Caracterización de eventos adversos en el servicio de cirugía plástica y reconstructiva en instituciones hospitalarias de Barranquilla, 2016-2017

Objectives. To characterize the adverse events in the plastic and reconstructive surgery service in health institutions in Barranquilla, 2016-2017. Population 9,391 records: minimally invasive aesthetic procedures (n=4,730), reconstructive plastic surgery (n=2,517) and aesthetic plastic surgery (n=1...

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Autores:
Beltrán Venegas, Tulia Eugenia
Rueda Olivella, Alba Marina
Tipo de recurso:
Trabajo de grado de pregrado
Fecha de publicación:
2019
Institución:
Corporación Universidad de la Costa
Repositorio:
REDICUC - Repositorio CUC
Idioma:
spa
OAI Identifier:
oai:repositorio.cuc.edu.co:11323/5684
Acceso en línea:
https://hdl.handle.net/11323/5684
https://repositorio.cuc.edu.co/
Palabra clave:
Adverse events
Plastic surgery
Global Trigger Tool
Eventos adversos
Cirugía plástica
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openAccess
License
Attribution-NonCommercial-ShareAlike 4.0 International
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oai_identifier_str oai:repositorio.cuc.edu.co:11323/5684
network_acronym_str RCUC2
network_name_str REDICUC - Repositorio CUC
repository_id_str
dc.title.spa.fl_str_mv Caracterización de eventos adversos en el servicio de cirugía plástica y reconstructiva en instituciones hospitalarias de Barranquilla, 2016-2017
title Caracterización de eventos adversos en el servicio de cirugía plástica y reconstructiva en instituciones hospitalarias de Barranquilla, 2016-2017
spellingShingle Caracterización de eventos adversos en el servicio de cirugía plástica y reconstructiva en instituciones hospitalarias de Barranquilla, 2016-2017
Adverse events
Plastic surgery
Global Trigger Tool
Eventos adversos
Cirugía plástica
title_short Caracterización de eventos adversos en el servicio de cirugía plástica y reconstructiva en instituciones hospitalarias de Barranquilla, 2016-2017
title_full Caracterización de eventos adversos en el servicio de cirugía plástica y reconstructiva en instituciones hospitalarias de Barranquilla, 2016-2017
title_fullStr Caracterización de eventos adversos en el servicio de cirugía plástica y reconstructiva en instituciones hospitalarias de Barranquilla, 2016-2017
title_full_unstemmed Caracterización de eventos adversos en el servicio de cirugía plástica y reconstructiva en instituciones hospitalarias de Barranquilla, 2016-2017
title_sort Caracterización de eventos adversos en el servicio de cirugía plástica y reconstructiva en instituciones hospitalarias de Barranquilla, 2016-2017
dc.creator.fl_str_mv Beltrán Venegas, Tulia Eugenia
Rueda Olivella, Alba Marina
dc.contributor.advisor.spa.fl_str_mv Jervis Jálabe, David Scott
dc.contributor.author.spa.fl_str_mv Beltrán Venegas, Tulia Eugenia
Rueda Olivella, Alba Marina
dc.subject.spa.fl_str_mv Adverse events
Plastic surgery
Global Trigger Tool
Eventos adversos
Cirugía plástica
topic Adverse events
Plastic surgery
Global Trigger Tool
Eventos adversos
Cirugía plástica
description Objectives. To characterize the adverse events in the plastic and reconstructive surgery service in health institutions in Barranquilla, 2016-2017. Population 9,391 records: minimally invasive aesthetic procedures (n=4,730), reconstructive plastic surgery (n=2,517) and aesthetic plastic surgery (n=1,073). Main outcome measures. The main outcome measures were the proportion of cases (patients with at least one Adverse Event - AE) identified by each trigger according to type of procedure and the proportion of AE in relation to the variables sex, age and type of procedure. Secondary outcome measures were those corresponding to establishing the validity of the results. Results. A frequency of AE occurred during plastic and reconstructive surgery procedures was found to be close to 33.4 per 1,000 reviewed records, similar to that observed in other reference studies. Most of the detected AEs did not leave evidence in the Clinical History (HC) of having been opportunely reported. In 34.4% of the cases the patients suffered AE due to problems related to the management of hemostasis, an aspect different from that found in other studies where the highest percentage of AE was due to infection of the operative site. Conclusion. In plastic and reconstructive surgeries there are risks of different levels depending on the type of procedure, being higher in Reconstructive Plastic Surgeries (CxPR) and Plastic Surgeries for Aesthetic Purposes (CxPE) than in Minimally Invasive Aesthetic Procedures (PEMI). The reasons for these differences seem to be due to the variable complexity of the anaesthetic techniques necessary to carry out each one of them. The use of the Global Trigger Tool (GTT) to determine the frequency of adverse events has been shown to be effective in different previous studies and its predictive value was confirmed in this study.
publishDate 2019
dc.date.accessioned.none.fl_str_mv 2019-11-21T12:55:51Z
dc.date.available.none.fl_str_mv 2019-11-21T12:55:51Z
dc.date.issued.none.fl_str_mv 2019
dc.type.spa.fl_str_mv Trabajo de grado - Pregrado
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dc.type.content.spa.fl_str_mv Text
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dc.identifier.uri.spa.fl_str_mv https://hdl.handle.net/11323/5684
dc.identifier.instname.spa.fl_str_mv Corporación Universidad de la Costa
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identifier_str_mv Corporación Universidad de la Costa
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dc.relation.references.spa.fl_str_mv Aguilera-Díaz, M. M., Reina-Aranza, Y. C., Orozco-Gallo, A. J., Yabrudy-Vega, J., & Barcos Robles, R. (2013). Composición de la economía de la Región Caribe de Colombia. Ensayos Sobre Economía Regional. Cartagena de Indias. Retrieved from http://repositorio.banrep.gov.co/handle/20.500.12134/2035
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spelling Jervis Jálabe, David ScottBeltrán Venegas, Tulia EugeniaRueda Olivella, Alba Marina2019-11-21T12:55:51Z2019-11-21T12:55:51Z2019https://hdl.handle.net/11323/5684Corporación Universidad de la CostaREDICUC - Repositorio CUChttps://repositorio.cuc.edu.co/Objectives. To characterize the adverse events in the plastic and reconstructive surgery service in health institutions in Barranquilla, 2016-2017. Population 9,391 records: minimally invasive aesthetic procedures (n=4,730), reconstructive plastic surgery (n=2,517) and aesthetic plastic surgery (n=1,073). Main outcome measures. The main outcome measures were the proportion of cases (patients with at least one Adverse Event - AE) identified by each trigger according to type of procedure and the proportion of AE in relation to the variables sex, age and type of procedure. Secondary outcome measures were those corresponding to establishing the validity of the results. Results. A frequency of AE occurred during plastic and reconstructive surgery procedures was found to be close to 33.4 per 1,000 reviewed records, similar to that observed in other reference studies. Most of the detected AEs did not leave evidence in the Clinical History (HC) of having been opportunely reported. In 34.4% of the cases the patients suffered AE due to problems related to the management of hemostasis, an aspect different from that found in other studies where the highest percentage of AE was due to infection of the operative site. Conclusion. In plastic and reconstructive surgeries there are risks of different levels depending on the type of procedure, being higher in Reconstructive Plastic Surgeries (CxPR) and Plastic Surgeries for Aesthetic Purposes (CxPE) than in Minimally Invasive Aesthetic Procedures (PEMI). The reasons for these differences seem to be due to the variable complexity of the anaesthetic techniques necessary to carry out each one of them. The use of the Global Trigger Tool (GTT) to determine the frequency of adverse events has been shown to be effective in different previous studies and its predictive value was confirmed in this study.Objetivos. Caracterizar los eventos adversos en el servicio de cirugía plástica y reconstructiva en instituciones de salud de Barranquilla, 2016-2017. Población. 9.391 registros: procedimientos estéticos mínimamente invasivos (n=4.730), cirugía plástica reconstructiva (n=2.517) y cirugía plástica estética (n=1.073). Principales medidas de resultado. Las principales medidas de resultado fueron la proporción de casos (pacientes con al menos un Evento Adverso -EA) identificados por cada trigger según tipo de procedimiento y la proporción de EA en relación con las variables sexo, edad y tipo de procedimiento. Las medidas de resultado secundarias fueron las correspondientes a establecer la validez de los resultados. Resultados. Se encontró una frecuencia de los EA ocurridos durante la realización de procedimientos de cirugía plástica y reconstructiva cercano al 33.4 por cada 1,000 registros revisados, similar a la observada en otros estudios de referencia. La mayoría de los EA detectados no dejaron evidencia en la Historia Clínica (HC) de haber sido oportunamente reportados. En el 34,4% de los casos los pacientes sufrieron EA por problemas relacionados con el manejo de la hemostasia, aspecto diferente a lo encontrado en otros estudios donde el porcentaje más alto de EA fue por causas de infección del sitio operatorio. Conclusión. En las cirugías plásticas y reconstructiva existen riesgos de diferente nivel según el tipo de procedimiento, siendo mayor en las Cirugías Plásticas Reconstructivas (CxPR) y las Cirugías Plásticas con fines Estéticos (CxPE) que en los Procedimientos Estéticos Mínimamente Invasivos (PEMI). Las razones para estas diferencias parecieran obedecer a la complejidad variable de las técnicas anestésicas necesarias para llevar a cabo cada uno de los mismos. 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