Revista Cubana de Salud Pública
Print version ISSN 0864-3466
PACHECO GONZALEZ, José Danilo; SANTANA SANCHEZ, Luis Enrique; GONZALEZ MELIAN, Luisa and GONZALEZ VALDES, María de los Ángeles. Preoperative evaluation of patients included in "Miracle Mission" cooperation program in Cienfuegos province. Rev. cub. salud pública [online]. 2012, vol.38, n.1, pp.54-63. ISSN 0864-3466. http://dx.doi.org/10.1590/S0864-34662012000100006.
Introduction: for decades, instruments aimed at changing and improving the patient's condition before surgery have been created in the medical practice. Objective: to improve the preoperative evaluation of patients included in the "Miracle Mission" cooperation program. Methods: a retrospective and descriptive study was conducted at the hotel-hospital located in Pasacaballos, Cienfuegos, in which 7 956 patients from 12 Latin American and Caribbean countries were evaluated from September, 2005 to April, 2007. A customized four-phased methodology was submitted to evaluate preoperatively. The center's database provided the following pieces of information: physical status, causes of surgery postponement, causes of surgery cancellation by specialty and eye disease of the patient. Results: type II-classified patients predominated (55.8 %, according to criteria of the US Society of Anesthesiology). The main causes of surgery postponement were ocular secretion (22.6 % of the postponed cases), ocular hypertension (19.5 %), aspirin taking (17.2 %) and decompensate diabetes mellitus (12.4 %). Eight hundred and ninety nine patients and thirty seven patients were considered non-eligible for surgery due to ophthalmological and internal medicine reasons respectively. Conclusions: The submitted methodology contributes to improving the preoperative medical care for patients included in the "Miracle Mission" cooperation program in Cienfuegos province. The achieved results suggested that it can be useful in limited financial resource settings.
Keywords : Preoperative evaluation; preoperative risk; blindness; eye diseases; Miracle Mission; Cienfuegos.