Complicaciones por encamamiento prolongado en los pacientes del Área de Clínica y Cirugía del Hospital Vicente Corral Moscoso Cuenca 2014

Abstract

The objective of this observational, descriptive and prospective study is to describe the complications due to prolonged lying times in patients who were hospitalized in the clinic and surgery area in Vicente Corral Moscoso Hospital, during the period of September 2014 to January 2015, were included all the patients found in prolonged lying times (˃ 72 hours) independently of their based pathology. To determine which patients were found in prolonged lying times the Karnofsky and Eastern Cooperative Oncology Group (ECOG) scales were used to interpret the functional state of the patients according to the World Health Organization. The data collection of each patient was made daily (annex #2) with the objective of registering the complications shown due to prolonged lying times and mortality during the hospitalization period. Of 1,369 patients admitted during our study of the surgery and clinic area, 150 were kept in prolonged bed rest, of which 81 corresponding to 54% had at least one complication. The most common complication was pressure ulcers with a percentage of 46.7%, followed by 10.7% nosocomial pneumonia and deep vein thrombosis with 4%. 69% of patients with complications from prolonged bed rest were older than 70 years. The diseases of the circulatory system CIE10 I00-I99 were more related to the presence of complications with a percentage 37.04%. 42% of bedridden patients who died were hospitalized between 3-10 days. In the results obtained from the present study we observed a high percentage of complications in patients on prolonged bed rest. This could prolong hospital stay and increase patient mortality, as well as the morbidity rate.