Perfil Epidemiológico das Suspensões Cirúrgicas Ocorridas no Hospital Universitário Getúlio Vargas no Ano de 2015 – Manaus, Amazonas
Epidemiological Profile of Surgical Suspensions Occurred at the Getulio Vargas University Hospital in 2015 – Manaus, Amazonas
Keywords:
Elective surgery. Surgical suspension. Epidemiological profile.Abstract
The cancellation or suspension of an elective surgery represents a problem already known in many health institutions that offer this benefit. This is a cross-sectional observational study with a quantitative and retrospective approach which objective is to trace the epidemiological profile of surgical suspensions at the Getúlio Vargas University Hospital (HUGV) in the year of 2015, using the records of the management and nursing team as an instrument for data collection. It was observed a total of 897 surgical suspensions in the year 2015, and among the patients, 48.4% were female and 51.6% were male; 64.4% of the surgeries were scheduled for the morning shift and 35.6% for the afternoon shift. It was obseved a total of 897 surgical suspensions in the year 2015, and among the patients, 48.4% were female and 51.6% were male; 64.4% of the surgeries were scheduled for the morning shift and 35.6% for the afternoon shift. The main cause of suspension was the lack of clinical preparation (27.6%) and patient absenteeism (21.4%); the biological or surgical material shortage represented 11% of the suspensions and 9% were due to a lack of preoperative exams at the time of surgery. The surgical teams that most suspended operations were the General Surgery and Digestive System (CGAD), with 35% of the total suspensions, followed by Orthopedics (21%) and Neurosurgery (12.5%). Knowledge of the main causes of suspensions of scheduled elective surgeries is paramount for the elaboration of strategies against this problem. It is estimated that about 58% of suspended surgeries could be avoided, however, additional studies should be performed to find the correct quantification of these numbers and the best strategy for its decrease.
Downloads
References
Sultan N, Abdul R, Syed MA. Reasons for cancellation of elective cardiac surgery at Prince Sultan Cardiac Centre, Saudi Arabia - J Saudi Heart Assoc 2012;24:29–34.
Hovlid E, Oddbjørn B, Kjell H, Aslak BA, Christian P. A new pathway for elective surgery to reduce cancellation rates. BMC Health Services Research 2012.
Gaucher S, Boutron I, Marchand-Maillet F, Baron G, Douard R, Béthoux J. Assessment of a Standardized Pre-Operative Telephone Checklist Designed to Avoid Late Cancellation of Ambulatory Surgery: The AMBUPROG Multicenter Randomized Controlled Trial. PLOS ONE; 2016; 11(2): e0147194.
Kumar R, Gandhi R - Reasons for cancellation of operation on the day of intended surgery in a multidisciplinary 500 bedded hospital. Journal of Anaesthesiology Clinical Pharmacology 2012; 28(1); January-March.
Landim FM,Paiva FDS, Fiuza MLT, Oliveira EP, Pereira JG, Siqueira IA. Análise dos fatores relacionados à suspensão de operações em um serviço de cirurgia geral de média complexidade - Rev. Col. Bras. Cir. 2009; 36(4): 283-287.
Avila MAG, Bocchi SCM - Confirmação de presença de usuário à cirurgia eletiva por telefone como estratégia para reduzir absenteísmo - RevEscEnferm USP 2013; 47(1):193-7.
Bonfim VO, Ferreira JBC – Análise do Absenteísmo cirúrgico em hospital público – Rev. Baian. De Saud. Publ. 32(2): 241-252, maio/ago. 2008.
Avalcante, JB; Pagliuca, lMF.; Almeida, PC. Cancelamento de cirurgias programadas em um hospital-escola: um estudo exploratório. Rev.latino-am.enfermagem, Ribeirão Preto, 2000; 8(4): 59-65.
Sovieiro, C. Implantação do indicador de taxa de suspensão das cirurgias eletivas em hospital de referência ao trauma do SUS no RS: causas e relevância na segurança dos pacientes. (Artigo). Porto Alegre: Universidade do Vale do Rio dos Sinos – UNISINOS; 2015.
Callegari, DS; Batista, HMT; Silveira, GMDM. Monitoring the Suspension of Surgical Procedures. Internacional Archivesof Medicine, 2015; 4(111): 1-7.
Macedo JM, Kano JA, Braga EM, Garcia MA, Caldeira SM. Cancelamento de cirurgias em um hospital universitário: causas e tempo de espera para novo procedimento. Rev SOBECC. 2013;18(1):26-34.
Paschoal MLH, Gatto MAF. Taxa de suspensão de cirurgia em um hospital universitário e os motivos de absenteísmo do paciente à cirurgia programada. Rev Latino-am Enfermagem. 2006; 14(1):48- 53.
Garcia, ACKA. Além das taxas de suspensão cirúrgica: uma análise de seus reais motivos. In: ENCONTRO INTERNACIONAL DE PRODUÇÃO CIENTÍFICA CESUMAR, 7. 2011 Maringá, PR.
Aquino, FMD; Moura, VLFD.; Pinto, ACS. A suspensão de cirurgia e o processo de comunicação. Rev. pesqui. cuid. fundam. (Online); 2012; 4(2): 2998-3005, abr.-jun.
Perroca MG, Jericó MC, Facundin SD. Monitorando o cancelamento de procedimentos cirúrgicos: indicador de desempenho organizacional. RevEscEnferm USP. 2007; 41(1):113-9.