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Estancia hospitalaria y complicaciones en pacientes de cirugía colo-rectal tras la implementación del protocolo eras. Clínica Reina Sofía, Bogotá 2015 - 2018

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dc.contributorBarrios Parra, Arnold José
dc.contributorZárate, Eduardo
dc.contributorPineda, Vivan
dc.contributor.advisorIsaza Restrepo, Andrés
dc.contributor.advisorNavas Camacho, Ángela María
dc.contributor.advisorBuitrago Medina, Daniel Alejandro
dc.creatorMayo Patiño, David Alejandro
dc.creatorAcosta Navas, Gabriela
dc.creator.degreeEspecialista en Cirugía Generalspa
dc.creator.degreetypeFull timespa
dc.date.accessioned2019-01-30T13:47:35Z
dc.date.available2019-01-30T13:47:35Z
dc.date.created2019-01-24
dc.date.issued2019
dc.descriptionDesde hace aproximadamente 3 décadas se plantearon los protocolos de recuperación acelerada. ERAS corresponde a un protocolo que se basa en intervenciones multidisciplinarias y multimodales que busca el mejor desenlace del paciente quirúrgico. En Colombia hay una institución acreditada por ERAS Society desde 2016; la Clínica Reina Sofía. Hasta el momento no se conocen sus resultados tras la implementación del protocolo en pacientes de cirugía colo-rectal para establecer diferencias en desenlaces clínicos en cuanto a complicaciones y estancia hospitalaria en referencia con el grupo previo a la aplicación del protocolo. Metodología: Estudio de tipo observacional, descriptivo, con mediciones antes y después de la aplicación del protocolo ERAS. Información tomada de la base de datos de pacientes llevados a cirugía colo-rectal por los cirujanos de la Clínica Reina Sofía antes y después de la implementación del protocolo ERAS como estándar de manejo institucional para este tipo de pacientes. Resultados: Se encontró una adherencia progresiva a los diferentes aspectos del protocolo ERAS. En el momento el cumplimiento global se acerca al 70%. En cuanto a tasa de complicaciones y estancia hospitalaria se encontró una reducción de los mismos en el grupo en el que se implementó el protocolo, sobre el que no. Conclusión: La implementación de las diferentes estrategias ERAS, permite evidenciar mejores resultados postoperatorios globales en los pacientes llevados a cirugía colo-rectal. La implementación de ERAS es un proceso que implica grandes cambios a todo nivel, pero que sin lugar a duda muestra beneficios para los pacientes y las instituciones hospitalarias.spa
dc.description.abstractApproximately 3 decades ago the accelerated recovery protocols were described. ERAS corresponds to a protocol that is based on multidisciplinary and multimodal interventions that seek the best outcome of the surgical patient. In Colombia there is an institution accredited by the ERAS Society since 2016; Clínica Reina Sofia. So far, its results are unknown after the implementation of the protocol in colorectal surgery patients to establish differences in clinical outcomes in terms of complications and hospital stay in reference to the group prior to the application of the protocol. Methodology: Observational, descriptive study, with measurements before and after the application of the ERAS protocol. Information taken from the database of patients taken to colo-rectal surgery by the surgeons of Clínica Reina Sofía before and after the implementation of the ERAS protocol as a standard of institutional management for this type of patients. Results: A progressive adherence to the different aspects of the ERAS protocol was found. At the moment, overall compliance approaches 70%. Regarding the complication rate and hospital stay, a reduction was found in the group in which the protocol was implemented. Conclusion: The implementation of the different ERAS strategies together allows for better global postoperative results in patients undergoing colorectal surgery. The implementation of ERAS is a process that involves major changes at all levels, but that undoubtedly shows benefits for patients and hospital institutions.spa
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.48713/10336_18960
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/18960
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Medicinaspa
dc.publisher.programEspecialización en Cirugía Generalspa
dc.rightsAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectERASspa
dc.subjectCirugía colo-rectalspa
dc.subjectComplicacionesspa
dc.subjectEstancia hospitalariaspa
dc.subject.ddcVarias ramas de la medicina, Cirugía spa
dc.subject.keywordERASspa
dc.subject.keywordColorectal surgeryspa
dc.subject.keywordComplicationsspa
dc.subject.keywordHospital stayspa
dc.subject.lembColonspa
dc.subject.lembCirugía del colonspa
dc.subject.lembProtocolos clínicosspa
dc.titleEstancia hospitalaria y complicaciones en pacientes de cirugía colo-rectal tras la implementación del protocolo eras. Clínica Reina Sofía, Bogotá 2015 - 2018spa
dc.typemasterThesiseng
dc.type.documentAnálisis de casospa
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
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