Navegando por Palavras-chave "Preoperative assessment"

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    Aplicabilidade da escala de Torrington e Henderson
    (Associação Médica Brasileira, 2000-06-01) Faresin, S.m. [UNIFESP]; Barros, J.a. de [UNIFESP]; Beppu, Osvaldo Shigueomi [UNIFESP]; Peres, Clovis de Araujo [UNIFESP]; Atallah, Álvaro Nagib [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    PURPOSE: To validate the Torrington & Henderson preoperative risk assessment program in the population of surgical patients in an university hospital (Hospital São Paulo, UNIFESP, São Paulo, Brasil). MATERIAL AND METHODS: We evaluated 1162 patients who underwent to major thoracic, upper and under abdominal surgery using the Torrington & Henderson program. The patients were classified in low (785), moderate (317) and high risk (60). All patients were accompanied daily during the postoperative period by the same medical team which assessed the preoperative period, until discharged or died. RESULTS: The postoperative pulmonary complications were present in 6,1%, 23,3% and 35,0% in the low, moderate and high risk respectively. The relative risk to develop postoperative pulmonary complications was 3,8 higher in the patients with moderate risk and 5,7 higher in the patients with high risk. The mortality rate due to pulmonary complications was 1,7%, 6,3% and 11,7% respectively in the patients with low, moderate and high risk. The relative risk to the death was 3,7 higher in the patients with moderate risk and 6,9 in the high risk. CONCLUSION: We concluded that the Torrington & Henderson preoperative risk assessment program can identify in our population patients who will develop postoperative pulmonary complications.
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    Aspectos gerais da avaliação pré-operatória do paciente idoso cirúrgico
    (Colégio Brasileiro de Cirurgia Digestiva, 2010-09-01) Vendites, Soraya [UNIFESP]; Almada-filho, Clineo De Melo [UNIFESP]; Minossi, José Guilherme [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The surgical interventions in elderly patients have become more frequent once this population have presented expressive increase in last decades, resulting a longer exposure to surgical resolution morbidities. Despite a large number of elder people presents a healthy aging and support the surgical act well, the morbidity and mortality that involves the surgery is more often in elderly and request more care to ones with comorbidities. The present work purpose to review some aspects that must be more carefully observed because involves morphological and functional changes from senescent organism that bring into relation with the increase of morbidity and mortality in preoperative period. Thus, the preoperative evaluation must be based on carefully clinical examination in order to prevent morbid events, iatrogenic ones, to set up risk criteria and to development a multidisciplinary focus.