Abnormalities in preoperative examinations of plastic surgery patients
Introduction: Preoperative tests (EPO) aim to detect abnormalities and give greater safety to the procedure. However, the request for these tests is still controversial, either because they do not bring about changes in conduct for the procedure or result in some harm to the patient. The objective i...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2023-07-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/3291/1983-5175-rbcp-38-02-e0682-en.pdf |
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| _version_ | 1849416314351779840 |
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| author | Leonardo Boscolo Bigarelli Luiz Henrique Camargo Bigarelli Renato Nisihara |
| author_facet | Leonardo Boscolo Bigarelli Luiz Henrique Camargo Bigarelli Renato Nisihara |
| author_sort | Leonardo Boscolo Bigarelli |
| collection | DOAJ |
| description | Introduction: Preoperative tests (EPO) aim to detect abnormalities and give greater safety to the procedure. However, the request for these tests is still controversial, either because they do not bring about changes in conduct for the procedure or result in some harm to the patient. The objective is to assess the frequency of EPO requests and abnormalities in aesthetic plastic surgery patients, to verify what these abnormalities are, what preoperative management should be done based on the finding, and to associate the data obtained with the patient’s profile and the planned surgery.
Method: Retrospective study evaluating medical records of aesthetic plastic surgery patients who underwent routine EPO in a plastic surgery hospital in 2019.
Results: 978 patients were studied, and 51% had some abnormality in EPO. 93.7% were women, with a mean age of 46.5 years. 12.3 exams were performed per patient, and abnormality was observed in 6.1% of EPO. The exams that had the most abnormalities were the lipidogram (23.8%) and the cardiac evaluation (14.1%). Hypothyroidism was the most common comorbidity (18.4% of patients); 70% of diabetics had a glycemic level above the recommended level. Only 3.4% of the patients suffered a change in preoperative management due to EPO abnormality, and in 57.9% of these cases, the surgery was postponed. Test alterations were more frequent in male patients (p<0.0001).
Conclusion: The performance of routine EPO showed a low frequency of altered exams (3.4%) and implied changes in the preoperative conduct of plastic surgery patients. |
| format | Article |
| id | doaj-art-292f628e2a264eeab446f85d9758da71 |
| institution | Kabale University |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2023-07-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-292f628e2a264eeab446f85d9758da712025-08-20T03:33:14ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352023-07-01382010910.5935/2177-1235.2023RBCP0682-ENAbnormalities in preoperative examinations of plastic surgery patientsLeonardo Boscolo Bigarelli0Luiz Henrique Camargo Bigarelli1Renato Nisihara2Faculdade Evangélica Mackenzie do Paraná, Curitiba, PR, BrazilHospital Lipoplastic, Curitiba, PR, BrazilFaculdade Evangélica Mackenzie do Paraná, Curitiba, PR, BrazilIntroduction: Preoperative tests (EPO) aim to detect abnormalities and give greater safety to the procedure. However, the request for these tests is still controversial, either because they do not bring about changes in conduct for the procedure or result in some harm to the patient. The objective is to assess the frequency of EPO requests and abnormalities in aesthetic plastic surgery patients, to verify what these abnormalities are, what preoperative management should be done based on the finding, and to associate the data obtained with the patient’s profile and the planned surgery. Method: Retrospective study evaluating medical records of aesthetic plastic surgery patients who underwent routine EPO in a plastic surgery hospital in 2019. Results: 978 patients were studied, and 51% had some abnormality in EPO. 93.7% were women, with a mean age of 46.5 years. 12.3 exams were performed per patient, and abnormality was observed in 6.1% of EPO. The exams that had the most abnormalities were the lipidogram (23.8%) and the cardiac evaluation (14.1%). Hypothyroidism was the most common comorbidity (18.4% of patients); 70% of diabetics had a glycemic level above the recommended level. Only 3.4% of the patients suffered a change in preoperative management due to EPO abnormality, and in 57.9% of these cases, the surgery was postponed. Test alterations were more frequent in male patients (p<0.0001). Conclusion: The performance of routine EPO showed a low frequency of altered exams (3.4%) and implied changes in the preoperative conduct of plastic surgery patients.http://www.rbcp.org.br/export-pdf/3291/1983-5175-rbcp-38-02-e0682-en.pdfdiagnostic tests, routinereconstructive surgical procedurespreoperative carepatient care managementhealth care costs |
| spellingShingle | Leonardo Boscolo Bigarelli Luiz Henrique Camargo Bigarelli Renato Nisihara Abnormalities in preoperative examinations of plastic surgery patients Revista Brasileira de Cirurgia Plástica diagnostic tests, routine reconstructive surgical procedures preoperative care patient care management health care costs |
| title | Abnormalities in preoperative examinations of plastic surgery patients |
| title_full | Abnormalities in preoperative examinations of plastic surgery patients |
| title_fullStr | Abnormalities in preoperative examinations of plastic surgery patients |
| title_full_unstemmed | Abnormalities in preoperative examinations of plastic surgery patients |
| title_short | Abnormalities in preoperative examinations of plastic surgery patients |
| title_sort | abnormalities in preoperative examinations of plastic surgery patients |
| topic | diagnostic tests, routine reconstructive surgical procedures preoperative care patient care management health care costs |
| url | http://www.rbcp.org.br/export-pdf/3291/1983-5175-rbcp-38-02-e0682-en.pdf |
| work_keys_str_mv | AT leonardoboscolobigarelli abnormalitiesinpreoperativeexaminationsofplasticsurgerypatients AT luizhenriquecamargobigarelli abnormalitiesinpreoperativeexaminationsofplasticsurgerypatients AT renatonisihara abnormalitiesinpreoperativeexaminationsofplasticsurgerypatients |