Minor Postoperative Complications Related to Anesthesia in Elective Gynecological and Orthopedic Surgical Patients at a Teaching Hospital in Kingston, Jamaica
| Autor: | Hyacinth Harding-Goldson, Richard Augier, I Tennant, Annette Crawford-Sykes, Nicola Meeks-Aitken, Doreen Ferron-Boothe, Karen Jones, Georgiana Gordon-Strachan |
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| Jazyk: | angličtina |
| Předmět: |
Adult
Male Jamaica medicine.medical_specialty Adolescent Nausea COMPLICAÇÕES Pós-operatória Severity of Illness Index Thrombophlebitis Cohort Studies AVALIACIÓN Tratamiento anestésico Young Adult Gynecologic Surgical Procedures Patient satisfaction Postoperative Complications medicine Sore throat Humans Anesthesia Orthopedic Procedures Prospective Studies Postoperative Period Hospitals Teaching RECUPERACIÓN POSTANESTÉSICA Aged Aged 80 and over business.industry Middle Aged medicine.disease Anesthesia Department Surgery AVALIAÇÃO Atendimento anestésico COMPLICACIONES Postoperatoria Anesthesiology and Pain Medicine Elective Surgical Procedures Patient Satisfaction Orthopedic surgery Vomiting Female medicine.symptom RECUPERAÇÃO PÓS-ANESTÉSICA Complication business Cohort study |
| Zdroj: | Brazilian Journal of Anesthesiology. (2):188-198 |
| ISSN: | 0034-7094 |
| DOI: | 10.1016/S0034-7094(12)70117-4 |
| Popis: | SummaryBackground and objectivesMinor postoperative anesthetic complications may increase patient discomfort and dissatisfaction and delay recovery. This paper sought to determine the frequency of minor complications in the first 48 hours postoperatively reported by elective gynecological and orthopedic surgical patients at the University Hospital of the West Indies, Jamaica. Overall satisfaction with anesthetic care and possible risk factors for developing complications were also assessed.MethodsA prospective, descriptive cohort study was undertaken with patient interviews 24 to 48 hours after anesthesia. Data were analyzed using SPSS version 12 and assessed using the χ2-square test and multiple logistic regression models.ResultsFive hundred and five (505) patients were included, with 374 females (74%). Most were ASA I (55%) or ASA II (38%) and had general anesthesia (80%). A total of 419 (83%) patients reported at least one complication postoperatively. The most frequently reported complications were sore throat (44%), nausea (30%), vomiting (24%), and thrombophlebitis (20%). The mode of the Verbal Numerical Rating Score (VNRS) for each complication ranged between 2 and 5, suggesting that most did not cause severe distress. Age less than 45 years (OR 2.22, 95% CI 1.34-3.69, p=0.002) and female gender (OR 3.64, 95% CI 2.14-6.20, p |
| Databáze: | OpenAIRE |
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