Factores relacionados con estancia post operatoria prolongada en una Institución prestadora de salud en Barranquilla, año 2017
Cargando...
Fecha
2019
Autores
Pernett Martínez, Luis Alfredo
Título de la revista
ISSN de la revista
Título del volumen
Editor
Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
Introducción: El periodo de estancia postoperatorio de las cirugías cardiovasculares es considerado un indicador importante para evaluar la calidad del servicio en las instituciones prestadoras de servicios de salud, por lo que es necesario indagar por los elementos determinantes de este evento.
Objetivo: Identificar los factores relacionados con estancia post operatoria prolongada en cirugía cardiaca en una Institución prestadora de servicios de salud (IPS) en la ciudad de Barranquilla durante el año 2017. Métodos: Estudio descriptivo, retrospectivo, de corte trasversal con una población de 125 sujetos hospitalizados en la Unidades de Cuidados Intensivos de la Clínica privada de salud en la ciudad de Barranquilla durante entre Enero – Diciembre del 2017, de estos se presentaron estancia prolongada un total de 12,8% de pacientes que corresponden a la muestra de estudio. Para la definición de estancia prolongada después de cirugía cardiaca se tomó el valor del percentil 90 de la distribución de frecuencias de la variable estancia. El tipo de muestreo fue no probabilístico y se relacionaron variables categóricas con estancia hospitalaria mediante prueba de Chi2 y Prueba T para variables numéricas, considerando un valor de p como estadísticamente significativo: <0,05. Resultados: 65,6% de los casos fueron hombres, el promedio de edad fue de 56,7 años (DE+/-: 13,9), el diagnóstico de ingreso más frecuente fue enfermedad coronaria: 52% y el procedimiento quirúrgico más prevalente fue el Bypas (51,2%). 12,8% de los casos tuvieron estancia prolongada y las variables relacionadas significativamente con esto fueron: IMC, estancia prolongada en UCI, falla renal previa y posterior, reintervenciones, complicaciones y creatinina (p<0,05).
Conclusión: El porcentaje de pacientes con estancia prolongada fue inferior a una quinta parte de los casos y las variables relacionadas con este evento son consistentes con plausibilidad biológica y colinealidad en el caso de la estancia en UCI.
Introduction: The period of postoperative stay of cardiovascular surgeries is considered an important indicator to assess the quality of service in the institutions providing health services, so it is necessary to inquire about the determining elements of this event. Objective: Identify the factors related to prolonged post-operative stay in cardiac surgery in an institution providing health services (IPS) in the city of Barranquilla during the year 2017. Materials and Methods: Descriptive, retrospective, cross-sectional study with a population of 125 subjects hospitalized in the Intensive Care Units of the Private Health Clinic in the city of Barranquilla during January - December 2017, of these, a total stay of 12,8% of patients corresponding to the study sample. For the definition of prolonged stay after cardiac surgery, the value of the 90th percentile of the frequency distribution of the stay variable was taken. The type of sampling was non-probabilistic and categorical variables were related to hospital stay by means of Chi2 test and T-test for numerical variables, considering a statistically significant value of p: <0.05. Results: 65.6% of the cases were men, the average age was 56.7 years (SD +/-: 13.9), the most frequent admission diagnosis was coronary heart disease: 52% and the most prevalent surgical procedure was the Bypas (51.2%). 12.8% of the cases had prolonged stay and the variables significantly related to this were: BMI, prolonged stay in the ICU, previous and subsequent renal failure, reinterventions, complications and creatinine (p <0.05). Conclusion: The percentage of patients with prolonged stay was less than one fifth of the cases and the variables related to this event are consistent with biological plausibility and collinearity in the case of ICU stay.
Introduction: The period of postoperative stay of cardiovascular surgeries is considered an important indicator to assess the quality of service in the institutions providing health services, so it is necessary to inquire about the determining elements of this event. Objective: Identify the factors related to prolonged post-operative stay in cardiac surgery in an institution providing health services (IPS) in the city of Barranquilla during the year 2017. Materials and Methods: Descriptive, retrospective, cross-sectional study with a population of 125 subjects hospitalized in the Intensive Care Units of the Private Health Clinic in the city of Barranquilla during January - December 2017, of these, a total stay of 12,8% of patients corresponding to the study sample. For the definition of prolonged stay after cardiac surgery, the value of the 90th percentile of the frequency distribution of the stay variable was taken. The type of sampling was non-probabilistic and categorical variables were related to hospital stay by means of Chi2 test and T-test for numerical variables, considering a statistically significant value of p: <0.05. Results: 65.6% of the cases were men, the average age was 56.7 years (SD +/-: 13.9), the most frequent admission diagnosis was coronary heart disease: 52% and the most prevalent surgical procedure was the Bypas (51.2%). 12.8% of the cases had prolonged stay and the variables significantly related to this were: BMI, prolonged stay in the ICU, previous and subsequent renal failure, reinterventions, complications and creatinine (p <0.05). Conclusion: The percentage of patients with prolonged stay was less than one fifth of the cases and the variables related to this event are consistent with biological plausibility and collinearity in the case of ICU stay.
Descripción
Palabras clave
Hospitalización, Cirugía, Unidades de cuidados intensivos, Procedimientos quirúrgicos reconstructivos, Hospitalization, Surgery, Intensive care units, Reconstructive surgical procedures
