[Assessment of pertinence and cost of preoperative examinations prescriptions by surgeons for programmed surgery].

Autor: Bougouma C; Service d'anesthésie-réanimation du CHU de Tengandogo, Ouagadougou., Ouattara SA; Service d'anesthésie-réanimation du CHU de Tengandogo, Ouagadougou., Bélèm FP; Service d'anesthésie-réanimation du CHU de Tengandogo, Ouagadougou., Tsagué JF; Service d'anesthésie-réanimation du CHU de Tengandogo, Ouagadougou., Ki KB; Service d'anesthésie-réanimation du CHU pédiatrique Charles de Gaulle, Ouagadougou., Kabré Y; Service d'anesthésie-réanimation du CHU pédiatrique Charles de Gaulle, Ouagadougou., Lankoandé M; Département d'anesthésie-réanimation du CHU Yalgado Ouédraogo, Ouagadougou., Traoré AI; Service d'anesthésie-réanimation du CHU SouroSanou, Bobo Dioulasso., Kaboré R; Service d'anesthésie-réanimation du CHU de Tengandogo, Ouagadougou.
Jazyk: francouzština
Zdroj: Le Mali medical [Mali Med] 2021; Vol. 36 (4), pp. 6-10.
Abstrakt: Objective: To assess the pertinence and the cost of preoperative examinations prescriptions by surgeons at CHU-YO for programmed surgery.
Patients and Methods: This was a prospective and observational study of 145 patients received in preanesthetic consultations between February 4 and April 4, 2016 in the department of anesthesiology, intensive care unit and emergency of CHU-YO. It consisted of an evaluation of 1106 preoperative examinations prescribed by the surgeons of this hospital compared to the formalized recommendations of French experts.
Results: Out of a total of 1,106 prescribed preoperative examinations, 1069 (96.6%) have been achieved. The six most commonly prescribed tests were hemogram (95.9%), blood grouping (90.3%), prothrombin (PT) (91.7%), active cephalin time (ACT) (86.9%), blood sugar (92.4%) and creatininemia (89%). Ninety-two results (8.6%) examinations were abnormal. Prescriptions for preoperative examinations were relevant in 30.2% of cases. The average cost of performing preoperative examinations per patient was 19832±14023 FCFA.
Conclusion: Prescriptions for preoperative examinations by surgeons are mostly non-rational, the application of a repository is essential to improve this practice.
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Databáze: MEDLINE
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