Department of Anesthesia & Intensive Care, Salamanca University Complex, Salamanca, Spain.
Faculty of Medicine, University of Salamanca, Salamanca, Spain.
Front Public Health. 2024 Oct 9;12:1439948. doi: 10.3389/fpubh.2024.1439948. eCollection 2024.
Obesity is a complex systemic condition, involving numerous anatomical and metabolic changes. Therefore, a comprehensive preoperative assessment is essential for each patient contemplating bariatric surgery.
This study presents the findings of a proposed protocol designed to streamline the pre-anesthesia consultation process. Our aim was to compare the efficiency and costs of consultations guided by the protocol with those conducted without a specific strategy. The secondary outcomes assessed included postoperative (PO) length of hospital stay and surgical duration.
We conducted a retrospective cross-sectional analysis involving 206 clinical cases. Statistical analyses, including the chi-squared test, Student's t-test, and Mann-Whitney U test, were utilized based on the type of variables.
The results showed a significant reduction in the costs, pre-anesthesia consultation duration, time spent in the recovery unit, and the need for referrals. However, no statistically significant differences were observed in the delay before surgery and length of hospital stays, measured in days.
This algorithm offers a promising approach for optimizing perioperative management in bariatric surgery, demonstrating its effectiveness in cutting costs and reducing the need for referrals.
肥胖是一种复杂的系统性疾病，涉及到许多解剖和代谢变化。因此，对于每个考虑接受减重手术的患者，全面的术前评估是必不可少的。
本研究介绍了一种拟议方案的结果，该方案旨在简化麻醉前咨询过程。我们的目的是比较该方案指导下的咨询与没有特定策略的咨询的效率和成本。次要结果评估包括术后（PO）住院时间和手术时间。
我们进行了一项回顾性的横截面分析，涉及 206 例临床病例。根据变量类型，我们使用了卡方检验、学生 t 检验和曼-惠特尼 U 检验进行统计分析。
结果显示，麻醉前咨询费用、咨询时间、恢复室时间和转诊需求显著降低。然而，手术前的延迟和住院天数没有统计学意义。
该算法为优化减重手术的围手术期管理提供了一种有前途的方法，证明了其在降低成本和减少转诊需求方面的有效性。
