Suspension of orthopedic surgeries for extrinsic reasons in older patients
DOI:
https://doi.org/10.5327/Z1414-4425202100020003Keywords:
Enfermagem, Centro Cirúrgico, Ortopedia, IdosoAbstract
Objective: To identify the rates and extrinsic reasons for the suspension of elective orthopedic surgeries in older adults and the course until
their performance, according to sex, age group, origin, and type of surgery. Method: This is a retrospective descriptive study with a quantitative analytical
approach and variable correlation, carried out in a teaching hospital from January to June 2018. The sample consisted of orthopedic surgery patients aged
60 years and older. Results: Out of the 543 orthopedic surgeries scheduled for older adults, 93 (17.41%) were suspended. The main reason for suspension
was the previous surgery lasting longer than expected (35.48%); the surgery was canceled once and performed 1–2 days after the suspension (91.87%),
with statistical significance (p=0.00). Conclusion: We found that the rate of surgical suspension for extrinsic reasons in orthopedic older patients was
17.41%. Surgical suspension remains a great challenge for professionals and health facilities, showing the significant involvement of nurses in detecting
and solving surgical delays in order to decrease their incidence.
References
Oliveira RCS. O processo histórico do estatuto do idoso e a inserção pedagógica na universidade aberta. Rev HISTEDBR [Internet]. 2007 Dec [cited 2020 May 20];28:278-86. Available from: https://www.fe.unicamp.br/pf-fe/publicacao/5036/art18_28.pdf.
Gasparotto L, Falsarella G, Coimbra A. As quedas no cenário da velhice: conceitos básicos e atualidades da pesquisa em saúde. Rev Bras Geriatr Gerontol. 2014;17(1):201-9. https://doi.org/10.1590/S1809-98232014000100019
Monteiro C, Faro A. O cuidador do idoso e sua compreensão sobre a prevenção e o tratamento cirúrgico das fraturas de fêmur. Estud Iinterdiscip Envelhec. [Internet]. 2006 [cited 2020 May 20];10:1005-21. Available from: https://seer.ufrgs.br/RevEnvelhecer/article/view/4800/2705
Camilo M, Campos L, Viana S, Camargos M, Villa E, Zocrato K. Motivos de cancelamentos, substituição e atrasos de cirurgias eletivas realizadas em um hospital universitário em Minas Gerais. Rev Acred [Internet]. 2017 [cited 2020 May 20];7(13):1-11. Available from: https://dialnet.unirioja.es/descarga/articulo/6130781.pdf
Leme L, Sitta M, Toledo M, Henriques S. Orthopedic surgery among the elderly: clinical characteristics. Rev Bras Ortop. 2011;46(3):238-46. https://doi.org/10.1590/S0102-36162011000300002
Santos G, Bocchi S. Cancellation of elective surgeries in a Brazilian public hospital: reasons and estimated reduction. Rev Bras Enferm. 2017;70(3):535-5. https://doi.org/10.1590/0034-7167-2016-0084
Barbosa M.H., Miranda Goulart D.M., Vieira de Andrade E., Mattia A.L. de. Análisis de la suspensión de cirugía en un hospital docente. Enferm. glob. [Internet]. 2012 Abr [citado 2020 Abr 21] ; 11( 26 ): 164-173. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S169561412012000200011&lng=es. http://dx.doi.org/10.4321/S1695-61412012000200011.
Gouveia JL, Vilela RP, Ruiz PB, Jericó MC. Cancelamento de cirurgias eletivas: Indicador de qualidade em hospital de ensino [Internet]. São José do Rio Preto: Faculdade de Medicina de São José do Rio Preto; 2017 [cited 2020 May 20]. Available from: http://sobecc.tmeventos.com.br/anais2017/pdfs/trabalho_2353.pdf
CQH. 3º Caderno de Indicadores CQH. Compromisso com a Qualidade Hospitalar [Internet]. São Paulo: Van Moorsel Gráfica e Editora; 2009 [cited 2020 May 20]. 96p. Available from: http://www.cqh.org.br/portal/pag/doc.php?p_ndoc=127
Lobo LC, Brito CF de, Sabino A da S, Almeida MC de. Taxa de suspensão de cirurgias no brasil: uma revisão integrativa. REAC [Internet]. 3jun.2019 [citado 02 maio 2020];4:e497. Available from: https://www.acervomais.com.br/index.php/cientifico/article/view/497
Yu K, Xie X, Luo L, Gong R. Contributing factors of elective surgical case cancellation: a retrospective cross-sectional study at a single-site hospital. BMC Surgery [Internet]. 2017 Sept [cited 2020 May 20];17(1):1-8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5594612/pdf/12893_2017_Article_296.pdf
Prin M, Eaton J, Mtalimanja O, Charles A. High elective surgery cancellation rate in malawi primarily due to infrastructural limitations. World J Surg. 2018;42(6):1597-602. https://doi.org/10.1007/s00268-017-4356-1
Macedo J, Kano J, Braga E, Garcia M, Caldeira S. Cancelamento de cirurgias em um hospital universitário: causas e tempo de espera para novo procedimento. Rev SOBECC [Internet]. 2013 Jan/Mar [cited 2020 May 20];18(1): 26-34. Available from: http://www.sobecc.org.br/arquivos/artigos/2012/pdf/Artigos-Cientificos/Ano18_n1_jan_mar2013_cancelamento-de-cirurgias-em-um-hospital-universitario.pdf
Pinheiro S, Vasconcelos R, Oliveira J, Matos F, Tonini N, Alves D. Surgical cancellation rate: quality indicator at a public university hospital. REME Rev Min Enferm. 2017; 21:e1014. http://www.dx.doi.org/10.5935/1415-2762.20170024
Nascimento L, Tillvitz L, Fonseca L. Suspensão cirúrgica: o ângulo estatístico de um problema de repercussões humanas. Rev Enferm UFPE on line [Internet]. 2013 Nov [cited 2020 May 20];7(Spec):6592-600. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/download/12313/15001
Moreira L, Xavier A, Moreira F, Souza L, Araujo O, Santos T, et al. Avaliação dos motivos de cancelamento de cirurgias eletivas. Enferm Rev [Internet]. 2016 [cited 2020 May 20];19(2):212-25. Available from: http://periodicos.pucminas.br/index.php/enfermagemrevista/article/view/13156.
Sodré R, Fahl M. Surgeries cancellation in a public hospital at São Paulo city. Rev Adm Saúde [Internet]. 2014 Apr/May [cited 2020 May 20];16(63):67-70. Available from: http://www.cqh.org.br/portal/pag/doc.php?p_ndoc=1355
Soares DS, Mello LM, Silva AS, Martinez EZ, Nunes AA. Fraturas de fêmur em idosos no Brasil: análise espaço-temporal de 2008 a 2012. Cad Saúde Pública. 2014;30(12):2669-78. https://doi.org/10.1590/0102-311x00218113
Torri A. Estratégias para minimizar o cancelamento de cirurgias em um hospital escola [Internet]. Florainópolis: Universidade Federal de Santa Catatina; 2019 [cited 2020 May 20]. 117 p. Available from: https://repositorio.ufsc.br/bitstream/handle/123456789/198129/PGCF0100-D.pdf?sequence=-1&isAllowed=y
Carvalho TA ,Sobral CB , Marinho PML , Eliana Ofélia Ofélia Llapa-Rodriguez EOO , Campos MPA. Suspension of surgery at a university hospital. Rev. SOBECC, São Paulo. OUT./DEZ. 2016; 21(4): 186-191. https:// doi.org/ 10.5327/Z1414-4425201600040002
Gouveia Y. Revisão integrativa como estratégia para descrever os principais motivos, que levam a suspensão de cirurgias eletivas [Internet]. Uberlandia: Universidade Federal de Uberlândia; 2018 [cited 2020 May 20]. 37 p. Available from: https://repositorio.ufu.br/bitstream/123456789/24236/1/Revis%c3%a3oIntegrativaEstrategica.pdf
Moraes PGS, Pachêco NMD, Souza e Silva RG, Silva PCV. Clinical and organizational factors related to cancellation of surgical procedures. J Nurs UFPE on line [Internet]. 2017 Jul;11(7):2645-53. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/23436/19133
Morgan W, Bernardino E, Wolff LDG. Implications of cancellation of surgery in a surgery department: a descriptive-exploratory study. Online Braz J Nurs [Internet]. 2019 [cited 2020 May 20];9(1):[about 11 screens]. Available from: http://www.objnursing.uff.br/index.php/nursing/article/view/j.1676-4285.2010.2591/585
Santos AL, Fonseca GG. Impact of suspension of surgery: an integrating review. Journal of Health Connections. 2019; 7 (1): 46-57. Available from: http://revistaadmmade.estacio.br/index.php/journalhc/article/view/5495/47965839
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Milena Bizo, Maria Clara Vioto Gragnani, Thainá Oliveira Laluce, Jaqueline Lopes Gouveia, Priscila Buck de Oliviveira Ruiz, Rita Cássia Helú Mendonça Ribeiro
This work is licensed under a Creative Commons Attribution 4.0 International License.
By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).
The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.
With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.
In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.
