Clinical and epidemiological profile of obese patients from a pre-operative outpatient evaluation clinic
DOI:
https://doi.org/10.5327/Z1414-4425201900020003Keywords:
Assistência Perioperatória, Enfermagem Perioperatória, Obesidade, Equipe Multiprofissional, Segurança do PacienteAbstract
Objective: To describe the clinical and epidemiological profile of obese patients from a pre-operative outpatient evaluation clinic, performed by nurses and anesthesiologists based on cardiac risk assessment and stratification. Method: A descriptive, retrospective study, consisting of 292 patients consulted in the pre- -operative outpatient evaluation clinic, in which 88 were identified as obese. Demographic, anthropometric (by body mass index - BMI), clinical and cardiac variables were analyzed using the χ2 test. Results: 30% of the patients were obese, of which 91% were female. Regarding the presence of comorbidities, 50% had systemic arterial hypertension (SAH) and 22% had diabetes mellitus (DM). A prevalence of ASA P2 (74%) and high risk for venous thromboembolism (63%) was verified; in relation to cardiac risks according to the ACC (American College of Cardiology / American Heart Association - AHA, modified by Detsky), the majority (74%) was stratified/classified as intermediate risk. Conclusion: The significant incidence of comorbidities confirmed the need to use multiprofessional strategies in perioperative care, aimed at the obese population, with the possibility of identifying vulnerabilities and reduce the risks to the individual when undergoing surgical proceduresReferences
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