RESUMEN
Objetivo: Analizar las causas que motivaron el ingreso hospitalario a pacientes intervenidos de la especialidad de Oftalmología en régimen de CMA en el primer año de funcionamiento y la influencia que de ello se deriva como indicador de calidad. Material y método: Estudio descriptivo retrospectivo con todos los pacientes intervenidos por la especialidad de Oftalmología durante el año 2006. Se han analizado: edad, sexo, diagnósticos quirúrgicos, técnicas quirúrgicas y causa que motivó el ingreso. Se programaron un total de 1.412 pacientes: hombres 699(49,50%), mujeres 713 (50,49%), edad media 58,5 años, rango de edad 15-104 años. Se intervinieron 1.337 (94,68%) pacientes: cataratas 1.053 (78,75%), glaucoma 31 (2,31%), catarata +glaucoma 11 (0,82%), dacriocistitis 52 (3,88%), pterigium 95(7,10%), tumor conjuntiva-verruga párpado 32 (2,39%), chalazión27 (2,01%) y miscelánea 36 (2,69%).Resultados: Suspensiones 75 (5,31%). Ingresos postquirúrgicos8 (0,6%), hombres 6 (75%), mujeres 2 (25%), rango de edad 34-83 años. Intervenciones realizadas: 4 cataratas (FACO + LIO),1 vitrectomía, 3 glaucomas (trabeculectomía). ASA II en 6 casos, ASA III en 2. Se utilizó anestesia local en 2 pacientes, local-asistida en 2, tópica en 3, retrobulbar en 1. Patologías concomitantes: silicosis,HBP (73 años). Meningioma (55 años). HTA, ACV, diabética insulino dependiente, en tratamiento con antiagregante (67 años).Epilepsia. VHC, neurolisis alcohólica (34 años). Linfoma (62 años).HTA, diabético insulino dependiente, bloqueo intraventricular rama derecha, en tratamiento con antiagregante (77 años). Dos casos HTA (83 y 74 años). Las causas que (..) (AU)
Objective: To analyse the causes for which different patient sunder going ophthalmologic ambulatory surgery were admitted to hospital and the influence this has as a quality indicator. Material and method: Retrospective descriptive study of all the patients operated on by the Department of Ophthalmology during the year 2006. The data analysed was the following: age, sex, diagnosis, surgical techniques and the cause for admission. A total of 1,412 patients were scheduled to be operated on, out of whom 699(49.50%) were men, 713 (50.49%) were women, with an average age of 58.5 years and ages ranging from 15 to 104. 1337 (94.68%)patients were operated on for: cataracts 1053 (78.75%), glaucoma31 (2.31%), cataracts + glaucoma 11 (0.82%), dacryocystitis 52(3.88%), pterygium 95 (7.10%), conjunctive verruca eyelid tumour32 (2.39%), chalazion 27 (2.01%), miscellanea 36 (2,69%). Suspended operations were 75, post-surgical admissions, 8. Results: Post-surgical admissions were 8 (0.5%): men, 6 (75%),women, 2 (25%), age range 34-83 years old. Operations performed:4 cataracts (Phacoemulsification + IOL), 1 vitrectomy, 3glaucoma (trabeculectomy). ASA II in six cases, ASA III in two. Local anaesthetic was employed on two patients, local-assisted in two, topical in three, retrobulbar in one. Concomitant pathologies were: silicosis, high blood pressure HBP (73 years old); meningioma (55years old); HBP, CVA, insulin-dependent diabetic undergoing treatment with a platelet anticoagulant (67 years old); epilepsy, virus Chepatitis, alcoholic neurolisis (34 years old); lymphoma (62 years old); HBP, insulin-dependent diabetic, intraventricular blockage of the right branch, under treatment with anticoagulants (77 years old);two cases of HBP (83 and 74 years old). The reasons for admission after surgery were the following: bloody sputum, one patient undergoing treatment for pain in the Pain Unit; pupil blockage and acute (..) (AU)
