Infección del sitio operatorio y factores asociados a la traqueostomía percutánea versus abierta en el Hospital Universitario Mayor
Quintero Martínez, Germán Santiago
Alfonso Gamba, Martha
Tracheostomy is a useful procedure and used in patients who require prolonged mechanical ventilatory support. There is evidence suggesting benefits of the percutaneous technique compared with the open technique, however this comparison has not been systematically explored. OBJECTIVE: To establish the frequency and associated factors of infection of the operative site in patients who underwent percutaneous versus open tracheostomy in the intensive care unit of the University Hospital Mayor 2016-2017. METHODS AND MATERIALS: An observational cross-sectional study was carried out. We included patients seen in 2016 and 2017 in whom the tracheostomy was performed using an open and percutaneous technique. An analysis was made by subgroups. First, a descriptive and exploratory analysis of the information was carried out. The qualitative variables were summarized by absolute and relative frequencies. Quantitative variables through medians and interquartile ranges. A bivariate analysis was performed to compare the techniques. RESULTS: We included 124 patients operated with the open technique and 64 with percutaneous surgery. 53.2% of the patients were men. The median age was 58.5 years RIQ 58.25-76.25. Neuropathy was the most frequent cause for performing the tracheostomy (45.7%). Pre-surgical tracheitis occurred in 25.5% of cases. Operative site infection occurred in 31.5% of the patients in the open technique group and in 23.4% of the percutaneous group. CONCLUSION: Infection of the operative site occurs less frequently in patients operated on with the percutaneous technique.