Epidemiological profile of patients seen in the pre-anesthetic assessment clinic of a university hospital

• Published in: Brazilian journal of anesthesiology (Elsevier) 2017-09, Vol.67 (5), p.457-467
• Main Authors: Santos, Monica Loureiro, Novaes, Cristiane de Oliveira, Iglesias, Antonio Carlos
• Format: Article
• Language: English
• Subjects: ANESTHESIOLOGY; Avaliação pré-anestésica; Cirurgia; Cuidados pré-operatórios; Preanesthetic evaluation; Preoperative care; Surgery
• ISSN: 0104-0014; 1806-907X; 0104-0014
• DOI: 10.1016/j.bjane.2017.04.006

Assess the demographic and clinical characteristics of surgical patients seen in the Pre-anesthetic Assessment Clinic of the Hospital Universitário Gaffrée e Guinle (APA/HUGG), in order to assist in the pursuit for quality, effectiveness, and resource rationalization of hospital management. Cross-sectional descriptive study with 491 patients undergoing elective surgery, treated at APA/HUGG Clinic from March to December 2014. The following variables were assessed: sex, age, BMI, smoking status, associated diseases, classification of MET's and ASA, presence of decompensated disease, medical associated appointments interconsultation, specialty and surgical risk, history of prior anesthetic-surgical procedure, and complications. There was a predominance of female (64.8%) and overweight patients (55.9%), aged 18–59 years. The prevalence of associated diseases was high (71.3%), with hypertension pressure prevailing (50.1%). Most patients had clinically compensated morbidity (96.3%) and long-term use of medication (77.4%). Regarding the surgical characteristics, the most frequent specialty was general and medium risk surgeries. The analysis of the characteristics by age showed that the elderly have more associated diseases and long-term use of medication, in addition to predominance of ASA II–III. The epidemiological profile of surgical patients seen at the APA/HUGG was female, age 18–59 years, overweight, with associated diseases, long-term use of medication, without clinical decompensation, ASA II and MET's ≥4. Knowledge of the clinical characteristics of surgical patients is critical to schedule the perioperative care, allowing the improvement of quality and safety in anesthesia and surgery. Verificar as características demográficas e clínicas dos pacientes cirúrgicos atendidos no Ambulatório de Avaliação Pré-Anestésica do Hospital Universitário Gaffrée e Guinle (APA/HUGG), com o objetivo de auxiliar na busca de qualidade, efetividade e racionalização de recursos da gestão hospitalar. Estudo descritivo transversal, feito com 491 pacientes de operação eletiva, atendidos no Ambulatório de APA/HUGG de março a dezembro de 2014. Foram estudadas as variáveis: sexo, faixa etária, índice de massa corporal (IMC), tabagismo, doenças associadas, classificação da capacidade funcional (METs), (ASA), doença descompensada, interconsultas, especialidade e porte cirúrgicos, história de procedimento anestésico-cirúrgico prévio e possíveis complicações. Predominaram pacientes do