bachelorThesis
Complicaciones perioperatorias en el manejo de corrección de escoliosis en un hospital de tercer nivel en la ciudad de Bogotá entre el 2010-2014
Fecha
2016Autor
Silva Muñoz, María Catalina
Vargas Latorre, Jenniffer
Institución
Resumen
Introduction: scoliosis, defined as a deformity of the spine of more than 10 degrees, is clustered in 4 different origins: idiopathic, congenital, neuromuscular and syndromatic. Each one with different progression risk, which determines the need for surgical correction as treatment. Knowing the probability of complication in the perioperative stage, opens up the possibility of giving advice to measure risk - benefit of the therapeutic measure.
Methods: A retrospective cross-sectional study was performed. The information is obtained from medical records of patients undergoing surgery for scoliosis correction from year 2010 to 2014.
Results: 318 procedures records were obtained from 230 patients. The more frequent type of scoliosis is idiopathic 108 (47%); in the 4 types of scoliosis we observed more women 169 (73.4%). 10 - 14 years where the ages where most surgeries for scoliosis correction concentrate. From 13 selected complications, those of respiratory origin have the highest probability of occurrence (OR 30 - sig 0,000). The socio-demographic characteristic "age" allows predicting 46% of perioperative complications.
Discussion: scoliosis correction is accompanied by comorbidities, socio-demographic and diagnostic data which together determine the degree of perioperative complications. There´s a need of through clinical records in order to determine the association between the etiologies of scoliosis with the most common complications. This work suggests and evidences clinical records data as predictors of surgical complications in scoliosis. This demands an internal institutional work that guaranties quality on data of medical records.