Abstract
Background Postoperative undesirable anesthesia outcomes are common among patients undergoing surgery. They may affect body systems and lead into more serious postoperative problems. This research is conducted in the Eritrean National Referral Hospitals with the aim of assessing the prevalence of undesirable anesthesia outcomes during the postoperative period. Method A cross-sectional study design was applied on 470 patients who underwent different types of surgeries within a three-month period. Patients were interviewed 24 hours after operation (POD 1) using the Leiden Perioperative care Patient Satisfaction questionnaire (LPPSq). This study reports one component of a large study conducted. The dimension “Discomfort and needs” of the LPPSq was considered, and the measurements of that dimension are presented in this report. Items of the dimension were standardized and measured using a five-point Likert scale from “Not at all” to “Extremely.” Multivariable logistic regression was used to look for the association of the outcomes with the types of surgery and types of anesthesia using SPSS (Version 22). Results The prevalence were computed in two manners, prevalence of those with ‘at least a little bit' outcomes, which was computed to see the total occurrence of these outcomes, and prevalence of those having ‘more than moderate' outcomes to see the severe experience of these outcomes. Prevalence of the predominant undesirable outcome, postoperative pain, for ‘at least a little bit' and ‘more than moderate' were 82.6% and 43.6%, respectively. The rest of the postoperative undesirable outcomes were less frequently reported. Conclusion Postoperative pain was found to be the most prevalent undesirable outcome. Enhancement of proper assessment and management of postoperative pain through the development and implementation of specific pain management modalities is needed.
Highlights
Postoperative undesirable anesthesia outcomes are common among patients undergoing surgery. ey may affect body systems and lead into more serious postoperative problems. is research is conducted in the Eritrean National Referral Hospitals with the aim of assessing the prevalence of undesirable anesthesia outcomes during the postoperative period
Meaningful anesthetic evaluations and management of postoperative patient outcomes are hardly a practice in these settings. is study, the first of its kind in the country, is aimed at determining the prevalence of anesthesia-related postoperative undesirable outcomes among patients undergoing surgery in the selected hospital settings. e results could reliably show areas of intervention to improve the quality management of the postoperative undesirable events be discussed, and effective management protocols could be formulated consistent with the international guideline that would optimize the management of these undesirable events so as to improve the quality of care. e results will extend the body of literature and serve as a baseline for further studies
From the total 470 participants, 55.1% were males and 44.9% were females. e majority (63.2%) of the patients were from Orotta Hospital. e patients underwent a wide range of surgical procedures, including general, orthopedic, Gyn/obs, ENT, and burn surgery. 267 (56.8%) patients had general anesthesia and 203 (43.2%) had regional anesthesia
Summary
Undesirable postoperative anesthesia symptoms are common and may affect all patient’s body systems [1]. e most commonly mentioned complications are pain, nausea, vomiting, sore throat, shivering, thirst, and hunger [1,2,3]. Ese complications has been observed to trouble patients from the Eritrean National Referral Hospitals during their postoperative stay Underestimation of these undesirable events and lack of adequate management protocols and skills persist to enhance their occurrence. E effectiveness of managing these undesirable events is determined by the correct and timely detection of the symptoms and applying appropriate pharmacotherapy [1] Recognizing and treating these complications is vital in the provision of good quality of care [1, 2]. It has been observed in the study settings that these undesirable postoperative events to be common troubling postoperative patients, increasing their morbidity and prolonging their recovery and hospital stay. Meaningful anesthetic evaluations and management of postoperative patient outcomes are hardly a practice in these settings. is study, the first of its kind in the country, is aimed at determining the prevalence of anesthesia-related postoperative undesirable outcomes among patients undergoing surgery in the selected hospital settings. e results could reliably show areas of intervention to improve the quality management of the postoperative undesirable events be discussed, and effective management protocols could be formulated consistent with the international guideline that would optimize the management of these undesirable events so as to improve the quality of care. e results will extend the body of literature and serve as a baseline for further studies
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