Medical Disease and the Anæsthetist

Kyei-Mensah, K.; Somanathan, S

doi:10.1177/003591577606901003

Cited by 5 publications

(2 citation statements)

References 4 publications

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“…The magnitude of comorbid illness in patients coming for surgery varies from region to region depending on geographic setting, socio-demographic status, dietary status, ethnicity, life style, age, age studied, hereditary, geographic and environmental factors, modern international travel, the method of study and number of study participants. The incidence of day of surgery cancellation of elective surgery varies from 10% to 40% and this varies from hospital to hospital [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

“…Last-minute cancellation is a waste of time for the surgeon and any other staff who might be meeting for an agreed-upon program. It is potentially stressful and demanding to patients, relatives and their employers in terms of loss of work days and disruption of activities of everyday life, which could be emotionally very distressing to patients [4]. Cancellation of elective operations is known to increase cost, decrease efficiency, and waste time and resources [5,8,9].…”

Section: Introductionmentioning

confidence: 99%

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Impact of Comorbidities on Cancellation of Surgery in Patients Previously Reviewed: A Prospective Observational Study

Dele Asudo

2023

IJACM

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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

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of Comorbidities on Cancellation of Surgery in Patients Previously Reviewed: A Prospective Observational Study

Dele Asudo

2023

IJACM

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Incidence of concurrent systemic disease in the surgical population of a tertiary care hospital

Wljesurendra

Northan

Mlllar

1981

Canad. Anaesth. Soc. J.

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A retrospective analysis was made of the case records of 1568 surgical patients admitted in 1975 to a tertiary care hospital in the Province of Newfoundland, to determine and classify the incidence of concurrent systemic disease. Almost 60 percent of patients had symptoms or signs of concurrent disease, the numbers increasing progressively from below 30 per cent at 21-30 years, to 90 per cent at ages 71-80. The predominant abnormalities were cardiovascular (60 per cent), followed by respiratory and metabolic conditions (41 and 40 per cent respectively).Detailed findings are presented, including those relating to the incidence ofischaemic heart disease and hypertension, to the coexistence of several diseases, to smoking and chronic obstructive lung disease, to obesity, to diabetes, and to alcoholism. This review documents the high incidence of concurrent disease in surgical patients and has implications for the training of anaesthetists and the organization of their work.KEY WORDS: SURGERY~ concurrent disease; COMPLICATIONS~ concurrent disease.THE INCIDENCE of concurrent systemic disease in surgical patients has obvious relevance to the work and staffing of departments of anaesthesia, and to the training and responsibilities of anaesthetists. There have been several reports relating to British hospitals, but little information from North America. We believe that it is of interest to analyze and document this aspect of anaesthetic practice, and we present here our report from 1568 unselected surgical patients treated in 1975 in a tertiary care hospital serving the Province of Newfoundland and Labrador. METHODSSurgical case records from the year 1975 were extracted randomly from the files by a staff member of the Department of Medical Records, and were then reviewed by one of us (R.W.). The 1568 cases analyzed were a large and unselected sample representative of the 5825 surgical patients operated on in that year in

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