Risk in outpatient surgery: a retrospective study
Risk in outpatient surgery
Abstract
Surgical site infections represent one of the main risks to patient safety in health services. Objective : To verify the incidence of surgical site infection (SSI) in clean surgeries performed in a day hospital (HD). Method: historical cohort study consisting of 128,478 patients operated on in an HD in Salvador, BA, between 2012 and 2022. Results: in the years studied, the HD epidemiological surveillance system monitored a percentage of 83% of patients after discharge, which is considered significant in identifying adverse events after surgical procedures. A total of 67,120 clean surgeries were performed, representing 52% of all surgeries monitored. The incidence of SSI in clean surgeries during the study years ranged from 0.3 to 0.8%, with a mean incidence of 0.5%, indicators that are significantly lower than those recommended for clean surgeries and for patients operated on in conventional hospitals. Conclusion: the incidence of SSI found in the HD studied reveals not only the surgical safety of this service, but also shows that these rates are much lower than those reported for patients operated in the conventional hospitalization modality, confirming that outpatient surgery carries a lower risk of acquiring infection. However, a follow-up system for patients after discharge is a sine qua non condition for knowledge, prevention, and management of diseases related to surgical procedures.
Keywords: Surgical wound infection. Day hospital. Risk. Patient safety.
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