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dc.contributor.advisorJunca Burgos, Edgar Germán
dc.contributor.advisorBuitrago Gutiérrez, Giancarlo
dc.creatorVega Sandoval, Carlos Augusto
dc.date.accessioned2020-02-17T14:47:26Z
dc.date.available2020-02-17T14:47:26Z
dc.date.created2020-02-10
dc.identifier.urihttps://repositorio.unal.edu.co/handle/unal/75618
dc.descriptionBackground: el día de ingreso y la hora de cirugía en un servicio quirúrgico puede influir directamente en desenlaces clínicos para pacientes que son operados de apendicectomia. El efecto fin de semana y el momento de día de la cirugía (día o noche) deben ser evaluados como riesgo teóricos para estancia hospitalaria, tiempo prequirúrgico, tiempo total de hospitalización e ingreso a unidad de cuidado intensivo. Métodos: estudio retrospectivo de cohortes donde s incluyeron 1505 pacientes llevados a apendicectomia en un hospital universitario en la ciudad de Bogota, Colombia. Se realizaron análisis de asociación epidemiológica de tipo univariado, bivariado y multivariado Resultados: En el estudio retrospectivo de cohortes, se identificó que, a pesar de tener una muestra de pacientes suficiente y amplia para la evaluación de las variables de estancia hospitalaria, no hay una relación estadísticamente significativa que permita en nuestro grupo poblacional hablar del efecto fin de semana como un factor de influencia directo sobre la estancia hospitalaria total (Coef 0.1216 p 0.569 IC 95% -0.297 - 0.540), la estancia hospitalaria prequirúrgica (Coef 0.0029 p 0.862 IC 95% -0.0299 - 0.035), la estancia hospitalaria postquirúrgica (Coef 0.122 p 0.561 IC 95% -0.290 - 0.535), el tiempo de cirugía (Coef -2.060 p 0.390 IC 95% -6.760 - -2.638) o el ingreso a la unidad de cuidados intensivos en pacientes operados de apendicectomia. Conclusión: Se evidenció que no existe una relación directa entre el efecto fin de semana con la estancia hospitalaria total, la estancia hospitalaria prequirúrgica, la estancia hospitalaria postquirúrgica y el ingreso a la unidad de cuidados intensivos. El tiempo operatorio se reduce de forma significativa cuando los pacientes son llevados a cirugía en horas de la noche durante los fines de semana (Coef -9.91 p<0,1 IC 95% -13.84 - -5.980). Se requieren estudios que incluyan de forma sistémica la mortalidad y las complicaciones postoperatorias para determinar mejores asociaciones con el efecto fin de semana y el momento del día de la intervención quirúrgica.
dc.description.abstractBackground: the day of admission and the time of surgery in a surgical service can directly influence clinical outcomes for patients undergoing appendectomy. The weekend effect and the time of day of the surgery (day or night) should be evaluated as theoretical risk for hospital stay, pre-surgical time, total hospitalization time and admission to intensive care unit. Methods: a retrospective cohort study that included 1505 patients taken to appendectomy in a university hospital in the city of Bogota, Colombia. Univariate, bivariate and multivariate epidemiological association analyzes were performed. Results: In the retrospective cohort study, it was identified that, despite having a sufficient and large sample of patients for the evaluation of hospital stay variables, there is no statistically significant relationship that allows our population group to talk about the end effect. during the week as a direct influence factor on total hospital stay (Coef 0.1216 p 0.569 95% CI -0.297 - 0.540), pre-surgical hospital stay (Coef 0.0029 p 0.862 95% CI - 0.0299 - 0.035), post-surgical hospital stay ( Coef 0.122 p 0.561 95% CI -0.290 - 0.535), the time of surgery (Coef -2.060 p 0.390 95% CI -6.760 - -2.638) or admission to the intensive care unit in patients undergoing appendectomy. Conclusion: It was evidenced that there is no direct relationship between the weekend effect with the total hospital stay, the pre-surgical hospital stay, the post-surgical hospital stay and the admission to the intensive care unit. Operative time is significantly reduced when patients are taken to surgery at night during the weekends (Coef -9.91 p <0.1 95% CI -13.84 - -5.980). Studies that systematically include mortality and postoperative complications are required to determine better associations with the weekend effect and the time of day of the surgical intervention.
dc.format.extent52
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectEfecto fin de semana
dc.subjectApendicitis
dc.subjectApendicectomia
dc.subjectEstancia hospitalaria
dc.subject.ddcMedicina y salud::Cirugía, medicina regional, odontología, oftalmología, otología, audiología
dc.titleFactores pronósticos asociados con desenlaces clínicos de los pacientes llevados a apendicectomía en el Hospital Universitario Nacional de Colombia: estudio de cohortes
dc.typeOther
dc.rights.spaAcceso abierto
dc.contributor.institutionUniversidad Nacional de Colombia - Sede Bogotá
dc.subject.keywordWeekend effect
dc.subject.keywordAppendicitis
dc.subject.keywordAppendectomy
dc.subject.keywordHospital stay
dc.type.spaOtro
dc.type.hasversionUpdated Version
dc.description.additionalEspecialista en Cirugía general
dc.rights.accessRightsOpen Access
dc.rights.ccAttribution-NonCommercial-NoDerivatives 4.0 Internacional
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