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2011, Number 2

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Rev Mex Anest 2011; 34 (2)

Preanesthetic evaluation as a predictor of morbidity and mortality after the surgery

Lagarda-Cuevas J, Castellanos-Olivares A, Lagarda-Cuevas G

Language: Spanish
References: 15
Page: 79-90
PDF size: 1072.65 Kb.


ABSTRACT

Objective: The primary objective is to demonstrate by preanesthetic evaluation that serves as a predictor of morbidity and mortality at 30 days after the procedure. The secondary objective is to identify the risk factors statistically significant in the preoperative evaluation affecting patient morbidity and mortality in order to create a specific risk scale for our hospital population we serve as a predictor of mortality. Material and methods: We performed a prospective cohort study, observational, single, in UMAE Specialty Hospital. The cases include all patients that is scheduled for urgent or elective surgery requiring preanesthetic evaluation. Then tracking the patient by telephone in mortality and morbidity at 30 days. Each variable has a weight, which creates a risk scale from -1 to 1 (indeterminate, mild, moderate, severe and high) Results: The total deaths were five, between the third and tenth postoperative day, the causes: heart failure, pulmonary embolism and diabetic coma (20% for each etiology). Of the survivors, 82% lived without complications or without comorbidities, 18% live with some type of disease. Conclusions: The linear logistic regression models and the creation of predictive index confirms the importance of risk stratification prior to surgery. The index shows an update described in the literature that helps to predict and optimize, in order to provide a useful tool to initiate treatment and studied and analyzed statistically as potent modifiers of the patient’s life.


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