Surgery Is in Itself a Risk Factor for the Patient

(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...

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Autores: Aranaz-Ostariz, V, de Castro, MTGV, Lopez-Rodriguez-Arias, F, San Jose-Saras, D, Vicente-Guijarro, J, Pardo-Hernandez, A, Aranaz-Andres, JM
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p13553
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/13553
Access Level:acceso abierto
Palabra clave:adverse events
surgical intervention
medical errors
clinical safety
quality of care
patient safety
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spelling Surgery Is in Itself a Risk Factor for the PatientAranaz-Ostariz, Vde Castro, MTGVLopez-Rodriguez-Arias, FSan Jose-Saras, DVicente-Guijarro, JPardo-Hernandez, AAranaz-Andres, JMadverse eventssurgical interventionmedical errorsclinical safetyquality of carepatient safety(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.MDPI2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/13553International Journal of Environmental Research and Public HealthISSN: 16617827ISSNe: 16604601reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Inglésinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p135532026-06-11T12:45:17Z
dc.title.none.fl_str_mv Surgery Is in Itself a Risk Factor for the Patient
title Surgery Is in Itself a Risk Factor for the Patient
spellingShingle Surgery Is in Itself a Risk Factor for the Patient
Aranaz-Ostariz, V
adverse events
surgical intervention
medical errors
clinical safety
quality of care
patient safety
title_short Surgery Is in Itself a Risk Factor for the Patient
title_full Surgery Is in Itself a Risk Factor for the Patient
title_fullStr Surgery Is in Itself a Risk Factor for the Patient
title_full_unstemmed Surgery Is in Itself a Risk Factor for the Patient
title_sort Surgery Is in Itself a Risk Factor for the Patient
dc.creator.none.fl_str_mv Aranaz-Ostariz, V
de Castro, MTGV
Lopez-Rodriguez-Arias, F
San Jose-Saras, D
Vicente-Guijarro, J
Pardo-Hernandez, A
Aranaz-Andres, JM
author Aranaz-Ostariz, V
author_facet Aranaz-Ostariz, V
de Castro, MTGV
Lopez-Rodriguez-Arias, F
San Jose-Saras, D
Vicente-Guijarro, J
Pardo-Hernandez, A
Aranaz-Andres, JM
author_role author
author2 de Castro, MTGV
Lopez-Rodriguez-Arias, F
San Jose-Saras, D
Vicente-Guijarro, J
Pardo-Hernandez, A
Aranaz-Andres, JM
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv adverse events
surgical intervention
medical errors
clinical safety
quality of care
patient safety
topic adverse events
surgical intervention
medical errors
clinical safety
quality of care
patient safety
description (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.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/13553
url https://fisabio.portalinvestigacion.com/publicaciones/13553
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv International Journal of Environmental Research and Public Health
ISSN: 16617827
ISSNe: 16604601
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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