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Related Experiment Videos

Concurrent drug therapy in patients undergoing surgery.

D J Duthie, J N Montgomery, A A Spence

    Anaesthesia
    |March 1, 1987
    PubMed
    Summary

    Many surgical patients take concurrent medications, especially cardiovascular drugs. However, a significant portion do not receive their prescribed medications on the day of surgery, impacting patient care.

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    Area of Science:

    • Anesthesiology
    • Pharmacology
    • Surgical Patient Management

    Background:

    • Concurrent medication use is common in patients undergoing surgery.
    • Cardiovascular disease (CVD) is a frequent comorbidity in surgical populations.
    • Adherence to pre-operative medication regimens is crucial for patient safety.

    Purpose of the Study:

    • To evaluate the prevalence of concurrent medication use in surgical patients.
    • To assess the adherence to cardiovascular medication regimens around the time of surgery.
    • To identify potential gaps in perioperative medication management.

    Main Methods:

    • Retrospective analysis of 57,176 surgical patients.
    • Prospective study of 216 surgical patients.
    • Analysis of medication records and surgical prescriptions.

    Main Results:

    • 24-32% of patients were on concurrent medications.
    • 10-16% of patients were taking cardiovascular drugs.
    • Only 71% had pre-operative prescriptions, and 41% received their drugs on surgery day.

    Conclusions:

    • A substantial number of surgical patients are on concurrent medications, particularly for cardiovascular conditions.
    • There are significant deviations from prescribed medication regimens for cardiovascular drugs in the perioperative period.
    • Improved perioperative medication management protocols are needed to ensure patient safety and optimal outcomes.

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