Concordancia de la escala de Randhawa aplicada en adultos mayores en los hospitales José Carrasco Arteaga y Vicente Corral Moscoso, 2019 - 2020

Abstract

Background: 30% of laparoscopic cholecystectomies are performed in older adults, presenting difficulties due to the severity of the cholecystitis or the patient's comorbidities. The Randhawa scale developed in 2009 to predict a difficult laparoscopic cholecystectomy allowing a more adequate therapeutic projection according to the surgeon's criteria. Objective: to describe the concordance of the Randhawa scale applied to older adults in the José Carrasco Arteaga and Vicente Corral Moscoso hospitals, 2019-2020. Material and methods: a descriptive concordance study was carried out applying the Randhawa scale to patients who meet the inclusion criteria, in the emergency surgery service of the José Carrasco Arteaga and Vicente Corral Moscoso hospitals. Surgical time was taken as a gold test. The Kappa index was calculated using the SPSS version 15 software. A p ≤0.05 was accepted for statistical significance. Results: The level of concordance between the Randhawa scale and the surgical time of laparoscopic cholecystectomies was very weak with a Kappa index of 0.139 and p of 0.166, which is not statistically significant. The history of previous hospitalization is the only variable with good agreement with a Kappa index of 0.66 and p of 0.000. Conclusion: There is a very low concordance without statistical relevance of the Randhawa scale applied to the elderly at the José Carrasco Arteaga and Vicente Corral Moscoso hospitals.