| Autor: |
Aranaz-Ostáriz V; Department of General Surgery, Elche Universitary Hospital, C/Almazara 11, 03202 Elche, Spain., Gea-Velázquez De Castro MT; Department of Preventive Medicine and Public Health, Sant Joan d'Alacant Hospital, Ctra, N-332, s/n, 03550 Sant Joan d'Alacant, Spain., López-Rodríguez-Arias F; Department of General Surgery, Elche Universitary Hospital, C/Almazara 11, 03202 Elche, Spain., San José-Saras D; Department of Preventive Medicine and Public Health, Hospital Universitario Ramón y Cajal, IRYCIS, 28034 Madrid, Spain.; Department of Medicine and Medical Specialities, School of Medicine, IRYCIS, Alcalá University, 28034 Madrid, Spain., Vicente-Guijarro J; Department of Preventive Medicine and Public Health, Hospital Universitario Ramón y Cajal, IRYCIS, 28034 Madrid, Spain., Pardo-Hernández A; General Subdirectorate for Healthcare Quality and Healthcare Cooperation, Ministry of Health of the Community of Madrid, 28013 Madrid, Spain.; Department of Medicine and Medical Specialities, School of Medicine, Rey Juan Carlos University, 28933 Madrid, Spain., Aranaz-Andrés JM; Department of Preventive Medicine and Public Health, Hospital Universitario Ramón y Cajal, IRYCIS, 28034 Madrid, Spain.; CIBER of Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain., On Behalf Of The Eshmad Director Group And External Advisers |
| Abstrakt: |
(1) Background: Adverse events (AE) affect about 1 in 10 hospitalised patients, and almost half are related to surgical care. The aim of this study is to determine the prevalence of AE in operated and non-operated patients in surgical departments in order to determine whether surgical treatment is a risk factor for AE. (2) Methods: A cross-sectional design that included 3123 patients of 34 public hospitals in the Community of Madrid determining the prevalence of AEs in operated and non-operated patients in surgical departments. (3) Results: The prevalence of AE in non-operated patients was 8.7% and in those operated was 15.8%. The frequency of AE was higher in emergency surgery (20.6% vs. 12.4%). The 48.3% of AEs led to an increase in hospital stay, and surgery was involved in 92.4% of cases. The most frequent AEs were related to hospital-acquired infection (42.63%), followed by those related to a procedure (37.72%). In the multivariate analysis, being operated on represented 2.3 times the risk of developing an AE. (4) Conclusions: Surgical sites are particularly vulnerable to AE. Surgical intervention alone is a risk factor for AE, and we must continue to work to improve the safety of both patient care and the working environment of surgical professionals. |
