Incidencias y causas de la cancelación de cirugía en un hospital universitario, Barranquilla, Colombia 2016
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Fecha
2020-01
Autores
Domínguez Lozano, Brayan
Ortega Crespo, Gisella
Díaz Pérez, Anderson
Broullón Dobarro, Andrea
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Editor
Universidad de Murcia
Resumen
Introducción: La cirugía es todo procedimiento realizado en quirófano que permite el tratamiento
oportuno a patologías y traumatismos; en Colombia un indicador de calidad para el Sistema de
Información de salud es la proporción de cancelación de cirugía programada.
Materiales y método: Diseñamos un estudio observacional retrospectivo, seleccionando todos los
pacientes programados en la Institución Hospitalaria en el periodo de 1 enero 2016 a 31 diciembre de
2016. Un total de 3207 pacientes programados. Se analizaron las cancelaciones en factores atribuibles
al paciente, institución y orden médica.
Resultados: De los 3207 procedimientos programados 1739 (54,2%) fueron hombres y 1468 (45,8%)
mujeres, se programaron procedimientos quirúrgicos entre 6 meses y 116 años de edad, con un
promedio de 38 años. Del total de programaciones 244 (7,6%) sufrieron cancelación de la cirugía, los
meses con el menor y mayor incidencia de cancelación fue de agosto y noviembre con 9 (3,7%) y 36
(14,8%) respectivamente. La tasa de cancelación por especialidades medico quirúrgicas de manera
independiente oscila entre 1 (0,4%) de las especialidades de ginecología oncológica, maxilofacial,
urología y 85 (34,8%) de ortopedia.
Las causas de cancelación se clasificaron en atribuibles a la institución 93 casos (38,1%), al usuario 99
(40,6) y por orden médica 52 (21,3%).
Conclusiones: El 41% de las cancelaciones podrían haber sido evitadas. Recomendamos seguimiento
continuo a los pacientes programados, además divulgación de estos estudios a profesionales para el
empoderamiento de las responsabilidades y la necesidad de educación a los usuarios que serán
intervenidos.
Introduction: Surgery is any procedure performed in the operating room that allows timely treatment of pathologies and injuries; in Colombia, an indicator of the quality of the information system is the proportion of scheduled surgery cancellations. Materials and method: We designed a retrospective observational study, selecting all patients scheduled for surgery at the hospital institution from January 1, 2016 to December 31, 2016. A total of 3207 patients were included. We analyzed cases of surgery cancellations because of factors attributable to the patient, institution, and medical order. Results: Of the 3207 scheduled procedures, 1739 (54.2%) were men and 1468 (45.8%) were women. Surgical procedures were scheduled for patients aged between 6 months and 116 years, with an average age of 38 years. Of the scheduled procedures, 244 (7.6%) surgeries were cancelled. The months with the lowest and highest incidences of surgery cancellation were August and November, with 9 (3.7%) and 36 (14.8%) cancellations, respectively. The cancellation rate for surgical specialties independently ranged from 1 (0.4%) for gynecology specialties of oncology, maxillofacial, and urology and 85 (34.8%) for orthopedics. As the causes of cancellation, 93 (38.1%) were attributable to the institution, 99 (40.6) to patients, and 52 (21.3%) to medical orders. Conclusions: In total, 41% of cancellations could have been avoided. We recommend continuous monitoring of scheduled patients, as well as the dissemination of our findings to professionals for the empowerment of responsibilities and the need for education for patients undergoing intervention.
Introduction: Surgery is any procedure performed in the operating room that allows timely treatment of pathologies and injuries; in Colombia, an indicator of the quality of the information system is the proportion of scheduled surgery cancellations. Materials and method: We designed a retrospective observational study, selecting all patients scheduled for surgery at the hospital institution from January 1, 2016 to December 31, 2016. A total of 3207 patients were included. We analyzed cases of surgery cancellations because of factors attributable to the patient, institution, and medical order. Results: Of the 3207 scheduled procedures, 1739 (54.2%) were men and 1468 (45.8%) were women. Surgical procedures were scheduled for patients aged between 6 months and 116 years, with an average age of 38 years. Of the scheduled procedures, 244 (7.6%) surgeries were cancelled. The months with the lowest and highest incidences of surgery cancellation were August and November, with 9 (3.7%) and 36 (14.8%) cancellations, respectively. The cancellation rate for surgical specialties independently ranged from 1 (0.4%) for gynecology specialties of oncology, maxillofacial, and urology and 85 (34.8%) for orthopedics. As the causes of cancellation, 93 (38.1%) were attributable to the institution, 99 (40.6) to patients, and 52 (21.3%) to medical orders. Conclusions: In total, 41% of cancellations could have been avoided. We recommend continuous monitoring of scheduled patients, as well as the dissemination of our findings to professionals for the empowerment of responsibilities and the need for education for patients undergoing intervention.
Descripción
Palabras clave
Cirugía, Suspensión quirúrgica, Causas de cancelación, Surgery, Surgical suspension, Causes of cancellation
