The participant will be able to identify and analyze the prevalence and indicators related to surgical interventions, readmissions, mortality, morbidity and the causes of these interventions, in order to have tools to improve the processes related to the care of the human being during the perioperative process

Lizcano, Karen Tatiana Roa

Zuluaga, Wilmar Jose Lopez

English

Sigma Repository

PREVALENCE OF PERFORMED SURGERIES, CAUSES, READMISSIONS, AND MORTALITIES IN A THIRD-LEVEL HOSPITAL IN COLOMBIANURSE WILMAR JOSÉ LÓPEZ ZULUAGASpecialist in Epidemiology (C), STTI Member – Upsilon Nú Chapter NURSE KAREN TATIANA ROA LIZCANOPhD Student (Nursing). MSc (Nursing - Cardiovascular health care). STTI Member – Upsilon Nú Chapter Research group in perioperative care, National University of ColombiaSurgery, an essential component of worldwide healthcare .Lack of access to surgical care is a serious public health problem.Surgical treatment alone can mitigate disability and reduce the risk of death.http://www.who.int/patientsafety/information_centre/documents/ps_research_brochure_es.pdf• 63 M per traumatic injury• 10 M due to complications associated with pregnancy• 31 M due to cancer problemshttp://www.who.int/patientsafety/information_centre/documents/ps_research_brochure_es.pdfThe lack of safety of surgical care can cause considerable damage.In industrialized countries, major complications have occurred in 3-16% of surgical procedures requiring admission, with mortality rates or permanent disability of approximately 0.4-0.8%.Los estudios realizados en países en desarrollo señalan una mortalidad del 5-10% en operaciones de cirugía mayor. Al menos siete millones de pacientes se ven afectados por complicaciones quirúrgicas cada año, de los que como mínimo un millón fallecen durante la operación o inmediatamente después. Surgical interventionsReadmissionsMortalityMorbidityPrevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in ColombiaSTUDYQuantitative Descriptive RetrospectiveInformation contained in the databases of a Hospital of the third level of complexityData related to the Patients and their procedures.INCLUSION CRITERIADec 14 Jan 15 Feb 15 Mar 15 Apr 15 May 15 Jun 15 Jul 15 Aug 15 Sep 15 Oct 15 Nov 15 Dec 15 Jan 16Patients of all agesMen, women and childrenThe institution's ethical endorsement was obtained for obtaining the information.STATISTICAL ANALYSISRelative and absolute frequenciesMeasures of central tendencyIdentification of prevalencesEpiinfoRESULTSNUMBER OF PATIENTS INTERVENED AVERAGE OF PROCEDURES PER PATIENT9833 1,8AVERAGE OF PATIENTS INTERVENED BY MONTH 819,4AVERAGE OF PATIENTS INTERVENED PER DAY 26,9Prevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in ColombiaDEMOGRAPHIC DATA: INTERVENTIONSGENDERABSOLUTE FRECUENCYRELATIVE FREQUENCYFEMALE 9385 50,6%MALE 9176 49,4%Total 18561 100%50.6%49.4%GENDERFEMENINO MASCULINO*FEMALE *MALEPrevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in ColombiaDEMOGRAPHIC DATA: GENDERGENDERABSOLUTE FRECUENCYRELATIVE FREQUENCYFEMALE 6161 62,7%MALE 3672 37,3%Total 9833 100%Prevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in ColombiaDEMOGRAPHIC DATA: HEALTH SYSTEM (INTERVENTIONS)HEALTHSYSTEMABSOLUTE FRECUENCYRELATIVE FREQUENCYSubsidized 10526 56,7%Linked 3294 17,7%Contributory 3288 17,7%Special 1453 7,8%Total 18561 100%Subsidized   Linked    Contributory  SpecialPrevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in ColombiaDEMOGRAPHIC DATA: HEALTH SYSTEM (PATIENTS)HEALTHSYSTEMABSOLUTE FRECUENCYRELATIVE FREQUENCYSubsidized 5818 59,2%Linked 1693 17,2%Contributory 1802 18,3%Special 520 5,3%Total 9833 100% Subsidized   Linked    Contributory  SpecialPrevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in ColombiaPYRAMID POPULATION AGE GROUPSABSOLUTE FRECUENCYMENRELATIVE FRECUENCYMENMENABSOLUTE FRECUENCYWOMENRELATIVE FRECUENCYWOMENWOMEN0 - 4 224 6,1% -2,3% 140 2,3% 1,42%5 - 9 237 6,5% -2,4% 136 2,2% 1,38%10 - 14 236 6,4% -2,4% 245 4,0% 2,49%15 - 19 320 8,7% -3,3% 926 15,0% 9,42%20 - 24 463 12,6% -4,7% 1400 22,7% 14,24%25 - 29 351 9,6% -3,6% 806 13,1% 8,20%30 - 34 269 7,3% -2,7% 521 8,5% 5,30%35 - 39 211 5,8% -2,1% 372 6,0% 3,78%40 - 44 164 4,5% -1,7% 270 4,4% 2,75%45 - 49 186 5,1% -1,9% 219 3,6% 2,23%50 - 54 181 4,9% -1,8% 263 4,3% 2,67%55 - 59 172 4,7% -1,7% 210 3,4% 2,14%60 - 64 160 4,4% -1,6% 144 2,3% 1,46%65 - 69 130 3,5% -1,3% 139 2,3% 1,41%70 - 74 131 3,6% -1,3% 139 2,3% 1,41%75 - 79 112 3,1% -1,1% 101 1,6% 1,03%80 Y MAS 125 3,4% -1,3% 130 2,1% 1,32%Total 3672 100% -37,3% 6161 100% 62,7%Total men and women 9833*FEMALE*MALEPrevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in ColombiaPROCEDURES OVER 50 YEARS1 CYSTSCOPY PLUS URETHRAL CALIBRATION 318 15,56%2 EXTRACAPSULAR EXTRACAPSULAR CRYSTALLINE WITH IMPLANT OF INTRAOCULAR LENS SUTURED SOD 170 8,32%3SCISSORING DEBRIDATION FOR INJURY OF DEEP TISSUES IN SPECIAL AREA OF LESS THAN FIVE 5% OF BODY SURFACE TOTAL + 131 6,41%4 NASOFIBROLARINGOSCOPIA 117 5,72%5 LAPAROTOMY COLECISTECTOMY 66 3,23%6 RESECTION OF SIMPLE PTERIGION (NASAL OR TEMPORARY) WITH INJECT 59 2,89%7OPEN FRACTURE REDUCTION IN DISTAL SEGMENT OF CUBITO OR RADIO (COLLES, OTHERS) WITH INTERNAL FIXATION (FIXING DEVICES OR OSTEOSYNTHESIS) 50 2,45%8 SOD APPENDICECTOMY 47 2,30%9 HERNIORRHAPHY WITH INJECTION THE SOD PROTESIS 36 1,76%10 NASOSINUSCOPIA 33 1,61%11 OPEN FRACTURE REDUCTION IN PERONE WITH INTERNAL FIXATION (FIXING DEVICES OR OSTEOSYNTHESIS) 33 1,61%12 HERNIORRHAPHY UMBILICAL SOD 28 1,37%13 RELEASE OF ADHERENCE OR BRIDGES IN THE INTESTINE BY LAPAROTOMY 28 1,37%14OPEN FRACTURE REDUCTION IN FEMUR (NECK, INTERTROCANTERIC, SUPRACONDILE) WITH INTERNAL FIXATION (FIXING DEVICES OR OSTEOSYNTHESIS) 24 1,17%15 DRAINING TORACOSTOMY CLOSED [TORAX TUBE] SOD 24 1,17%16 SECURISECTOMY, DRAINAGE, DEBRIDING OF TIBIA OR PERONE 22 1,08%17 SUPRAPATELAR LIGATURE AND SCARING OF VARICOSE VEINS 19 0,93%18 PRIMARY TOTAL PROTECTIVE HIP REPLACEMENT 19 0,93%19 HERNIORRHAPHY INGUINAL DIRECT SOD 18 0,88%20 BONE APPLICATION IN RADIUS 15 0,73%Prevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in ColombiaPROCEDURES IN PATIENTS BETWEEN 15 AND 50 YEARS1 HIGH OBSTETRIC RISK - NORMAL BIRTH ASSISTANCE WITH EPISIORAGING AND / OR PERINEORRHAGE SOD 1452 22,10%2 CESAREAN OPERATION 699 10,64%3 UTERINE LEGRATE OBSTETRIC POSTPARTUM OR POSTABORTO BY DILATACION AND CURETAJE 612 9,31%4SCISSORING DEBRIDATION FOR INJURY OF DEEP TISSUES IN SPECIAL AREA OF LESS THAN FIVE 5% OF BODY SURFACE TOTAL + 512 7,79%5 SOD APPENDICECTOMY 307 4,67%6 SECTION AND / OR LIGADURE OF FALOPIUM TRUMPES [POMEROY SURGERY] BY MINILAPAROTOMY SOD 262 3,99%7 LOW OBSTETRIC RISK - NORMAL BIRTH ASSISTANCE WITH EPISIORAGING AND / OR PERINEORRHAGE SOD 190 2,89%8 DRAINING CLOSED TORACOSTOMY [TORAX TUBE] SOD 187 2,85%9 LAPAROTOMY COLECISTECTOMY 72 1,10%10 NASOFIBROLARINGOSCOPIA 72 1,10%11 SOD EXPLORATORY LAPAROTOMY 59 0,90%12OPEN FRACTURE REDUCTION IN DISTAL SEGMENT OF CUBITO OR RADIO (COLLES, OTHERS) WITH INTERNAL FIXATION (FIXING DEVICES OR OSTEOSYNTHESIS) 58 0,88%13 RESECTION OF SIMPLE PTERIGION (NASAL OR TEMPORARY) WITH INJECT 53 0,81%14 THERAPEUTIC GYNECOLOGICAL UTERINE LEGRATE 50 0,76%15 OPEN FRACTURE REDUCTION IN HAND FLANGES (ONE OR MORE) WITH INTERNAL FIXING 50 0,76%16 TOTAL ABDOMINAL SOD HYSTERECTOMY 49 0,75%17 CYSTSCOPY PLUS URETHRAL CALIBRATION 47 0,72%18 HERNIORRAFIA UMBILICAL SOD 43 0,65%19 RELEASE OF ADHERENCE OR BRIDGES IN THE INTESTINE BY LAPAROTOMY 43 0,65%20 SCISSORIAL DEBRIDATION BY SURFACE INJURY IN SPECIAL AREA OF LESS THAN FIVE 5% OF BODY SURFACE TOTAL + 41 0,62%Prevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in ColombiaPROCEDURES IN PATIENTS BETWEEN 0-15 YEARS1SCISSORIAL DEBRIDATION FOR INJURY OF DEEP TISSUES IN SPECIAL AREA OF LESS THAN FIVE 5% OF TOTAL BODY SURFACE+ 254 20,85%2APPENDICECTOMY FOR DRILLING, WITH ABSCESS DRAINAGE, RELEASE OF PLASTRON AND / OR DRAINAGE OF PERITONITIS LOCATED SOD 72 5,91%3RELEASE OF ADHERENCE OR BRIDGES IN THE INTESTINE BY LAPAROTOMY 60 4,93%4CLOSED REDUCTION OF FRACTURE WITHOUT INTERNAL FIXING OF CUBIT OR SOD RADIO 58 4,76%5HIGH OBSTETRIC RISK - NORMAL BIRTH ASSISTANCE WITH EPISIORAGING AND / OR PERINEORRHAGE SOD 42 3,45%6SOD APPENDICECTOMY 36 2,96%7SCISSORIAL DEBRIDATION BY SURFACE INJURY IN SPECIAL AREA OF LESS THAN FIVE 5% OF BODY SURFACE TOTAL + 32 2,63%8UTERINE LEGRATE OBSTETRIC POSTPARTUM OR POSTABORTO BY DILATACION AND CURETAJE 27 2,22%9OPEN FRACTURE REDUCTION IN DISTAL SEGMENT OF CUBITO OR RADIO (COLLES, OTHERS) WITH INTERNAL FIXATION (FIXING DEVICES OR OSTEOSYNTHESIS) 26 2,13%10OPEN REDUCTION OF HUMID SUPRACONDILE FRACTURE WITH INTERNAL FIXATION (FIXING DEVICES OR OSTEOSYNTHESIS) 26 2,13%11CLOSED REDUCTION WITHOUT INTERNAL FIXING OF TIBIA OR PERONE FRACTURE 24 1,97%12CIRCUNCISION SOD 19 1,56%13CLOSED REDUCTION WITHOUT FIXING OF RADIO AND CUBIC FRACTURE 18 1,48%14OPEN FRACTURE REDUCTION IN CUBIC AND RADIO DIAPHISIS WITH INTERNAL FIXATION 15 1,23%15CLOSED FRACTURE REDUCTION WITHOUT INTERNAL FIXING OF HUMAN SOD 15 1,23%16NASOSINUSCOPIA 14 1,15%17CAESAREAN OPERATION 13 1,07%18HERNIORRAFIA UMBILICAL SOD 12 0,99%19DAMAGE, DRAINAGE, DEBRIDING OF HAND FLANGES (ONE OR MORE) 12 0,99%20NASOFIBROLARINGOSCOPIA 11 0,90%Prevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in ColombiaMAIN POSTOPERATIVE DIAGNOSES1 SINGLE CHILD BIRTH 16102 HEAD WOUND, PART NOT SPECIFIED 15043 ACUTE APPENDICITIS, NOT SPECIFIED 7014 FRACTURE OF THE LOWER EPIPHISIS OF THE RADIUS 4415 MULTIPLE HEAD WOUNDS 4016 STERILIZATION 3427 SPONTANEOUS ABORTION: INCOMPLETE, WITHOUT COMPLICATION 3128 FRACTURE OF ANOTHER FINGER IN THE HAND 2969 BREAKING OF THE DIABIOSIS OF THE TIBIA 29510 HYPERTROPHY OF THE PROSTATE 27711 FRACTURE OF THE LOWER EPIPHISIS OF THE TIBIA 26912 MATERNAL CARE FOR UTERINE SCARS DUE TO PREVENTIVE SURGERY 24713 FRACTURE OF THE SUPERIOR EPIPHISIS OF THE TIBIA 21514 TRAUMATIC AMPUTATION OF ANOTHER ONE FINGER (COMPLETE) (PARTIAL) 20015 PRESENCE OF INTRAOCULAR LENSES 18516 TENDON TRAUMATISM AND MUSCLE FLEXOR OF ANOTHER FINGER AT HAND LEVEL 18317 VARICOSE VEINS OF INFERIOR MEMBERS WITHOUT ULCER AND INFLAMMATION 15918 CALCULATION OF THE BILIARY VESICLE WITH ACUTE CHOLECYTITIS 15619 OTHER SPECIFIC DISORDERS OF SINOVIA AND TENDON 15220 CELLULITE FROM OTHER PARTS OF THE MEMBERS 152Prevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in ColombiaREADMISSIONS: GENDER72.7%27.3%Patients readmissionsFEMENINO MASCULINOGENDER Frequency PercentFEMALE 56 72,7%MALE 21 27,3%Total 77 100% *FEMALE * ALEPrevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in ColombiaREADMISSIONS: HEALTH SYSTEMHEALTH SYSTEM Frequency PercentSubsidized 56 72,7%Linked 13 16,9%Contributory 5 6,5%Special 3 3,9%Total 77 100%HEALTHSYSTEM Frequency PercentSubsidized 5818 59,2%Linked 1693 17,2%Contributory 1802 18,3%Special 520 5,3%Total 9833 100%Prevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in ColombiaREADMISSIONS: MEDICAL SPECIALITYSPECIALITY Frequency PercentGYNECOLOGY AND OBSTETRICS 31 40,3%GENERAL SURGERY 21 27,3%ORTHOPEDICS 17 22,1%UROLOGY 4 5,2%PEDIATRIC SURGERY 2 2,6%PLASTIC SURGERY 1 1,3%OTORHINOLARYNGOLOGY 1 1,3%Total 77 100%SPECIALITY Frequency PercentGYNECOLOGY AND OBSTETRICS 3800 38,6%ORTHOPEDICS 2086 21,2%GENERAL SURGERY 1516 15,4%PLASTIC SURGERY 1002 10,2%UROLOGY 473 4,8%OTORHINOLARYNGOLOGY 379 3,9%OPHTHALMOLOGY 315 3,2%PEDIATRIC SURGERY 255 2,6%GASTROENTEROLOGY 6 0,1%Total 9833 100%Prevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in ColombiaREADMISSIONS: AGEAGE Frequency Percent Women Percen Men Percentile0 - 4 1 1,3% 1 1,8% 0 0,0%5 - 9 2 2,6% 2 3,6% 0 0,0%10 -14 4 5,2% 2 3,6% 2 9,5%15 - 19 6 7,8% 6 10,7% 0 0,0%20 - 24 17 22,1% 15 26,8% 2 9,5%25 - 29 5 6,5% 4 7,1% 1 4,8%30 - 34 3 3,9% 2 3,6% 1 4,8%35 - 39 3 3,9% 2 3,6% 1 4,8%40 - 44 2 2,6% 1 1,8% 1 4,8%45 - 49 3 3,9% 2 3,6% 1 4,8%50 - 54 5 6,5% 4 7,1% 1 4,8%55 - 59 6 7,8% 3 5,4% 3 14,3%60 - 64 1 1,3% 1 1,8% 0 0,0%65 - 69 3 3,9% 3 5,4% 0 0,0%70 - 74 3 3,9% 2 3,6% 1 4,8%75 - 79 6 7,8% 2 3,6% 4 19,0%80 Y MAS 7 9,1% 4 7,1% 3 14,3%Total 77 100% 56 100% 21 100,00%Prevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in ColombiaCOMPLICATIONS TYPE OF COMPLICATION PercentInfection 58,4%Surgical dehiscence 11,7%Intraoperative Complication 9,1%Adhesions 6,5%Hemorrhage and Hematoma 3,9%Colostomy Dysfunction 2,6%Joint dislocation 2,6%Urinary retention 2,6%Headache 1,3%Complication of Disease 1,3%Total 100%Prevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in Colombia0,8%MORTALITY6.5%Prevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in Colombiaimprove nursing practice during the perioperative processto generate interventions aimed at improving safety And the conditions of care during the surgical process guide care practices according to the present populationWilmar José López Zuluagawjlopezz@unal.edu.co Karen Tatiana Roa Lizcanoktroal@unal.edu.co

Prevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in Colombia

https://www.sigmarepository.org/cgi/viewcontent.cgi?article=2850&context=convention

Prevalence of performed surgeries, causes, readmissions, and mortalities in a third-level hospital in Colombia

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