Key result
Preoperative medical consultation and careful evaluation of specific risk factors by an internist can reduce morbidity and mortality in high-risk surgical patients.
Why the study?
Does preoperative medical consultation and evaluation of surgical risk reduce morbidity and mortality in surgical patients?
Does preoperative medical consultation and evaluation of surgical risk reduce morbidity and mortality in surgical patients?
Comprehensive preoperative medical evaluation and targeted therapeutic maneuvers can reduce morbidity and mortality in high-risk surgical patients.
Answers are grounded in this paper and cite their sources.
May support internist preoperative evaluation in high-risk surgery; leaves open confirmation by randomized trials.
Internists are frequently asked to assess the surgical risk of patients with various medical problems. Numerous recent prospective studies have defined specific risk factors for increased morbidity and mortality in the preoperative evaluation of surgical patients. Careful attention to such factors as age, type of operation and anesthesia, underlying pulmonary, hypertensive, cardiac, renal, hepatic, endocrine, and hematologic diseases, and nutritional status can reduce the complication rate and death rate in surgical patients if specific preoperative, operative, and postoperative therapeutic maneuvers are instituted. A comprehensive comparative analysis by the internist, surgeon, and anesthesiologist should be made on all high-risk surgical patients to improve their medical care.
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Houston et al. (1987) conducted a review in Surgical risk in patients with medical problems. Preoperative medical consultation and evaluation was evaluated. Preoperative medical consultation and careful evaluation of specific risk factors by an internist can reduce morbidity and mortality in high-risk surgical patients.
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