%0 Journal Article
%T Resultados en cirug¨ªa mayor ambulatoria en otorrinolaringolog¨ªa realizada en un hospital de baja complejidad Results in major ambulatory surgery in otorhinolaryngology performed in ahospital of low complexity
%A Daniel Moyano M
%A Rodrigo Gonz¨¢lez E
%A Eduardo Peirano O
%A Jaime Bermeo S
%J Revista de Otorrinolaringolog¨ªa y Cirug¨ªa de Cabeza y Cuello
%D 2012
%I Sociedad Chilena de Otorrinolaringolog¨ªa, Medicina y Cirug¨ªa de Cabeza y Cuello
%X Introducci¨®n: La cirug¨ªa mayor ambulatoria confiere al sistema sanitario un modelo de gesti¨®n eficiente y de alta calidad. Objetivo: Conocer los resultados de la cirug¨ªa mayor ambulatoria en otorrinolaringolog¨ªa (ORL) en un hospital de baja complejidad. Material y m¨¦todo: Estudio descriptivo retrospectivo realizado en el Hospital Santo Tom¨¢s de Limache entre los a os 2004 y 2009. La inclusi¨®n de pacientes sometidos a cirug¨ªa otorrinolaringol¨®gica bajo la modalidad de cirug¨ªa mayor ambulatoria. Se realiz¨® an¨¢lisis descriptivo en base a promedios, desviaci¨®n est¨¢ndar y proporciones. En an¨¢lisis bivariado, se emplearon las pruebas de chi cuadrado y t-student. Resultados: Se incorpor¨® 815 pacientes. El 58% fue de sexo masculino, con edad promedio de 8,4¡À6,2 a os. La adenoamigdalectom¨ªa sola o asociada a otras cirug¨ªas se efectu¨® en 54,2%% de los casos. La tasa de complicaciones posoperatorias fue de 1,22%%, la mitad de ella, la hemorragia. No hubo mortalidad. No se encontr¨® asociaci¨®n estad¨ªstica entre la presencia de complicaciones y alguna variable en particular. Conclusiones: En pacientes de otorrinolaringolog¨ªa seleccionados, la cirug¨ªa mayor ambulatoria efectuada en un hospital de baja complejidad tiene buenos resultados, con una baja tasa de complicaciones. Introduction: Major ambulatory surgery provide to public health and efficient and high quality model. Aim: To know the results in patient underwent Otorrinolaringologic surgery in a low complexity hospital. Material and methods: Retrospective descritive study. Date from 815 who underwent Otorrinolaringologic surgery carried on a major ambulatory surgery basis in Hospital Santo Tom¨¢s de Limache, between 2004 and 2009 where retrospectively reviewed. Analysed date included sex, age, type of conducted surgery, type of complications and the period of time in which patients were discharged. Averages, standard deviation and proportions were used. In bivariate analysis, chi square and t-student were used. Results: 58% of enrolled patients were males with age average of 8.4¡À6.2 years. Adenotonsillectomy single or associated to other surgeries took place in 54.2% of the cases. The rate of postoperation side effects was 1.22%, And half of these patient presented postoperatory bleeding. There was no mortality. There was not statistical association between the presence of complications and some variable in particular. Conclusions: Major ambulatory surgery In selected patients who need otorrinolaringologic surgery in a low complexity hospital is safe with low rate of complication.
%K Cirug¨ªa mayor ambulatoria
%K hospital de baja complejidad
%K otorrinolaringolog¨ªa
%K complicaciones
%K Ambulatory major surgery
%K hospital of low complexity
%K otorhinolaryngology
%K complications
%U http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-48162012000200010