Análise de reabordagem cirúrgicas em um Hospital Universitário do Estado de Sergipe

Abstract

This study addresses the usefulness of surgical reinterventions as measures of quality of care and patient safety in a context of increasingly complex procedures (requiring new technologies) and perioperative complications. Its objective was to evaluate surgical reoperations performed between 2020 and 2024 at a university hospital in Sergipe, considering their profile, growth curve, and main clinical and surgical characteristics. Methods: This is a quantitative, retrospective, and observational cohort study, conducted through secondary consultation of the electronic archives of the University Hospital (AGHU), which included sociodemographic variables; clinical data; comorbidities; type of procedure; risk classification (RC); size and complexity of the surgery, as well as operative time, contamination potential, and outcome. Descriptive and inferential statistics were used for data analysis. The 612 patients (829 procedures) who underwent reinterventions mainly included adults between 40 and 59 years old, men, and people of mixed race with low levels of education. Systemic arterial hypertension and diabetes mellitus were the most prevalent comorbidities. The most common specialties were orthopedics, general surgery, and vascular surgery; there was a higher proportion of emergency surgeries of low to medium complexity – mainly low/medium complexity, lasting ≤ 120 minutes. The proportion of clean surgeries was higher, but with a significant percentage of contaminated and infected procedures; the most frequent outcome was hospital discharge, followed by death and referral to other services. The results describe a reoperation profile focused on minor surgeries, but with a significant influence of chronic comorbidities and risk of infection, justifying monitoring strategies, complication prevention measures, and optimization of perioperative care.