Please use this identifier to cite or link to this item: https://ir.swu.ac.th/jspui/handle/123456789/14701
ชื่อเรื่อง: The thai anesthesia incident monitoring study (thai aims): An analysis of perioperative complication in geriatric patients
ผู้แต่ง: Tuchinda L.
Sukchareon I.
Kusumaphanyo C.
Suratsunya T.
Hintong T.
Thienthong S.
Keywords: aged
alertness
anesthesia
anesthesist
article
death
descriptive research
disease course
ear nose throat surgery
fatality
female
general surgery
geriatric patient
heart arrest
heart arrhythmia
human
incident report
major clinical study
male
medical decision making
neurosurgery
operating room
orthopedics
oxygen saturation
perioperative complication
prospective study
recovery room
respiratory tract intubation
Thailand
urologic surgery
ward
Adverse Drug Reaction Reporting Systems
Age Distribution
Aged
Aged, 80 and over
Anesthesia
Anesthetics
Female
Humans
Incidence
Intraoperative Complications
Male
Monitoring, Intraoperative
Patients
Perioperative Care
Postoperative Complications
Prospective Studies
Questionnaires
Thailand
วันที่เผยแพร่: 2010
บทคัดย่อ: Background: The present study was a part of the multi-centered study of model of Anesthesia related adverse events in Thailand by incident report. (The Thai Anesthesia Incident Monitoring Study or Thai AIMS). The objective of the present study was to identity and analyze anesthesia incident in geriatric patients in order to find out the frequency distribution, clinical courses, management of incidents and investigation of model appropriate for possible corrective strategies. Material and Method: This study was a prospective descriptive multicentered study conducted between January 1, 2007 and June 30, 2007. Incident reports from 51 hospital across Thailand were sent to data management unit on anonymous and voluntary basis. The authors extracted relevant data from the incident reports on geriatric patients (age 65 or more). The cases were reviewed by 3 anesthesiologists. Any disagreement was discussed and judged to achieve a consensus. Descriptive statistics was used. Results: Among 407 incident reports and 559 incidents, there were more male (52.8%) than female (46.7%) patients with ASA PS 2,3,4 and 5 = 38.6%, 42.8%, 14.5% and 4.2% respectively. Surgical specialties that posed high risk of incidents were general, orthopedic, neurological, urologic and otorhiolaryngological surgery. Common places where incidents occurred were operating room (57.1%), ward (30.9%) and recovery room (12.0%). Common occurred incidents were arrhythmia needing treatment (30.0%), death within 24 hr. (24.6%), desaturation (21.9%), cardiac arrest (16.2%) and reintubation (16.0%). The causes of the incidents were mostly attributed from patients underlying diseases and conditions. Most common outcomes were major physiologic changes with 26.5% fatal outcome at 7 days. The most common contributing factor was human factor (inappropriate decision and inexperience). Vigilance and having more experience could be the minimizing factors. Conclusion: Incidents in geriatric patients were similar to all age group patients with a higher incidents in death within 24 hr. The outcome were more serious resulting in 26.5% fatal outcome at 7 days. Quality assurance activity, clinical practice guidelines and improved supervision were suggested corrective strategies.
URI: https://ir.swu.ac.th/jspui/handle/123456789/14701
https://www.scopus.com/inward/record.uri?eid=2-s2.0-77954506999&partnerID=40&md5=4eb122e9244b7e43a082a659d7a421c1
ISSN: 1252208
Appears in Collections:Scopus 1983-2021

Files in This Item:
There are no files associated with this item.


Items in SWU repository are protected by copyright, with all rights reserved, unless otherwise indicated.