ECG Changes in the Elderly Urology Patients during Pre-Operative Assessment in Ibadan Nigeria

Abstract

Introduction: Electrocardiograph (ECG) is an important screening tool used to identify significant ECG changes that may alter perioperative management. Objective: To find out the pattern of ECG changes in the elderly urology patients during the pre-operative review in a tertiary centre. Study design and method: This was a prospective study of elderly urology patients recruited consecutively at the urology clinic during the pre anaesthetic review over a period of one year. Result: ECG recordings from 60 elderly patients with age ranged 65-87 years and mean age 70.84 ± 5.58 years were studied. Thirty percent of patients had normal ECG while 70% had abnormal ECG. Hypertension and diabetes mellitus were the two common intercurrent medical diseases in this study.

Prevalence and Associated Factors Of Preoperative Abnormal Electrocardiography Among Older Surgical Patients In Southern Ethiopia: Multicenter Cross-Sectional Study

“…Patient in this study revealed that 28.46% of study participants had a history of comorbid disease and were taking medication. The two most common comorbidities observed in elderly surgical patients were hypertension (48.57%) and diabetes mellitus (29.11%), which is comparable to the Nigerian study by Awana EE, et al (12) and the Spanish study by Santos et al (24).…”

“…In terms of comorbid illnesses, our study revealed patients who have a history of comorbid disease were 3.4 times more likely to have preoperative abnormal ECG than those who do not have(AOR = .3.44 & 95%CI (1.65-7.18) other studies done in China by Yu et al (27), in Nigeria byAwana EE, et al (12). and Brazil by Gutiérrez, et al( 30)also con rmed that patients who have coexisting medical illness have a higher chance of having abnormal ECG.…”

“…The sample size was calculated using software Epiinfo version 7 based on the objectives of the study. A previous study published in 2014, and conducted in, Ibadan, Nigeria on elderly patients revealed that, the prevalence of abnormal ECG was 70% (12). By taking proportion 70%, 95% con dence interval, and margin of error = 5%.…”

“…Evidence showed that the prevalence of abnormal ECG is high in the elderly population. Studies conducted in the United States, China, Brazil, and Nigeria showed that the prevalence of abnormal ECGs was 75.2%, 75.2%, 88.85%, and 70%, respectively (9)(10)(11)(12).…”