IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i8p4761-d793951.html
   My bibliography  Save this article

Surgery Is in Itself a Risk Factor for the Patient

Author

Listed:
  • Verónica Aranaz-Ostáriz

    (Department of General Surgery, Elche Universitary Hospital, C/Almazara 11, 03202 Elche, Spain)

  • María Teresa Gea-Velázquez De Castro

    (Department of Preventive Medicine and Public Health, Sant Joan d’Alacant Hospital, Ctra, N-332, s/n, 03550 Sant Joan d’Alacant, Spain)

  • Francisco López-Rodríguez-Arias

    (Department of General Surgery, Elche Universitary Hospital, C/Almazara 11, 03202 Elche, Spain)

  • Diego San José-Saras

    (Department of Preventive Medicine and Public Health, Hospital Universitario Ramón y Cajal, IRYCIS, 28034 Madrid, Spain
    Department of Medicine and Medical Specialities, School of Medicine, IRYCIS, Alcalá University, 28034 Madrid, Spain)

  • Jorge Vicente-Guijarro

    (Department of Preventive Medicine and Public Health, Hospital Universitario Ramón y Cajal, IRYCIS, 28034 Madrid, Spain)

  • Alberto Pardo-Hernández

    (General Subdirectorate for Healthcare Quality and Healthcare Cooperation, Ministry of Health of the Community of Madrid, 28013 Madrid, Spain
    Department of Medicine and Medical Specialities, School of Medicine, Rey Juan Carlos University, 28933 Madrid, Spain)

  • Jesús María Aranaz-Andrés

    (Department of Preventive Medicine and Public Health, Hospital Universitario Ramón y Cajal, IRYCIS, 28034 Madrid, Spain
    CIBER of Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain)

  • on behalf of the ESHMAD Director Group and External Advisers

    (Collaborators/Membership of the ESHMAD Director Group and External Advisers is listed in Acknowledgments.)

Abstract

(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.

Suggested Citation

  • Verónica Aranaz-Ostáriz & María Teresa Gea-Velázquez De Castro & Francisco López-Rodríguez-Arias & Diego San José-Saras & Jorge Vicente-Guijarro & Alberto Pardo-Hernández & Jesús María Aranaz-Andrés &, 2022. "Surgery Is in Itself a Risk Factor for the Patient," IJERPH, MDPI, vol. 19(8), pages 1-13, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4761-:d:793951
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/8/4761/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/8/4761/
    Download Restriction: no
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4761-:d:793951. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.