Analysis of post-surgical complications after tracheal resection surgery

Section: Originals

How to quote

Subirana-Ferrés C, Ruiz-Barrio P, Díaz-Martos I, Rivas-Doyague F, Déniz-Armangol CJ, Romero-Navarrete N. Análisis de las complicaciones postquirúrgicas tras cirugía de resección traqueal. Metas Enferm may 2020; 23(4):7-14. Doi: https://doi.org/10.35667/ MetasEnf.2019.23.1003081579

Authors

Cristina Subirana-Ferrés1, Piedad Ruiz-Barrio2, Isabel Díaz-Martos3, Fran Rivas-Doyague4,Carlos Javier Déniz-Armangol4, Núria Romero-Navarrete5

Position

1Máster. Grado en Enfermería. Unidad de Cirugía Torácica. Área Médica y Cirugía Torácica, Hospital Universitario de Bellvitge. Barcelona2Máster. Enfermera gestora. Unidad de Cirugía Torácica. Área Médica y Cirugía Torácica, Hospital Universitario de Bellvitge. Barcelona3Grado en Enfermería. Adjunta a la Dirección de Enfermería. Hospital Universitario de Bellvitge. Barcelona4Especialista en Cirugía Torácica. Unidad de Cirugía Torácica. Área Médica y Cirugía Torácica, Hospital Universitario de Bellvitge. Barcelona5Máster. Licenciada en Enfermería. Unidad de Cirugía Torácica. Área Médica y Cirugía Torácica. Hospital Universitario de Bellvitge. Barcelona

Contact address

Cristina Subirana-Ferrés. Área Médica y Cirugía Torácica. Hospital Universitario de Bellvitge. Feixa Llarga s/n. 08907 Hospitalet de Llobregat (Barcel

Contact email: csubirana@bellvitgehospital.cat

Abstract

Objective: to analyze the incidence of post-surgical complications in patients undergoing tracheal or cricotracheal resection, and the factors associated with said complications.
Method: an observational analytical retrospective study conducted in all patients admitted for tracheal resection at the Thoracic Surgery Unit of the Hospital Universitario de Bellvitge (period from 2017 to 2019). There was a review of electronic clinical records: sociodemographical variables, background and associated comorbidities, clinical variables, and presence of post-surgical complications. Descriptive and bivariate analysis was conducted.
Results: in total, 13 patients were included: their mean age was 65.6 years, and 54% were female. Main comorbidities: hypertension (76.9%), diabetes (23%) and obesity (34%). The mean stay at the Unit was 14.2 days. Of these patients, 46% underwent cricotracheal resection, and 54% underwent tracheal resection. Patients who underwent tracheal resection presented more complications (71.4%) than those with cricotracheal resections (28.6%). In total, 53.8% of patients presented complications. Obese patients presented a higher proportion of complications vs. non-obese patients. Patients with complications had a higher mean hospital stay vs. those who did not present complications (17.57 vs. 10.33 days).
Conclusions: more than half of patients undergoing tracheal or cricotracheal resection presented post-surgical complications, though with a low incidence: surgical wound infection, dysphagia, changes in voice, bruising, reintubation, and bleeding. A higher proportion of complications was observed in patients with obesity.

Keywords:

Estenosis traqueal; complicaciones; cirugía; cuidados; enfermería

Versión en Español

Título:

Análisis de las complicaciones postquirúrgicas tras cirugía de resección traqueal