Authors :
Kabiru Salisu Zamau; Abdulrahman Salihu Kombo; Saidu Yakubu; D. K. Sani; Hamisu Yakubu
Volume/Issue :
Volume 11 - 2026, Issue 3 - March
Google Scholar :
https://tinyurl.com/5tdh2ecu
Scribd :
https://tinyurl.com/53v883ft
DOI :
https://doi.org/10.38124/ijisrt/26mar1534
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Pre-anaesthetic review is a critical component of perioperative care, but in many resource-constrained settings, it is
often brief and informal. This study evaluated the effect of a structured pre-anaesthetic review (SPAR) on the incidence of
perioperative complications among elective surgical patients. A randomized controlled trial was conducted at Federal Medical
Centre, Gusau, Nigeria. A total of 114 adult patients scheduled for elective surgery were randomly assigned to an intervention
group (SPAR, n=57) or a control group (routine care, n=57). Perioperative complications were assessed using the Clavien-Dindo
Classification. Patients in the intervention group demonstrated significantly higher adherence to perioperative safety protocols
(0.88 ± 0.09 vs. 0.72 ± 0.11; p < 0.001) and a significantly lower incidence of perioperative complications (10.5% vs. 24.6%; p =
0.043). Structured pre-anaesthetic review significantly reduces perioperative complications and improves adherence to safety
practices among elective surgical patients. This low-cost intervention is a viable strategy for enhancing patient safety in resourcelimited healthcare settings.
Keywords :
Pre-Anaesthetic Review; Perioperative Complications; Patient Safety; Randomized Controlled Trial; Nigeria.
References :
- World Health Organization, (2023). Global guidelines for safe surgery and perioperative care. WHO Press.
- Kempthorne, P., Morriss, W.W., Mellin-Olsen, J., and Gore-Booth, J., (2017). The WFSA global anesthesia workforce survey. Anesthesia & Analgesia, 125(3), pp. 981-990.
- Smith, A.F., Mahajan, R.P., and Checketts, M.R., (2021). Preoperative anaesthetic evaluation: The path to patient safety. British Journal of Anaesthesia, 127(2), pp. 174-182.
- Patel, D., Goel, S., and Singh, A., (2021). Impact of structured pre-anesthetic evaluation on perioperative outcomes. Journal of Clinical Anesthesia, 72, pp. 110-118.
- Yakubu, M.M., (2017). Evaluating the impact of pre-anaesthetic assessment clinics in a Nigerian tertiary hospital. Nigerian Medical Journal, 58(6), pp. 109-116.
- Okafor, U.V., and Ezeama, C., (2019). Barriers to effective pre-anesthetic assessment in Nigerian tertiary hospitals. West African Journal of Anaesthesia, 27(1), pp. 1-7.
- Afolabi, A.O., Babalola, A.R., and Dauda, A.T., (2022). Impact of pre-anesthetic clinics on ICU admission rates in a tertiary hospital. West African Journal of Anaesthesia, 28(1), pp. 78-84.
- Tomczyk, S., Bauer, M., and Hein, A., (2023). Multicenter study on the effect of structured anesthetic review on perioperative complications. Journal of Clinical Anesthesia, 85, 111072.
- Abubakar, I.M., Bello, M.A., and Yusuf, S., (2022). Effect of structured pre-anesthetic review on intraoperative events at Aminu Kano Teaching Hospital. Nigerian Journal of Clinical Practice, 25(3), pp. 412-418.
- World Health Organization, (2009). WHO guidelines for safe surgery. WHO Press.
Pre-anaesthetic review is a critical component of perioperative care, but in many resource-constrained settings, it is
often brief and informal. This study evaluated the effect of a structured pre-anaesthetic review (SPAR) on the incidence of
perioperative complications among elective surgical patients. A randomized controlled trial was conducted at Federal Medical
Centre, Gusau, Nigeria. A total of 114 adult patients scheduled for elective surgery were randomly assigned to an intervention
group (SPAR, n=57) or a control group (routine care, n=57). Perioperative complications were assessed using the Clavien-Dindo
Classification. Patients in the intervention group demonstrated significantly higher adherence to perioperative safety protocols
(0.88 ± 0.09 vs. 0.72 ± 0.11; p < 0.001) and a significantly lower incidence of perioperative complications (10.5% vs. 24.6%; p =
0.043). Structured pre-anaesthetic review significantly reduces perioperative complications and improves adherence to safety
practices among elective surgical patients. This low-cost intervention is a viable strategy for enhancing patient safety in resourcelimited healthcare settings.
Keywords :
Pre-Anaesthetic Review; Perioperative Complications; Patient Safety; Randomized Controlled Trial; Nigeria.