[Rate of hospitalized patient following complication of surgery, Imam hospital, Sari]

ABSTRACT

Complication of surgery is one of the causes in further reference of inpatients to the hospital. Survey on complications is important resource in evaluation of rendered care to patient. This is a cross sectional retrospective study. Medical records of patient who discharged with complication of surgery during 2000- 2007 from Imam Hospital were reviewed. A check list was designed for data collection according aims of research and review of literature. According to the ICD-10, complication classified in 3 types. Type on is certain complications related to surgical and other procedural e.g surgical wound infection, mechanical complication of implanted device. Type 2 conditions that occur either as a consequence of specific procedure or technique or as a result of the removal of an organ e.g post mastectomy lymphoedema and the final type is conditions that arises in the post procedural period e.g pneumonia and pulmonary embolism. The data were analyzed with SPSS soft ware and descriptive statistics. The results shown that during the years 2000-2007, the 72281 surgery was done. And the medical records of 409 patients were reviewed. The primary surgery of 292 the patients were done in Imam and the rest of them were admitted in this hospital only for complication of previous surgery which was done in other hospitals. According the ICD-10 classification and during five times hospitalization, 407[88%] of the patients have the type one complication, 53[11/6%] of them the second one. The third one was not occurred in any patients. The results of this study have shown that, the rate of hospitalized patient following complication of surgery was 0/65%. Of course with the preventive precaution and finding the effective factors especially in evaluation process can decrease this rate