[Preoperative risk evaluation of adult patients for elective, noncardiac surgical interventions. Results of an on-line survey on the status in Germany].

Der Anaesthesist
A B BöhmerFrank Wappler

Abstract

While assessing the medical history and physical examination are the cornerstones of preoperative risk evaluation, the importance of "routine" testing has been critically discussed in recent studies. The joint recommendations of the German Societies of Anaesthesiology and Intensive Care Medicine, Surgery and Internal Medicine for preoperative evaluation of adult patients prior to elective, non-cardiac surgery, which were published in November 2010, are the first comprehensive practice guidelines for preoperative evaluation in Germany. Aim of this study was to analyze former strategies for assessing perioperative risk at anaesthesia departments in Germany. A 29-item questionnaire concerning general hospital characteristics, strategies for preoperative evaluation and cognizance of the joint recommendations was developed as an online survey. In particular the reasons for technical assessment were surveyed (i.e. routine, patient age or pre-existing conditions, risk of operation being performed). In certain questions multiple answers were permitted. All hospitals with departments of anaesthesiology in Germany were included. Data are presented as percentages. A total of 396 hospitals (35.6%) completed the questionnaire. Physical exam...Continue Reading

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Citations

Feb 19, 2014·Der Anaesthesist·A B BöhmerUNKNOWN German Society of Surgery and Internal Medicine
Nov 5, 2015·Der Anaesthesist·O BoehmA Hoeft
Jul 11, 2014·Deutsches Ärzteblatt International·Andreas B BöhmerBernd Zwissler
Oct 15, 2021·Der Anaesthesist·T HillermannU Budde

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