Valor preditivo de exames pré-operatórios em facectomias

Detalhes bibliográficos
Autor(a) principal: Lira, Rodrigo Pessoa Cavalcanti
Data de Publicação: 2003
Outros Autores: Nascimento, Maurício Abujamra, Kara-José, Newton, Arieta, Carlos Eduardo Leite
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/31571
Resumo: OBJECTIVE: To establish the prevalence of abnormal results in routine preoperative tests prior to facectomies and whether they influence the occurrence of perioperative clinical complications. METHODS: This prospective study was developed in an academic medical center in Brazil. Besides a clinical evaluation, all patients were requested to undergo an electrocardiogram, complete blood work and fasting blood glucose test. Patients younger than 40 years of age who had had previous eye surgery, candidates for general anesthesia or who had suffered acute myocardial infarction up to three months before surgery were excluded from the study. Intraoperative medical events were recorded in a protocol form. Analysis was carried out using Fisher's test and ANOVA (analysis of variance). RESULTS: The sample was composed of 746 patients, 405 (54.3%) were men. The average age was 66.6±11.6 years. Intraoperative complications occurred in 71 (9.5%) patients. There were abnormal results in 13.5% (101 patients) of hemoglobin dosages and in 16.6% (124) of fasting blood glucose. As for electrocardiograms, abnormalities were found in 46.6% (348) of the subjects. There was a higher prevalence of electrocardiograms with abnormal values in patients who had perioperative clinical complications (p=0.02). There were no statistically significant differences between hemoglobin dosages (14.0±1.6 g/dL in patients without intraoperative complications and 14.3±1.3 g/dL in patients with complications - p=0.150) and fasting blood glucose (104±29 mg/dL in patients without complications and 105±41 mg/dL in patients with complications - p=0.850). CONCLUSIONS: Within the investigated routine of preoperative testing for facectomy, only the abnormal electrocardiogram results influenced the occurrence of complications in the perioperative period.
id USP-23_71996c53fcb9e89c73b5c6bd3d0ecafb
oai_identifier_str oai:revistas.usp.br:article/31571
network_acronym_str USP-23
network_name_str Revista de Saúde Pública
repository_id_str
spelling Valor preditivo de exames pré-operatórios em facectomias Predictive value of preoperative tests in facectomy Extração de catarataTestes diagnósticos de rotinaCuidados pré-operatóriosCataract extractionDiagnostic testsroutinePreoperative care OBJECTIVE: To establish the prevalence of abnormal results in routine preoperative tests prior to facectomies and whether they influence the occurrence of perioperative clinical complications. METHODS: This prospective study was developed in an academic medical center in Brazil. Besides a clinical evaluation, all patients were requested to undergo an electrocardiogram, complete blood work and fasting blood glucose test. Patients younger than 40 years of age who had had previous eye surgery, candidates for general anesthesia or who had suffered acute myocardial infarction up to three months before surgery were excluded from the study. Intraoperative medical events were recorded in a protocol form. Analysis was carried out using Fisher's test and ANOVA (analysis of variance). RESULTS: The sample was composed of 746 patients, 405 (54.3%) were men. The average age was 66.6±11.6 years. Intraoperative complications occurred in 71 (9.5%) patients. There were abnormal results in 13.5% (101 patients) of hemoglobin dosages and in 16.6% (124) of fasting blood glucose. As for electrocardiograms, abnormalities were found in 46.6% (348) of the subjects. There was a higher prevalence of electrocardiograms with abnormal values in patients who had perioperative clinical complications (p=0.02). There were no statistically significant differences between hemoglobin dosages (14.0±1.6 g/dL in patients without intraoperative complications and 14.3±1.3 g/dL in patients with complications - p=0.150) and fasting blood glucose (104±29 mg/dL in patients without complications and 105±41 mg/dL in patients with complications - p=0.850). CONCLUSIONS: Within the investigated routine of preoperative testing for facectomy, only the abnormal electrocardiogram results influenced the occurrence of complications in the perioperative period. OBJETIVO: Determinar a prevalência de resultados anormais numa rotina de exames pré-operatórios para facectomias e sua influência na ocorrência de complicações clínicas perioperatórias. MÉTODOS: Estudo prospectivo desenvolvido em um centro médico acadêmico no Brasil, com uma amostra de 746 pacientes, selecionados entre indicados para cirurgia de catarata. Para todos os pacientes foram solicitados eletrocardiograma, hemograma completo e glicemia de jejum, além de uma avaliação clínica. Foram excluídos do estudo pacientes com menos de 40 anos de idade, pacientes submetidos previamente à cirurgia ocular, pacientes com indicação de anestesia geral, ou pacientes que sofreram infarto agudo do miocárdio até três meses antes da cirurgia. Eventos médicos intra-operatórios foram registrados numa ficha de protocolo. Para análise, utilizou-se do teste de Fisher e análise de variância (ANOVA). RESULTADOS: Na amostra de 746 pacientes, 405 (54,3%) eram homens. A idade média foi de 66,6±11,6 anos. Ocorreram complicações intra-operatórias em 71 (9,5%) pacientes. Houve resultados anormais em 13,5% (101 pacientes) das dosagens de hemoglobina e em 16,6% (124) das dosagens de glicemia de jejum. Em relação aos eletrocardiogramas, foram constatadas anormalidades em 46,6% (348) dos indivíduos. Houve maior prevalência de eletrocardiogramas com anormalidades em pacientes com complicações clínicas perioperatórias (p=0,02). Não existiu diferença estatisticamente significativa nas dosagens de hemoglobina (14,0±1,6 g/dL em pacientes sem complicações intra-operatórias e 14,3±1,3 g/dL em pacientes com complicações - p=0,150) e nas de glicemia de jejum (104±29 mg/dL em pacientes sem complicações e 105±41 mg/dL em pacientes com complicações - p=0,850). CONCLUSÕES: Dentro da rotina investigada de exames pré-operatórios para facectomia, apenas os resultados anormais presentes no eletrocardiograma estiveram associados à ocorrência de complicações durante o período de perioperatório. Universidade de São Paulo. Faculdade de Saúde Pública2003-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3157110.1590/S0034-89102003000200006Revista de Saúde Pública; Vol. 37 No. 2 (2003); 197-202 Revista de Saúde Pública; Vol. 37 Núm. 2 (2003); 197-202 Revista de Saúde Pública; v. 37 n. 2 (2003); 197-202 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/31571/33456Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessLira, Rodrigo Pessoa CavalcantiNascimento, Maurício AbujamraKara-José, NewtonArieta, Carlos Eduardo Leite2012-07-08T14:52:12Zoai:revistas.usp.br:article/31571Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T14:52:12Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Valor preditivo de exames pré-operatórios em facectomias
Predictive value of preoperative tests in facectomy
title Valor preditivo de exames pré-operatórios em facectomias
spellingShingle Valor preditivo de exames pré-operatórios em facectomias
Lira, Rodrigo Pessoa Cavalcanti
Extração de catarata
Testes diagnósticos de rotina
Cuidados pré-operatórios
Cataract extraction
Diagnostic tests
routine
Preoperative care
title_short Valor preditivo de exames pré-operatórios em facectomias
title_full Valor preditivo de exames pré-operatórios em facectomias
title_fullStr Valor preditivo de exames pré-operatórios em facectomias
title_full_unstemmed Valor preditivo de exames pré-operatórios em facectomias
title_sort Valor preditivo de exames pré-operatórios em facectomias
author Lira, Rodrigo Pessoa Cavalcanti
author_facet Lira, Rodrigo Pessoa Cavalcanti
Nascimento, Maurício Abujamra
Kara-José, Newton
Arieta, Carlos Eduardo Leite
author_role author
author2 Nascimento, Maurício Abujamra
Kara-José, Newton
Arieta, Carlos Eduardo Leite
author2_role author
author
author
dc.contributor.author.fl_str_mv Lira, Rodrigo Pessoa Cavalcanti
Nascimento, Maurício Abujamra
Kara-José, Newton
Arieta, Carlos Eduardo Leite
dc.subject.por.fl_str_mv Extração de catarata
Testes diagnósticos de rotina
Cuidados pré-operatórios
Cataract extraction
Diagnostic tests
routine
Preoperative care
topic Extração de catarata
Testes diagnósticos de rotina
Cuidados pré-operatórios
Cataract extraction
Diagnostic tests
routine
Preoperative care
description OBJECTIVE: To establish the prevalence of abnormal results in routine preoperative tests prior to facectomies and whether they influence the occurrence of perioperative clinical complications. METHODS: This prospective study was developed in an academic medical center in Brazil. Besides a clinical evaluation, all patients were requested to undergo an electrocardiogram, complete blood work and fasting blood glucose test. Patients younger than 40 years of age who had had previous eye surgery, candidates for general anesthesia or who had suffered acute myocardial infarction up to three months before surgery were excluded from the study. Intraoperative medical events were recorded in a protocol form. Analysis was carried out using Fisher's test and ANOVA (analysis of variance). RESULTS: The sample was composed of 746 patients, 405 (54.3%) were men. The average age was 66.6±11.6 years. Intraoperative complications occurred in 71 (9.5%) patients. There were abnormal results in 13.5% (101 patients) of hemoglobin dosages and in 16.6% (124) of fasting blood glucose. As for electrocardiograms, abnormalities were found in 46.6% (348) of the subjects. There was a higher prevalence of electrocardiograms with abnormal values in patients who had perioperative clinical complications (p=0.02). There were no statistically significant differences between hemoglobin dosages (14.0±1.6 g/dL in patients without intraoperative complications and 14.3±1.3 g/dL in patients with complications - p=0.150) and fasting blood glucose (104±29 mg/dL in patients without complications and 105±41 mg/dL in patients with complications - p=0.850). CONCLUSIONS: Within the investigated routine of preoperative testing for facectomy, only the abnormal electrocardiogram results influenced the occurrence of complications in the perioperative period.
publishDate 2003
dc.date.none.fl_str_mv 2003-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/31571
10.1590/S0034-89102003000200006
url https://www.revistas.usp.br/rsp/article/view/31571
identifier_str_mv 10.1590/S0034-89102003000200006
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/31571/33456
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 37 No. 2 (2003); 197-202
Revista de Saúde Pública; Vol. 37 Núm. 2 (2003); 197-202
Revista de Saúde Pública; v. 37 n. 2 (2003); 197-202
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
_version_ 1800221780711833600