Factors affecting the outcome of anaesthesia in surgically operated patients in two tertiary hospitals in Osun state, Nigeria

Authors

  • Adeola Omobola Adegoke School of Nursing, Department of Adult Health Nursing, Babcock University Ilishan-Remo, Ogun State, Nigeria
  • Rasidi A. Salawu School of Nursing, Department of Adult Health Nursing, Babcock University Ilishan-Remo, Ogun State, Nigeria

DOI:

https://doi.org/10.18203/2320-6012.ijrms20202880

Keywords:

Anaesthesia, Factors, Outcome, Surgically operated patients

Abstract

Background: Few patients face surgery without some degree of anxiety. The concerns and fear vary from one person to another. Some may be anxious about the pain, disfigurement, incapacity and loss of control of self or death. The study investigated factors affecting the outcome of anaesthesia in surgically operated patients in two tertiary hospitals in Osun State, Nigeria.

Methods: The study adopted a retrospective study design. Case file identification numbers of patients who had surgical operations under general anaesthesia between January 1st, 2015 and December 31st, 2019. The sample for this study consisted of 2,524 case notes purposely selected using purposive sampling technique. A checklist was developed which indicated all the variables needed from the patients case files. Data collected was analyzed using descriptive statistics of frequency and percentage.

Results: The findings of this study showed that among the comorbidity of surgical operated patients, hypertension was mostly reported while the most prevalence risk behaviour was obstructive sleep, alcoholism, smoking, delay in waking up and delirium.

Conclusions: It was also concluded that there is significant effect of age and gender on some comorbidity, risk behaviour of the anaesthesia process and outcome of anaesthesia. Based on the findings, it was recommended among others that the anaesthesia team must kindly investigate more on the patient before the commencement of anaesthesia during surgery.

References

Aitkenhead AR, Thompson J, Rowbotham DJ, Moppett I, eds. Smith and Aitkenhead's Textbook of Anaesthesia. 6th ed. Elsevier Health Sciences; 2013.

Mulier JP, Dillemans B. Anaesthetic factors affecting outcome after bariatric surgery, a retrospective levelled regression analysis. Obes Surg. 2019;29(6),1841-50.

Doyle DJ, Garmon EH. American Society of Anaesthesiologists Classification (ASA Class). In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2019.

Agarwal N, Rosenbloom MH, Alkalay A, Baker SL, O’Neil JP, Yen IV. Association of Anaesthetists of Great Britain and Ireland. Respiratory complications of anaesthesia. 2018;73(1):25-33.

Hart CL, Ksir C, Ray OS. Drugs, society and human behavior. New York, NY: McGraw-Hill; 2013.

Gelb AW, Morriss WW, Johnson W, Merry AF. World Health Organization-World Federation of Societies of Anaesthesiologists. International standards for a safe practice of anaesthesia. Anesth Analg. 2018;126(6):2047-55.

Agarwal R, Porter MH, Obeid G. Common medical illnesses that affect anesthesia and their anesthetic management. Oral Maxillofac Surg Clin N Am. 2013;25:407-38.

Mills GH. Respiratory complications of anaesthesia, Anaesthesia 2018 Jan;73:25-33.

American Society of Anesthesiologists. Standards and practice parameters. J Anaesthesiol. 2017;114(3):495-511.

Hopkins PM. Does regional anaesthesia improve outcome? BJA: Br J Anaesthesia. 2015;115(suppl_2):ii26-33.

Kim SY, Kim SW, Shin IS, Park MH, Yoon JH, Yoon JS, et al. Changes in depression status during the year after breast cancer surgery and impact on quality of life and functioning. Gen Hosp Psychiatr. 2018;50:33-7.

Joshi GP, Ankichetty SP, Gan TJ, Chung F. Society for ambulatory anaesthesia consensus statement on preoperative selection of adult patients with obstructive sleep apnoea scheduled for ambulatory surgery. Anesth Analg. 2012;115(5):1060-8.

Johansen NJ, Christensen MB. A systematic review on insulin overdose cases: clinical course, complications and treatment options. Basic Clin Pharmacol Toxicol. 2018;122(6):650-9.

Morales DR, Jackson C, Lipworth BJ, Donnan PT, Guthrie B. Adverse respiratory effect of acute β-blocker exposure in asthma: a systematic review and meta-analysis of randomized controlled trials. Chest. 2014;145(4):779-86.

Downloads

Published

2020-06-26

How to Cite

Adegoke, A. O., & Salawu, R. A. (2020). Factors affecting the outcome of anaesthesia in surgically operated patients in two tertiary hospitals in Osun state, Nigeria. International Journal of Research in Medical Sciences, 8(7), 2462–2468. https://doi.org/10.18203/2320-6012.ijrms20202880

Issue

Section

Original Research Articles