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- Title
EVALUATION DE LA PERTINENCE ET DU COUT DE LA PRESCRIPTION DES EXAMENS PREOPERATOIRES PAR LES CHIRURGIENS POUR UNE CHIRURGIE PROGRAMMEE.
- Authors
C. T. H. W., Bougouma; S. A., Ouattara; F. P., Bélèm; J. F., Tsagué; Ki K. B.; Y., Kabré; M., Lankoandé; I., Traoré A.; R. A. F., Kaboré
- Abstract
Objective: To assess the pertinence and the cost of preoperative examinations prescriptions by surgeons at CHU-YO for programmed surgery.Patients and methods: This was a prospective and observational study of 145 patients received in preanesthetic consultations between February 4 and April 4, 2016 in the department of anesthesiology, intensive care unit and emergency of CHU-YO. It consisted of an evaluation of 1106 preoperative examinations prescribed by the surgeons of this hospital compared to the formalized recommendations of French experts.Results: Out of a total of 1,106 prescribed preoperative examinations, 1069 (96.6%) have been achieved. The six most commonly prescribed tests were hemogram (95.9%), blood grouping (90.3%), prothrombin (PT) (91.7%), active cephalin time (ACT) (86.9%), blood sugar (92.4%) and creatininemia (89%). Ninety-two results (8.6%) examinations were abnormal. Prescriptions for preoperative examinations were relevant in 30.2% of cases. The average cost of performing preoperative examinations per patient was 19832± 14023 FCFA. Conclusion: Prescriptions for preoperative examinations by surgeons are mostly nonrational, the application of a repository is essential to improve this practice.
- Publication
Mali Médical, 2021, Vol 36, Issue 4, p6
- ISSN
0464-7874
- Publication type
Article