong style="mso-bidi-font-weight: normal;"><span lang="EN-US">Versión traducida del artículo "Análisis sobre el uso de exámenes preoperatorios en pacientes sometidas a cirugías programadas en el Servicio de Ginecología del Hospital “Dr. Rafael Ángel Calderón Guardia”, durante 2009" DOI: <a href="https://doi.org/10.51481/amc.v52i3.660">https://doi.org/10.51481/amc.v52i3.660</a></span></strong></p><p class="MsoNormal" style="text-align: justify; margin: 0cm 0cm 0pt;"> </p><p class="MsoNormal" style="text-align: justify; margin: 0cm 0cm 0pt;"><strong style="mso-bidi-font-weight: normal;"><span lang="EN-US">Aim:</span></strong><span lang="EN-US"> To evaluate the use of preoperative tests in patients undergoing an elective surgery at the <em style="mso-bidi-font-style: normal;">Dr. Rafael Ángel Calderón Guardia</em> Hospital during 2009.</span></p><p class="MsoNormal" style="text-align: justify; margin: 0cm 0cm 0pt 144pt;"><span lang="EN-US"> </span></p><p class="MsoNormal" style="text-align: justify; margin: 0cm 0cm 0pt;"><strong style="mso-bidi-font-weight: normal;"><span lang="EN-US">Methods:</span></strong><span lang="EN-US"> A cross-sectional observational analytical study was conducted. Two hundred and seventy two clinical histories, from patients who underwent surgery between 1 January 2009 and 3 June 2009, were analyzed. The analyzed variables were: age, coexisting morbidity prior to surgery, number and type of preoperative tests performed, missing and additional, and type of surgery performed. The number and type of preoperative tests required for each patient, depending on their morbidity, was decided according to the 2002 Guidelines of the American Society of Anesthesiologists (ASA).</span></p><p class="MsoNormal" style="text-align: justify; margin: 0cm 0cm 0pt 144pt;"><span lang="EN-US"> </span></p><p class="MsoNormal" style="text-align: justify; margin: 0cm 0cm 0pt;"><strong style="mso-bidi-font-weight: normal;"><span lang="EN-US">Results:</span></strong><span lang="EN-US"> The mean of preoperative tests performed for each patient was 4.3 (SD <span style="text-decoration: underline;">+</span> 2.1). According to morbidity, the tests prescribed by ASA were fully conducted in only 44.9% (CI: 95% 38.8-51.0) of the patients. The mean of missed preoperative tests per patient was 1.7 (SD + 1.1). Ninety three percent (CI: 95% 89.3-95.7) of patients underwent a mean of 2.5 (SD+1.6) additional preoperative tests. Of the additional preoperative tests performed, 9.5% showed abnormal results. Only 7.6% (CI: 95% 2.5-16.8) of the medical records with abnormal results, recorded actions towards correcting these abnormalities and surgery was cancelled only for 3% (CI: 95% 0.4-10.5) of these patients.</span></p><p class="MsoNormal" style="text-align: justify; margin: 0cm 0cm 0pt 144pt;"><span lang="EN-US"> </span></p><p class="MsoNormal" style="text-align: justify; margin: 0cm 0cm 0pt;"><strong style="mso-bidi-font-weight: normal;"><span lang="EN-US">Conclusion:</span></strong><span lang="EN-US"> This study evidenced the inadequate use of preoperative tests, not only because they were not fully conducted in approximately 50% of patients, but also because a majority of them were requested a considerable amount of unjustified tests.</span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><span lang="EN-US"><span style="font-size: small;"> </span></span></p> ER -