Authors

Raquel de los Ángeles Cámara-Herrera1, Laura Dioné Ortiz-Gómez2, Manuel Azareel May-Chable3, Rudy Emmanuel Rodríguez-Rivera4, José Andrés Gil-Contreras5

Position

1Licenciada en Enfermería. Coordinación de Investigación de Enfermería. Hospital Regional de Alta Especialidad de la Península de Yucatán. Mérida (México)2Máster en Investigación en Salud. Profesor de tiempo completo. Facultad de Enfermería. Universidad Autónoma de Yucatán. Mérida (México)3Licenciado en Enfermería. Facultad de Enfermería. Universidad Autónoma de Yucatán. Mérida (México)4Máster en Administración de Hospitales. Coordinación de Investigación de Enfermería. Hospital Regional de Alta Especialidad de la Península de Yucatán. Mérida (México) 5Licenciado en Enfermería y Obstetricia. Profesor de tiempo completo. Facultad de Enfermería. Universidad Autónoma de Yucatán. Mérida (México)

Contact address

Manuel Azareel May Chable. Calle 9 x 12-A. 97620 Buctzotz. Yucatán (México).

Contact email: azareel_may@live.com

Abstract

Objective: to analyse the postoperative adverse events (PAE) in patients undergoing a surgical intervention in a third level hospital.
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.
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.
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.

Keywords:

perioperative nursing; postoperative complications; postoperative care; surgical wound infection; postoperative haemorrhage; body mass index; postsurgical adverse events

Versión en Español

Título:

Eventos adversos postquirúrgicos asociados con características sociodemográficas y de salud en un hospital de tercer nivel