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Effect of Structured Pre-Anaesthetic Review on Perioperative Complications: A Randomized Controlled Trial in Nigeria


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 :

  1. World Health Organization, (2023). Global guidelines for safe surgery and perioperative care. WHO Press.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  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.
  8. 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.
  9. 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.
  10. 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.

Paper Submission Last Date
30 - April - 2026

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