जर्नल ऑफ़ पेरिऑपरेटिव मेडिसिन
खुला एक्सेस

अमूर्त

Magnitude and Adverse Anaesthesia Outcome of Co-Morbid Illnesses in Elective Surgical Patients

Ayele T

Introduction: Medical comorbidities are diseases unrelated to the causality of the primary surgical finding. Detecting and stabilizing patients with comorbid illness in the preanesthetic evaluation clinic is an essential for reducing perioperative morbidity and mortality. The aim of this study was to determine the magnitude of comorbid illness and their adverse anesthesia outcomes in patients scheduled for elective surgery.

Method: A hospital-based cross-sectional study design was applied to a total of 300 adult patients who were scheduled for elective surgery and visited the preanesthetic clinic from November 2019 to February 2020 G.C. The descriptive data were analyzed by using SPSS version 25 computer program.

Results: Out of 300 patients, 36 (12%) patients had at least one comorbid illness. More than half (55.55%) comorbid illness patients had previously been known and 16 (44.44%) were newly detected. The cardiovascular system comorbid illnesses were 27 (9%). Hypertension 23 (7.7%) was the most common comorbid illness, followed by diabetes mellitus 6 (2%). Out of 300 patients, 17 (5.7%) patients were canceled for different reasons. Referral to medical specialist due to medical comorbid illness was the most frequent reason for elective procedure cancelation. Of all patients with comorbid illness, 19 (52.8%) patients developed intraoperative adverse anesthesia outcomes. Hypertension 13 (68.4) was the most common intraoperative adverse anesthesia outcome, followed by tachycardia 6 (31. 8%).

Conclusion: Comorbid illnesses were not rare in elective surgical patients who visited the preoperative assessment clinic. Cardiovascular comorbid illness, especially hypertension, was the most common comorbid illness detected. Hypertension was also the most common intraoperative adverse anesthesia outcome. In our institution, the presence of comorbid illnesses became the main reason for elective surgeries cancellation.