A screening questionnaire for preoperative evaluation causes and consequences Sanaa city
Background Prior to elective surgery it is essential to know in advance the patient’s clinical condition. The aim of this study was to compare the preoperative evaluation (POE) through questionnaire responses with pre anesthetic evaluation by the anesthesiologist.
Method Prior to their preoperative evaluation, patients answered a questionnaire with information regarding sex ,age ,education , ASA class , type of surgery , past medical and surgical history, , medications, physical activity . Preoperative evaluation was performed by an anesthesiologist who had no access to the questionnaire data or knowledge about the research. The questionnaire data were compared with the preoperative evaluation by two independent investigators, in order to answer the questions: 1) Was the questionnaire evaluation effective - could the patient undergo surgery without the need for face-to-face consultation? 2) Has been there any relevant information - ability to change the anesthetic approach - not assessed by the questionnaire, but assessed by the face-to-face consultation? 3) Has been there any information added by the health questionnaire that was missed by face-to-face consultation.
Result with 117 eligible patients for answer of the questionnaire, mean age 37.8years ± S.D =16.3, of the patient 40 (34.2%) were male, whereas 77(65.8%) were female. Of them 64 (54.7%) were educated, while 53 (45.3%) were uneducated. Of them 66(56.4%) were ASA1, while 41 (35.0%) ASA2, while 8(6.8%) were ASA3, while 2(1.8 %) ASA4.
Of them type of surgery, 30 (26. 0%) patient with surgery,9(8.o%) were urinary surgery,3(3.0%) were ENT surgery, 23 (19.0%)were obstetric surgery , 24 (20.0%) gyn, obstetric surgery , 9( 8.0%) were orthopedic surgery , 12 (10.0%) neurosurgery , 3(3.0%) ophthalmic surgery ,4(3.0%)were other.
84(41.0%) patient had previous surgery, 69 (49.0%) not have previous surgery. 14(12.0%) patient had previous perioperative problem related to anesthesia, 103 (88.0%) had not. we conclude from past medical history that such factors have
been ma made complication of perioperative such as Hypertension, Diabetes mellitus, heart disease ……etc.
From interview the patient we conclude that 53cases (45.3%) used medication, while the rest not use. also, during the interview, we conclude that 15 (12.8%) cases in AL –Thawra hospital, 9 (7.7%) in AL-Kuwait hospital, 6(5.1%) in seblas- hospital.