Surgery Is in Itself a Risk Factor for the Patient
Por:
Aranaz-Ostariz, V, de Castro, M, Lopez-Rodriguez-Arias, F, San Jose-Saras, D, Vicente-Guijarro, J, Pardo-Hernandez, A and Aranaz-Andres, J
Publicada:
1 abr 2022
Resumen:
(1) Background: Adverse events (AE) affect about 1 in 10 hospitalised patients, and almost half are related to surgical care. The aim of this study is to determine the prevalence of AE in operated and non-operated patients in surgical departments in order to determine whether surgical treatment is a risk factor for AE. (2) Methods: A cross-sectional design that included 3123 patients of 34 public hospitals in the Community of Madrid determining the prevalence of AEs in operated and non-operated patients in surgical departments. (3) Results: The prevalence of AE in non-operated patients was 8.7% and in those operated was 15.8%. The frequency of AE was higher in emergency surgery (20.6% vs. 12.4%). The 48.3% of AEs led to an increase in hospital stay, and surgery was involved in 92.4% of cases. The most frequent AEs were related to hospital-acquired infection (42.63%), followed by those related to a procedure (37.72%). In the multivariate analysis, being operated on represented 2.3 times the risk of developing an AE. (4) Conclusions: Surgical sites are particularly vulnerable to AE. Surgical intervention alone is a risk factor for AE, and we must continue to work to improve the safety of both patient care and the working environment of surgical professionals.
Filiaciones:
:
Elche Univ Hosp, Dept Gen Surg, C Almazara 11, Elche 03202, Spain
:
St Joan dAlacant Hosp, Dept Prevent Med & Publ Hlth, Ctra N-332 S-N, Sant Joan dAlacant 03550, Spain
:
Elche Univ Hosp, Dept Gen Surg, C Almazara 11, Elche 03202, Spain
San Jose-Saras, D:
Hosp Univ Ramon Y Cajal, Dept Prevent Med & Publ Hlth, IRYCIS, Madrid 28034, Spain
Alcala Univ, Sch Med, Dept Med & Med Special, IRYCIS, Madrid 28034, Spain
Vicente-Guijarro, J:
Hosp Univ Ramon Y Cajal, Dept Prevent Med & Publ Hlth, IRYCIS, Madrid 28034, Spain
Pardo-Hernandez, A:
Minist Hlth Community Madrid, Gen Subdirectorate Healthcare Qual & Healthcare C, Madrid 28013, Spain
Rey Juan Carlos Univ, Sch Med, Dept Med & Med Special, Madrid 28933, Spain
Aranaz-Andres, J:
Hosp Univ Ramon Y Cajal, Dept Prevent Med & Publ Hlth, IRYCIS, Madrid 28034, Spain
CIBER Epidemiol & Publ Hlth CIBEResp, Madrid 28029, Spain
gold, Green Published
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