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Surgical questionnaire reduces mortality and complications after operations on the third

September 9, 2009

Surgical questionnaire reduces mortality and complications after operations on the third
Using a simple surgical questionnaire drawn up by the World Health Organization (WHO), can significantly reduce mortality and complications during and after the operation. Such conclusions were drawn from the international study involving surgical teams from eight countries and the WHO, reports New England Journal of Medicine.

The study, which lasted for a year, were involved in eight hospitals located in Toronto, Seattle, London, New Delhi, Amman, Auckland, Manila and Ifakare (Tanzania). In total, attended by 7688 patients who underwent abdominal operation. Surgical questionnaire was used in about half the cases, the remaining patients were included in the control group. Mortality and postoperative complications were taken into account within 30 days after the operation.

It was found that when using the standard questionnaire severe postoperative complications decreased by about one-third – from 11 percent to 7 percent. Postoperative mortality decreased almost twice – from 1,5 percent to 0,8 percent. At the same time in countries with different levels of income per capita reduction in complications was roughly the same, the researchers reported.

Surgical questionnaire drawn up by experts from WHO, is one page, and on its completion requires only a few minutes. The document consists of three parts, which should be filled at various stages of the operation: immediately before the introduction of a patient in anesthesia, before skin incision, as well as at the end of the operation – before the patient being taken away from the operating room. Replying to questions, members of the surgical team several times and confirm the name of the patient’s name, the name of the operation and the operating intervention, allergic history of the patient, as well as anticipated blood loss. In addition, keep records of swabs, needles and instruments involved in the operation. To view a sample questionnaire can be surgical WHO website.

According to scientists, the use of the questionnaire makes it more safe conduct of anesthesia, provides the necessary measures to prevent infectious complications, and improves communication among members of the surgical team. There are already four countries – Britain, Ireland, Jordan and the Philippines – have declared their intention to make use of surgical questionnaire required.