Association between Preanaesthetic Check-up Parameters and Postoperative Recovery Score: A Cross-sectional Study
Introduction: Elective surgeries are typically preceded by a thorough health assessment conducted by an anaesthetist during the Preanaesthesia Check-Up (PAC). This process involves evaluating the patient’s medical history, conducting a physical examination and reviewing laboratory test results. The...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2025-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/20984/76754_CE[Ra1]_F(SS)_PF1(RI_SL)_redo_PFA(IS)_PN(IS).pdf |
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| Summary: | Introduction: Elective surgeries are typically preceded by a thorough health assessment conducted by an anaesthetist during the Preanaesthesia Check-Up (PAC). This process involves evaluating the patient’s medical history, conducting a physical examination and reviewing laboratory test results. The PAC not only focuses on the clinical utility and cost-effectiveness of tests, but also aims to optimise the patient’s outcome by addressing any unidentified health issues before the procedure.
Aim: To analyse laboratory reports associated with the PAC and evaluate their impact on postoperative recovery.
Materials and Methods: This observational, cross-sectional study was conducted at Malabar Medical College Hospital and Research Centre a tertiary care hospital in North Kerala, India, from August to October 2023. A total of 102 postoperative patients were enrolled in the study over a two-month period. Demographic and laboratory data were collected using a structured questionnaire. Statistical analysis was performed using the Chi-square test with Jamovi software, and a p-value of <0.05 was considered statistically significant.
Results: Among the 102 patients studied, male participants accounted for a higher proportion (59.8%) compared to females. Co-morbidities were present in 51/102 (50%) of the study population, with Hypertension (HTN) being the most prevalent {(n=32/102), which accounted for 32/51 (62%) of those with co-morbidities}, followed by Diabetes Mellitus (DM) (n=16/51). General Anaesthesia (GA) was administered to 64/102 (62.7%) of the participants, and 93 (91.2%) underwent procedures lasting longer than one hour. Random Blood Sugar (RBS) levels were deranged in 23.5% of the patients, while Renal Function Tests (RFT) were within normal limits for 98.04% of the cohort. A poor Quality of Recovery (QoR) score (<70) was observed in 15.7% of the patients.
Conclusion: The present study demonstrated a significant association between co-morbidities and postoperative recovery. The preanaesthesia check-up is a useful and cost-effective tool for preventing perioperative morbidity. |
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| ISSN: | 2249-782X 0973-709X |