Caracterización de eventos adversos en el servicio de cirugía plástica y reconstructiva en instituciones hospitalarias de Barranquilla, 2016-2017
Beltrán Venegas, Tulia Eugenia
Rueda Olivella, Alba Marina
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AbstractObjectives. 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.