Mata J, Cabrera S, Valldeperas M I, Fernández S, Aguilar J L, Atanassoff P G
Servicio de Anestesiología y Reanimación, Hospital Son Llàtzer, Palma de Mallorca, Baleares, Spain.
Rev Esp Anestesiol Reanim. 2012 Jun-Jul;59(6):299-305. doi: 10.1016/j.redar.2012.04.022. Epub 2012 Jun 27.
To analyse the preanaesthetic assessment prior to elective surgery in hospitals of the Spanish National Health Care System.
A prospective cross-sectional descriptive observational survey was performed. Primary variables were patient characteristics, type of preanaesthetic evaluation and the evaluator, as well as type of support the evaluator received during patient assessment. Secondary variables included the number of operating rooms available for elective surgery, as well as preanaesthesia clinic facilities. Data were analysed by univariate and bivariate descriptive analysis.
A total of 214 hospitals of the Spanish Health Care System were invited to participate, and 203 centres responded, with all of them having a preanaesthesia assessment clinic. In 183 of them (90%), elective surgerypatients were interviewed prior to their surgical intervention, and in 202 hospitals (99.5%) a anaesthesiologist physician performed the interview. In 128 hospitals (63%), anaesthesiologists were helped during preoperative assessment by nurses alone (49%) or together with auxillary nurses (14%). In 68 of hospitals (33%) they were supported only by auxillary nurses and in 7 hospitals (3%) they obtained no help at all. In 14 centres (7%) anaesthesia nurses assessed patients directly (under supervision of an anaesthesiologist physician). Hospitals with a higher volume of patients performed more preanaesthesia interviews. Hospitals with more running operating rooms received more nurse support in the preanaesthesia assessment clinic.
Some kind of preanaesthesia assessment clinic exists in all Anaesthesia Departments of public Spanish hospitals, although there are differences in design and organisation.
分析西班牙国家医疗保健系统医院中择期手术前的麻醉前评估情况。
进行了一项前瞻性横断面描述性观察性调查。主要变量包括患者特征、麻醉前评估类型及评估者，以及评估者在患者评估期间获得的支持类型。次要变量包括可供择期手术使用的手术室数量以及麻醉前诊所设施。数据通过单变量和双变量描述性分析进行分析。
共邀请了214家西班牙医疗保健系统的医院参与，203个中心做出回应，所有中心均设有麻醉前评估诊所。其中183家（90%）在择期手术患者进行手术干预前对其进行了访谈，202家医院（99.5%）由麻醉医生进行访谈。128家医院（63%）在术前评估时仅由护士（49%）或与辅助护士一起（14%）协助麻醉医生。68家医院（33%）仅由辅助护士提供支持，7家医院（3%）根本没有得到帮助。14个中心（7%）由麻醉护士在麻醉医生的监督下直接评估患者。患者数量较多的医院进行的麻醉前访谈更多。手术室运转数量较多的医院在麻醉前评估诊所获得的护士支持更多。
西班牙公立医院的所有麻醉科均设有某种形式的麻醉前评估诊所，尽管在设计和组织方面存在差异。
