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Health risk factors in the anesthesia population
Willie H Scharwächter1, Sander W M Keet1, Katrin Stoecklein1
1Department of Anaesthesiology, Institute for Cardiovascular Research, VU University Medical Center, Amsterdam, the Netherlands.
Preoperative patients exhibit numerous lifestyle risk factors, with significant discrepancies between patient and anesthetist reports, suggesting potential patient unawareness of their health status. Further research is needed to link these factors to anesthesiology outcomes.
Area of Science:
- Anesthesiology
- Public Health
- Cardiology
Background:
- Lifestyle risk factors are prevalent in patients undergoing surgery.
- Accurate assessment of these factors is crucial for perioperative management.
Purpose of the Study:
- To determine the prevalence of lifestyle risk factors in patients attending a preoperative assessment clinic.
- To compare patient self-reported risk factors with anesthetist assessments.
- To evaluate patient self-perception of preoperative health status.
Main Methods:
- Cross-sectional survey conducted at an academic teaching hospital.
- 1111 adult surgical patients were included.
- Lifestyle risk factors (overweight, hypertension, diabetes, smoking, physical activity, alcohol use) were assessed via questionnaire and anesthetist reports.
Main Results:
- High prevalence of overweight/obesity (47.5%), smoking (25.3%), and hypertension (23.7%) reported by anesthetists.
- 30.1% of patients had no lifestyle risk factors according to anesthetists.
- Significant discrepancies noted, particularly in reporting of overweight (26.5% vs 47.5%).
Conclusions:
- Perioperative patients commonly have lifestyle risk factors.
- Discrepancies in reporting suggest patients may underestimate their health risks.
- Further investigation into the impact of these factors on anesthesiology outcomes is warranted.
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