Gestión del tiempo de oportunidad quirúrgica de los modelos de atención cirugía de cuidado agudo y cirugía de llamada en el tratamiento de apendicitis aguda, Cuenca, 2014

Abstract

Introduction: Opportunity’s surgical time demonstrates the management’s quality of a health facility. The delay generated emergency’s department saturation, patient dissatisfaction and increased complications. Objective: We are going to determine the opportunity’s surgical time to care models of acute care surgery and call home surgery, in the treatment of acute appendicitis.

Methods: Cross-sectional study. Universe: patients treated in emergency’s hospital Vicente Corral and Jose Carrasco Arteaga during 2014 in Cuenca, Ecuador. The sample 435 patients who met the inclusion and exclusion criteria, divided into: group 1, acute care surgery with 225 patients and group 2 call home surgery 210 patients. The analysis was conducted at the Software SPSS 21, with comparison of means. Results: We determined opportunity’s surgical time in group 1 0:19 vs. 6:54 ± 8:26 ± 0:21 minutes in group 2. Emergency’s treatment waiting time vs. 0:34 ± 0:02 2:42 ± 0:13 minutes; less than 1 hour in 92.5 % vs 24.3 %. Ultrasound result timeout 0:02 vs. 0:30 ± 1:11 ± 0:04 minutes. Available operating room time 0:12 vs. 3:21 ± 3:40 ± 0:10 minutes, statistically significant; p<0.001. No significant results of laboratory pending the outcome time and surgical decision time. Conclusion: acute care surgery model reduces opportunity’s surgical time