Caracterización de eventos adversos en el servicio de cirugía plástica y reconstructiva en instituciones hospitalarias de Barranquilla, 2016-2017
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Beltrán Venegas, Tulia Eugenia | 2019
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.
LEER
