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Preoperative evaluations by an internist--are they worthwhile?

The Western Journal of Medicine

|September 1, 1984

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Preoperative internal medicine evaluations for ophthalmology patients identify significant surgical risks, especially in those over 60. These consultations provide substantial patient benefit at a reasonable cost.

Area of Science:

Internal Medicine
Ophthalmology
Geriatric Medicine

Background:

Preoperative assessments are crucial for patient safety.
Ophthalmology patients may have comorbidities affecting surgical risk.

Purpose of the Study:

To evaluate the value of preoperative internal medicine consultations for ophthalmology patients.
To determine the cost-effectiveness of these evaluations.

Main Methods:

Retrospective chart review of 258 consultations.
Analysis of identified surgical risk conditions and incidental problems.
Assessment of internist interventions to mitigate risk.

Main Results:

59 surgical risk conditions and 62 incidental problems were detected.

Related Experiment Videos

Internists intervened in 65% of identified risk conditions.

Benefits were most pronounced in patients older than 60 years.

Few significant issues were found in patients younger than 50.

Conclusions:

Preoperative internal medicine evaluations offer significant benefit to ophthalmology patients, particularly those over 50.
The cost of consultation and laboratory tests ($146.60 average) is reasonable given the derived benefits.