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04869nas a22003737a 4500 |
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OSt |
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20220726101850.0 |
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| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1138-7262 |
| 040 ## - CATALOGING SOURCE |
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| Transcribing agency |
Salus Infirmorum |
| 245 00 - TITLE STATEMENT |
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| Title |
Eventos adversos postquirúrgicos asociados con características sociodemográficas y de salud en un hospital de tercer nivel = |
| Remainder of title |
Postoperative adverse events associated with sociodemographic and health-related characteristics in a tertiary hospital / |
| Statement of responsibility, etc. |
Raquel de los Ángeles Cámara-Herrera, Laura Dioné Ortiz-Gómez, Manuel Azareel May-Chable, Rudy Emmanuel Rodríguez-Rivera, José Andrés Gil-Contreras |
| 500 ## - GENERAL NOTE |
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| General note |
Este artículo se encuentra disponible en su edición impresa. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc. note |
Bibliografía: p.31-32 |
| 520 3# - SUMMARY, ETC. |
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| Summary, etc. |
Objetivo: analizar los eventos adversos postquirúrgicos (EAP) de pacientes sometidos a una intervención quirúrgica en un hospital de tercer nivel.<br/>Métodos: estudio descriptivo, observacional y ambispectivo. Se incluyeron pacientes sometidos a cirugía cuyo registro de quirófanos estuviera completo (n= 322). Se realizó un muestreo por conveniencia en un hospital mexicano. Se utilizó una cédula de recolección de datos de la historia clínica y se efectuaron llamadas telefónicas de seguimiento postquirúrgico. Se analizó el riesgo mediante razón de momios y la asociación mediante la prueba de Chi cuadrado y regresión logística binaria, considerando un intervalo de confianza de 95% y significancia estadística < 0,05.<br/>Resultados: se incluyeron 274 pacientes (85,1%). La edad media fue de 55 años (DE: 16,37), el 51,5% era mujer, el 67% se hallaba en nivel de pobreza y un 70,5% presentaba ≥ 1 comorbilidades, siendo las más comunes: hipertensión (40,5%) y diabetes (29,9%). El 38% de los pacientes tuvo sobrepeso y el 29% obesidad grado I. Un 21,9% desarrolló ≥ 1 EAP, siendo los más frecuentes las infecciones del sitio quirúrgico (39,1%) y las infecciones de vías urinarias (23%). Se calculó un OR de 10,1 más riesgo de presentar un EAP según se prolonga la estancia hospitalaria (IC95% 2,003-50,924), y un OR de 4,70 veces más riesgo ante una cirugía urgente (IC95% 2,558-8,977). A mayor índice de masa corporal se hallaron más complicaciones neuroquirúrgicas (p= 0,045), hemorragias y reingresos (p< 0,001).<br/>Conclusiones: existen factores de riesgo de aparición de EAP como estancias hospitalarias prolongadas, ser intervenido de urgencia y tener un alto índice de masa corporal. |
| 520 8# - SUMMARY, ETC. |
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| Summary, etc. |
Objective: to analyse the postoperative adverse events (PAE) in patients undergoing a surgical intervention in a third level hospital.<br/>Methods: a descriptive, observational and ambispective study, including patients undergoing surgery, with a complete surgical record (n= 322). Convenience sampling was conducted in a Mexican hospital. A data collection card was used in clinical records, and post-surgical follow-up phone calls were made. Risk was analysed through odd ratios, and there was association analysis through Chi square test and binary logistic regression, considering a 95% confidence interval and < 0,05 for statistical significance.<br/>Results: the study included 274 patients (85.1%). Their mean age was 55 years (SD: 16.37), 51.5% were female, 67% were at poverty level, and 70.5% presented ≥ 1 comorbidities, with hypertension (40.5%) and diabetes (29.9%) as the most common. A 38% of the patients had excess weight, and 29% presented Obesity Grade I. A 21.9% developed ≥ 1 PAE; the most frequent were surgical site infections (39.1%) and urinary infections (23%). It was calculated that the OR for the risk of presenting a PAE was 10.1 higher when the hospital stay was prolonged (CI95% 2.003-50.924), and there was an OR of 4.70 times more risk when faced with emergency surgery (CI95% 2.558-8.977). More neurosurgical complications p= 0.045), haemorrhages and readmissions (p< 0,001) were found with a higher body mass index.<br/>Conclusions: there are factors of risk for developing PAE, such as prolonged hospital stays, undergoing an emergency surgery, and presenting a high body mass index. |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
enfermería perioperatoria |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
complicaciones post-operatorias |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
cuidados post-operatorios |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
infección de la herida quirúrgica |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
hemorragia post-operatoria |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
índice de masa corporal |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
eventos adversos postquirúrgicos |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
perioperative nursing |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
postoperative complications |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
postoperative care |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
surgical wound infection |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
postoperative haemorrhage |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
body mass index |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
postsurgical adverse events |
| 773 ## - HOST ITEM ENTRY |
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| Related parts |
-- 2021 v. 24, n.10, p.24-32 |
| Title |
Metas de enfermería. |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Source of classification or shelving scheme |
Universal Decimal Classification |
| Koha item type |
Artículo de revista |
