The importance of the therapeutic care plan in colorectal surgery in a teaching hospital
J. coloproctol. (Rio J., Impr.)
; 41(4): 425-429, Out.-Dec. 2021. tab
Artigo
em Inglês
| LILACS
| ID: biblio-1356441
Biblioteca responsável:
BR545.3
ABSTRACT
Introduction:
A therapeutic plan is elaborated based on the health needs of each user, allowing a multidisciplinary team to assess diagnoses, treatment options, bonds, and optimal hospitalization time.Objectives:
To identify risk management tools already used and implemented in a reference teaching hospital in the city of São Paulo and to analyze their application and risk factors in medium and large colorectal surgery.Method:
Observational, longitudinal, and prospective study, with 30 patients with colorectal disease hospitalized in the surgical ward of the coloproctology service and in need of surgical treatment. In the first group, the protocol was applied with the knowledge of the researcher only, and, in the second group, with the knowledge of both the researcher and the attending physicians.Results:
Sixty percent of the patients were female with a mean age of 60.93 years and body mass index (BMI) of 26.07 Kg/m2. After surgery, patients in the first group who did not receive venous thromboembolism (VTE) prophylaxis in the first 24 hours had an increased risk of having the event compared with those who returned to prophylaxis (p<0.005), thus suggesting this prophylaxis was a protective factor against thromboembolic event (p=0.006). This group also had a higher risk of hypoglycemia when no strict control was performed (p=0.041).Conclusion:
The compliance to hospital protocols with applicationmonitoring, notedly in teaching places with annual admission of resident physicians, is a fundamental part of the adequate care of the patient combined with the implementation of therapeutic plans. (AU)
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
Problema de saúde:
Arranjos de Entrega
/
Arranjos de Governança
Base de dados:
LILACS
Assunto principal:
Planejamento de Assistência ao Paciente
/
Cirurgia Colorretal
Tipo de estudo:
Guia de prática clínica
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
J. coloproctol. (Rio J., Impr.)
Assunto da revista:
Cirurgia
/
Doenas Retais
/
Doenas do Colo
/
Gastroenterologia
/
Cirurgia
Ano de publicação:
2021
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Hospital Santa Marcelina/BR