%0 Journal Article
%T An¨¢lisis sobre el uso de ex¨¢menes preoperatorios en pacientes sometidas a cirug¨ªas programadas en el Servicio de Ginecolog¨ªa del Hospital "Dr. Rafael ¨¢ngel Calder¨®n Guardia", durante 2009
%A Leal-Mateos
%A Manrique
%A Madrigal-Sol¨ªs
%A Juan B
%J Acta M¨¦dica Costarricense
%D 2010
%I Scientific Electronic Library Online
%X aim:to analyze the use of routine preoperative tests in patients undergoing elective gynecologic surgery at the rafael ¨¢ngel calder¨®n guardia hospital during 2009. methods: this is a cross-sectional observational study. two hundred seventy two medical records were analyzed of patients who underwent surgery between january 1st 2009 and june 3rd of 2009. the variables studied were: age, coexisting morbidity, amount and type of additional preoperative tests performed and amount and type of preoperative missing tests according to the 2002 guidelines of the american society of anaesthesiologists (asa). results: the mean of preoperative tests preformed for each patient was 4,3 (sd + 2,1). according to the asa guidelines, only 44,9% (ci: 95% 38,8-51,0) of the patients had all the preoperative test completed. in addition 55,1% (ci: 95% 49,0-61,2) of the patients missed at least 1 of the preoperative needed tests. the mean of the preoperative tests missing in this case was 1,7 (sd +1,1). on the other hand, 93% (ci: 95% 89,3-95,7) of the patients had undergone at least 1 unnecessary preoperative test according to their morbidity. the mean of this additional preoperative test was 2,5 (sd +1,6). nine point five percent of the total of unnecessary preoperative tests showed abnormal results. only 7,6% (ci: 95% 2,5-16,8) of the medical records of these patients showed some corrective action. three percent (ci: 95% 0,4-10,5) of the surgeries were cancelled for this reason. conclusion: this study showed the incorrect use of preoperative tests in the gynecology service of the calder¨®n guardia hospital.
%K preoperative tests
%K gynaecology.
%U http://www.scielo.sa.cr/scielo.php?script=sci_abstract&pid=S0001-60022010000300005&lng=en&nrm=iso&tlng=en