Volume 7, Issue 2, December 2019, Page: 55-59
Evaluation of the Relevance and the Cost of Prescribing Preoperative Paraclinical Examinations at the Sourô Sanou Teaching Hospital in Bobo Dioulasso
Guibla Ismael, Department of Anesthesia and Intensive Care Unit, Sourô-Sanou Teaching Hospital, Nazi Boni University, Bobo Dioulasso, Burkina-Faso
Traoré Ibrahim Alain, Department of Anesthesia and Intensive Care Unit, Sourô-Sanou Teaching Hospital, Nazi Boni University, Bobo Dioulasso, Burkina-Faso
Ki Bertille, Department of Anesthesia and Intensive Care Unit, Charles-De-Gaulle Teaching Hospital, Joseph Ki Zerbo University, Ouagadougou, Burkina-Faso
Ilboudo Charles, Department of Anesthesia and Intensive Care Unit, Sourô-Sanou Teaching Hospital, Nazi Boni University, Bobo Dioulasso, Burkina-Faso
Received: Oct. 23, 2019;       Accepted: Nov. 14, 2019;       Published: Dec. 31, 2019
DOI: 10.11648/j.ijacm.20190702.16      View  141      Downloads  43
Abstract
The pre-anesthetic consultation is an important step before any surgical procedure. It may include paraclinical examinations in addition to the clinical examination. The objective of this study was to evaluate the relevance and the cost of prescribing preoperative checkups by Sourô Sanou Teaching Hospital (CHUSS) surgeons. It was a prospective cross-sectional study from March to August 2016. All preoperative examinations were analyzed according to the formal recommendations of experts from the French Society of Anesthesia- intensive Care Medicine. The medico-economic impact of the implementation of the recommendations was also analyzed. A total of 2603 pre-operative checkups prescribed in 400 patients were analyzed. The mean age of the patients was 28.59 years with a sex ratio of 0.83. Intermediate surgical risk (59.7%) was the most observed. The majority of patients were ASA 1 and 2 (99%). The most popular checkups were CBC (99%) followed by blood glucose (96.7%) and serum creatinine (92.7%). We found that 5.6% of the checkups were abnormal. Of the checkups prescribed, 74.6% did not comply with international recommendations. The CBC prescription had a high compliance rate (69.2%). The lowest compliance rates were: blood glucose (1.5%), renal function, and coagulation profile (17%). The cost generated by the excess prescription of preoperative examinations was estimated at 5484, 01 US dollar for all patients (13,715 US dollar/ patient on average). The preoperative checkups performed as part of a planned surgery are mostly inadequate with a real medico-economic impact.
Keywords
Preoperative Checkups, Cost, Relevance, Low Income Country
To cite this article
Guibla Ismael, Traoré Ibrahim Alain, Ki Bertille, Ilboudo Charles, Evaluation of the Relevance and the Cost of Prescribing Preoperative Paraclinical Examinations at the Sourô Sanou Teaching Hospital in Bobo Dioulasso, International Journal of Anesthesia and Clinical Medicine. Vol. 7, No. 2, 2019, pp. 55-59. doi: 10.11648/j.ijacm.20190702.16
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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