Assessment of postoperative morbidity in Spanish hospitals: Results from a national survey

IF 1.3 4区医学 Q3 SURGERY

Cirugia Espanola Pub Date : 2024-07-01 DOI:10.1016/j.ciresp.2024.03.008

Roberto de la Plaza Llamas , David Parés , Víctor Soria Aledó , Roger Cabezali Sánchez , Miguel Ruiz Marín , Ana Senent Boza , Manuel Romero Simó , Natalia Alonso Hernández , Helena Vallverdú-Cartié , Julio Mayol Martínez

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引用次数: 0

Abstract

Background

The methodology used for recording, evaluating and reporting postoperative complications (PC) is unknown.

The aim of the present study was to determine how PC are recorded, evaluated, and reported in General and Digestive Surgery Services (GDSS) in Spain, and to assess their stance on morbidity audits.

Methods

Using a cross-sectional study design, an anonymous survey of 50 questions was sent to all the heads of GDSS at hospitals in Spain.

Results

The survey was answered by 67 out of 222 services (30.2%). These services have a reference population (RP) of 15 715 174 inhabitants, representing 33% of the Spanish population.

Only 15 services reported being requested to supply data on morbidity by their hospital administrators. Eighteen GDSS, with a RP of 3 241 000 (20.6%) did not record PC. Among these, 7 were accredited for some area of training. Thirty-six GDSS (RP 8 753 174 (55.7%) did not provide details on all PC in patients’ discharge reports. Twenty-four (37%) of the 65 GDSS that had started using a new surgical procedure/technique had not recorded PC in any way. Sixty-five GDSS were not concerned by the prospect of their results being audited, and 65 thought that a more comprehensive knowledge of PC would help them improve their results. Out of the 37 GDSS that reported publishing their results, 27 had consulted only one source of information: medical progress records in 11 cases, and discharge reports in 9.

Conclusions

This study reflects serious deficiencies in the recording, evaluation and reporting of PC by GDSS in Spain.

Abstract Image

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西班牙医院术后发病率评估：全国调查的结果

背景记录、评估和报告术后并发症（PC）的方法尚不清楚。本研究旨在确定西班牙普外科和消化外科服务机构（GDSS）是如何记录、评估和报告 PC 的，并评估其对发病率审计的立场。方法采用横断面研究设计，向西班牙所有医院的普外科和消化外科服务机构负责人发送了一份包含 50 个问题的匿名调查。这些服务机构的参考人口（RP）为 15 715 174 人，占西班牙人口的 33%。只有 15 家服务机构报告称，其医院管理者要求其提供发病率数据。有 18 家 GDSS（登记人口为 3 241 000 人，占 20.6%）未记录 PC。其中 7 家在某些培训领域获得了认证。36 家广东医疗卫生服务机构（登记人数为 8 753 174 人，占 55.7%）没有在患者出院报告中提供所有 PC 的详细信息。在 65 家开始使用新手术程序/技术的广东医疗卫生服务机构中，有 24 家（37%）没有以任何方式记录 PC。65 家广东医疗卫生服务机构并不担心他们的结果会被审计，65 家认为对 PC 有更全面的了解将有助于他们改善结果。在报告公布结果的 37 家广东医疗卫生服务机构中，27 家只参考了一种信息来源：11 家参考了医疗进展记录，9 家参考了出院报告。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cirugia Espanola SURGERY-

CiteScore

1.20

自引率

21.10%

发文量

173

审稿时长

53 days

期刊介绍： Cirugía Española, an official body of the Asociación Española de Cirujanos (Spanish Association of Surgeons), will consider original articles, reviews, editorials, special articles, scientific letters, letters to the editor, and medical images for publication; all of these will be submitted to an anonymous external peer review process. There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery.