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Mulualem Endeshaw Zeleke, Wubie Birlie Chekol, Habtamu Getinet Kassahun, Zemenay Ayinie Mekonnen Department of Anesthesia, University of Gondar, Gondar, Northwest, EthiopiaCorrespondence: Wubie Birlie Chekol, Email birliewubie@gmail.comBackground: Assessment of preoperative functional disability is vital for health status information. It is associated with an increase in perioperative risk of morbidity and mortality. Preoperative period is a critical time to enhance patient’s functional recovery. So, this study aimed to assess the prevalence and associated factors of preoperative functional disability among patients scheduled for elective surgery.Methods: Institution-based, multi-center, cross-sectional study was conducted in three Northwest Ethiopia referral hospitals from April 2021 to June 2021. Patients who scheduled for elective surgery in surgical, orthopedic, gynecology and ophthalmology wards were interviewed with semi-structured questionnaires. Functional disability was assessed by using a 12-item World Health Organization Disability Assessment schedule. Data were analyzed by SPSS version26.0. Binary logistic regression analysis was used to determine the associated variables.Results: A total of 403 patients who scheduled for elective surgery with mean age of (43.21 ± 16.18) years were included. The prevalence of preoperative functional disability was 34.5% (95% CI: 29.8, 39). Alcohol consumption (AOR: 2.05, 95% CI; 1.11, 3.77), malnutrition (AOR: 6.85, 95% CI; 3.06, 15.33), pain (AOR: 2.26, 95% CI; 1.28, 3.99) and depression (AOR: 7.90, 95% CI; 4.16, 15.01) were significantly associated with functional disability.Conclusion: The prevalence of preoperative functional disability was high. Alcohol consumption, nutritional deficiency, pain and depression were among the modifiable risk factors. So, added vigilance is needed in patients with these modifiable risk factors before surgery.Keywords: preoperative assessment, activity limitation, patient health questionnaire |
