Comparison of the Effects of Short and Standard Forms for Preoperative Anesthetic Evaluation on Anesthesia Technique and Complications

Öz

Aim: Preoperative evaluation is essential for anesthesia planning, risk assessment, and perioperative safety. However, the optimal extent of preoperative history-taking in low-risk patients remains debated, particularly in low-risk patients. This study compared the effects of short- versus long-form preoperative history-taking on anesthesia management and perioperative complications in American Society of Anesthesiologists (ASA) I patients. Methods: This prospective, randomized observational study included 750 ASA I adult patients undergoing elective surgery at a single center. Participants were randomly assigned to either a short-form (5-question, n = 375) or long-form (26-question, n = 375) preoperative questionnaire. The short-form was developed based on expert consensus. The primary outcome was the duration of preoperative evaluation. Secondary outcomes included the number of consultation requests, anesthesia techniques used, perioperative hemodynamic and respiratory parameters, and complication rates. Results: The mean duration of preoperative history-taking was significantly shorter in the short-form group (38.52 ± 7.99 seconds) than in the long-form group (103.17 ± 19.27 seconds; p < 0.001). Consultation requirements were identical (4 patients per group), with no significant differences in anesthesia techniques (p = 0.340), intraoperative complications (p = 0.70), or postoperative complications (p = 0.36). Conclusion: In ASA I patients, the short-form questionnaire is effective in collecting sufficient data and significantly reduces preoperative evaluation time without affecting anesthesia techniques, consultation needs, or complication rates compared to the long-form questionnaire. These findings support the use of concise history-taking protocols in low-risk surgical candidates to enhance clinical efficiency.

Anahtar Kelimeler

• Preoperative evaluation
• anesthesia
• perioperative complications
• history-taking duration

Kısa ve Standart Preoperatif Anestezi Değerlendirme Formlarının Anestezi Tekniği ve Komplikasyonları Üzerine Etkilerinin Karşılaştırılması

Öz

Amaç: Preoperatif değerlendirme, anestezi planlaması, risk değerlendirmesi ve perioperatif güvenlik için önemlidir. Ancak, düşük riskli hastalarda ameliyat öncesi öykü almanın optimum kapsamı hala tartışılmaktadır. Bu çalışma, Amerikan Anestezistler Derneği (ASA) fiziksel statüsü I hastalarında kısa ve uzun formlu preoperatif öykü almanın anestezi yönetimi ve perioperatif komplikasyonlar üzerindeki etkilerini karşılaştırmıştır. Yöntem: Bu prospektif, randomize gözlemsel çalışmaya tek bir merkezde elektif cerrahi geçiren 750 ASA I yetişkin hasta dahil edildi. Katılımcılar, kısa formlu (5 soruluk, n = 375) veya uzun formlu (26 soruluk, n = 375) preoperatif anket ile değerlendirilmek üzere rastgele atandı. Kısa form, uzman konsensüsüne dayanarak geliştirildi. Çalışmanın birincil sonucu, ameliyat öncesi değerlendirmenin süresiydi. İkincil sonuçlar ise, konsültasyon talep sayısı, kullanılan anestezi tekniği, perioperatif hemodinamik ve solunum parametreleri ve komplikasyon oranlarıydı. Bulgular: Preoperatif öykü alma süresi ortalaması kısa form grubunda (38,52 ± 7,99 saniye) uzun form grubuna (103,17 ± 19,27 saniye; p <0,001) kıyasla anlamlı derecede daha kısaydı. Gruplar arasında konsültasyon gereksinimleri aynıydı (grup başına 4 hasta); anestezi tekniklerinde (p = 0,340), ameliyat sırasındaki komplikasyonlarda (p = 0,70) veya ameliyat sonrası komplikasyonlarda (p = 0,36) anlamlı bir fark yoktu. Sonuç: ASA I hastalarda kısa form anket preoperatif yeterli veri toplamada etkilidir ve anestezi tekniklerini, konsültasyon ihtiyaçlarını veya komplikasyon oranlarını etkilemeden uzun form ankete kıyasla ameliyat öncesi değerlendirme süresini önemli ölçüde azaltır. Bu bulgular, klinik verimliliği artırmak için düşük riskli cerrahi adaylarında özlü öykü alma protokollerinin kullanımını desteklemektedir.

Anahtar Kelimeler

• Preoperatif değerlendirme
• anestezi
• perioperatif komplikasyonlar
• anamnez süresi
• kısa-form anketi.

Kaynakça

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