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
{"title":"西班牙医院术后发病率评估：全国调查的结果","authors":"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","doi":"10.1016/j.ciresp.2024.03.008","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>The methodology used for recording, evaluating and reporting postoperative complications (PC) is unknown.</p><p>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.</p></div><div><h3>Methods</h3><p>Using a cross-sectional study design, an anonymous survey of 50 questions was sent to all the heads of GDSS at hospitals in Spain.</p></div><div><h3>Results</h3><p>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.</p><p>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.</p></div><div><h3>Conclusions</h3><p>This study reflects serious deficiencies in the recording, evaluation and reporting of PC by GDSS in Spain.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 7","pages":"Pages 364-372"},"PeriodicalIF":1.3000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Assessment of postoperative morbidity in Spanish hospitals: Results from a national survey\",\"authors\":\"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\",\"doi\":\"10.1016/j.ciresp.2024.03.008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>The methodology used for recording, evaluating and reporting postoperative complications (PC) is unknown.</p><p>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.</p></div><div><h3>Methods</h3><p>Using a cross-sectional study design, an anonymous survey of 50 questions was sent to all the heads of GDSS at hospitals in Spain.</p></div><div><h3>Results</h3><p>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.</p><p>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.</p></div><div><h3>Conclusions</h3><p>This study reflects serious deficiencies in the recording, evaluation and reporting of PC by GDSS in Spain.</p></div>\",\"PeriodicalId\":50690,\"journal\":{\"name\":\"Cirugia Espanola\",\"volume\":\"102 7\",\"pages\":\"Pages 364-372\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cirugia Espanola\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0009739X24000897\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cirugia Espanola","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0009739X24000897","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
Assessment of postoperative morbidity in Spanish hospitals: Results from a national survey
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.
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.
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