Department of General Surgery, Elche Universitary Hospital, C/Almazara 11, 03202 Elche, Spain.
Department of Preventive Medicine and Public Health, Sant Joan d'Alacant Hospital, Ctra, N-332, s/n, 03550 Sant Joan d'Alacant, Spain.
Int J Environ Res Public Health. 2022 Apr 14;19(8):4761. doi: 10.3390/ijerph19084761.
(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.
(1) 背景：不良事件（AE）影响约 10%的住院患者，其中近一半与外科护理有关。本研究旨在确定外科科室中手术和非手术患者的 AE 发生率，以确定外科治疗是否是 AE 的危险因素。
(2) 方法：这是一项横断面设计研究，纳入了马德里社区 34 家公立医院的 3123 名患者，以确定外科科室中非手术和手术患者的 AE 发生率。
(3) 结果：非手术患者的 AE 发生率为 8.7%，手术患者为 15.8%。急诊手术的 AE 发生率更高（20.6%比 12.4%）。48.3%的 AE 导致住院时间延长，92.4%的病例与手术有关。最常见的 AE 与医院获得性感染有关（42.63%），其次是与手术过程有关的 AE（37.72%）。多变量分析显示，手术患者发生 AE 的风险是未手术患者的 2.3 倍。
(4) 结论：外科部位特别容易发生 AE。外科干预本身是 AE 的危险因素，我们必须继续努力提高患者护理和外科专业人员工作环境的安全性。
