Infección de sitio operatorio en pacientes con covid-19 vs pacientes sanos en el servicio de cirugía del hospital regional docente de Trujillo
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Date
2023-08-22
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Universidad Nacional de Trujillo
Abstract
La infección de sitio operatorio sobretodo en cirugía abdominal es una complicación post operatoria frecuente, causa importante de morbilidad y mortalidad en la población, además de aumento de los días de estancia hospitalaria, reingresos a sala de operaciones, desencadenando una serie de eventos que impiden la adecuada evolución postoperatoria del paciente, y generando un alto costo al estado, incrementando el uso de insumos.
Varios estudios evidencian que factores como estancia hospitalaria mayor de 1 día previo a la cirugía, tiempo operatorio prolongado, heridas contaminadas, índice ASA elevado, así como también comorbilidades previas del paciente que posteriormente compliquen su evolución. Además, que la pandemia de COVID-19 ha ocasionado millones de muertes y más de un millón de infectados, debido a su alta transmisibilidad.
Por consiguiente, el presente estudio tiene como finalidad determinar si existen diferencias en la incidencia de Infección de Sitio Operatorio en pacientes con infección de COVID-19 y pacientes sanos intervenidos en el servicio de cirugía del Hospital Regional Docente de Trujillo entre los años 2020 y 2022, el cual será analítico de cohortes retrospectivo, siendo la población de estudio dos grupos de 208 pacientes cada uno , un grupo de pacientes con infección de COVID-19 y otro grupo de pacientes sanos, los cuales se revisará sus historias clínicas para constatar si hay presencia de hallazgos compatibles con Infección de Sitio Operatorio, cuyos datos serán procesados aplicando el software estadístico SPSS v26.
Surgical site infection, especially in abdominal surgery, is a frequent postoperative complication, an important cause of morbidity and mortality in the population, in addition to an increase in hospital stay days, readmissions to the operating room, triggering a series of events that prevent adequate postoperative evolution of the patient, and generating a high cost to the state, increasing the use of supplies. Several studies show that factors such as a hospital stay of more than 1 day prior to surgery, prolonged operating time, contaminated and dirty wounds, a high ASA index, as well as previous comorbidities of the patient that subsequently complicate their evolution. Furthermore, the COVID-19 pandemic has caused millions of deaths and more than one million infected, due to its high transmissibility. Therefore, the purpose of this study is to determine if there are differences in the incidence of Operative Site Infection in patients with COVID-19 infection and healthy patients operated on in the surgery service of the Regional Teaching Hospital of Trujillo between the years 2020 and 2022. , which will be a retrospective cohort analysis, with the study population being two groups of 208 patients each, a group of patients with COVID-19 infection and another group of healthy patients, whose medical records will be reviewed to verify if there is presence of findings compatible with Operative Site Infection, whose data will be processed applying SPSS v26 statistical software.
Surgical site infection, especially in abdominal surgery, is a frequent postoperative complication, an important cause of morbidity and mortality in the population, in addition to an increase in hospital stay days, readmissions to the operating room, triggering a series of events that prevent adequate postoperative evolution of the patient, and generating a high cost to the state, increasing the use of supplies. Several studies show that factors such as a hospital stay of more than 1 day prior to surgery, prolonged operating time, contaminated and dirty wounds, a high ASA index, as well as previous comorbidities of the patient that subsequently complicate their evolution. Furthermore, the COVID-19 pandemic has caused millions of deaths and more than one million infected, due to its high transmissibility. Therefore, the purpose of this study is to determine if there are differences in the incidence of Operative Site Infection in patients with COVID-19 infection and healthy patients operated on in the surgery service of the Regional Teaching Hospital of Trujillo between the years 2020 and 2022. , which will be a retrospective cohort analysis, with the study population being two groups of 208 patients each, a group of patients with COVID-19 infection and another group of healthy patients, whose medical records will be reviewed to verify if there is presence of findings compatible with Operative Site Infection, whose data will be processed applying SPSS v26 statistical software.
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Keywords
Infección, Morbilidad, Cirugía General, Mortalidad, Coronavirus