Agresiones a personal adscrito a la Gerencia de Atención Primaria de Tenerife y pandemia por SARS-CoV2 / Attacks on personnel assigned to the Primary Care Management of Tenerife and the SARS-CoV2 pandemic

Objetivo Medir y caracterizar las agresiones sufridas por los profesionales sanitarios en el ámbito de la atención primaria de Tenerife entre el año 2018-2019 (prepandemia) y el 2020-2021 (pandemia). Secundariamente, analizar el grado de conocimiento de los profesionales en relación con el procedimiento de actuación frente a agresiones, las medidas de seguridad existentes y aspectos mejorables para su protección. Materiales y métodos Estudio observacional, descriptivo y transversal mediante un formulario autocumplimentado telemáticamente. Se difundió mediante los diferentes canales de comunicación con los profesionales sanitarios estando disponible entre marzo y abril del año 2022. Las variables cuantitativas se analizaron mediante medidas de tendencia central y de dispersión, y las cualitativas en porcentaje, realizando además un análisis bivariado utilizando el test χ2 y el test de la t de Student. Resultados De los participantes, 72,50% ha sufrido algún tipo de agresión en el ámbito laboral, siendo más frecuente en la zona metropolitana de Tenerife, las cuales se producen fundamentalmente por parte del paciente como de sus familiares. Estas agresiones son mayormente verbales y se producen en mayor cantidad hacia mujeres con la categoría de enfermera. Conclusiones La enfermería es la categoría que más sufre las agresiones en la atención primaria de Tenerife, de manera independiente a la zona de la isla donde desempeñe su trabajo (AU)

Objective To measure and characterize the aggressions suffered by health professionals in the field of primary care in Tenerife between 2018–2019 (pre-pandemic) and 2020–2021 (pandemic). Secondly, to analyze the degree of knowledge of the professionals in relation to the procedure for action against aggressions as well as the existing security measures and aspects that could be improved for their protection. Materials and methods Observational, descriptive and cross-sectional study using a self-completed form electronically. It was disseminated through the different communication channels with health professionals, being available between March and April 2022. The quantitative variables were analyzed using measures of central tendency and dispersion, and the qualitative variables in percentage, also performing a bivariate analysis using the Chi square and Student's T. Results 72.50% of the participants have suffered some type of aggression in the workplace and they are more frequent causes in the metropolitan area of Tenerife, which are produced fundamentally by the patient and their relatives. These aggressions are mostly verbal and occur in greater quantity towards women with the category of nurse. Conclusions Nursing is the category that suffers the most aggressions in primary care in Tenerife, regardless of the area of the island where they carry out their work (AU)

[Attacks on personnel assigned to the Primary Care Management of Tenerife and the SARS-CoV2 pandemic]. / Agresiones a personal adscrito a la Gerencia de Atención Primaria de Tenerife y pandemia por SARS-CoV2.

OBJECTIVE: To measure and characterize the aggressions suffered by health professionals in the field of primary care in Tenerife between 2018-2019 (pre-pandemic) and 2020-2021 (pandemic). Secondly, to analyze the degree of knowledge of the professionals in relation to the procedure for action against aggressions as well as the existing security measures and aspects that could be improved for their protection. MATERIALS AND METHODS: Observational, descriptive and cross-sectional study using a self-completed form electronically. It was disseminated through the different communication channels with health professionals, being available between March and April 2022. The quantitative variables were analyzed using measures of central tendency and dispersion, and the qualitative variables in percentage, also performing a bivariate analysis using the Chi square and Student's T. RESULTS: 72.50% of the participants have suffered some type of aggression in the workplace and they are more frequent causes in the metropolitan area of Tenerife, which are produced fundamentally by the patient and their relatives. These aggressions are mostly verbal and occur in greater quantity towards women with the category of nurse. CONCLUSIONS: Nursing is the category that suffers the most aggressions in primary care in Tenerife, regardless of the area of the island where they carry out their work.

Patología quirúrgica del apéndice cecal: análisis de 8.950 casos / Surgical pathology of the cecal appendix: analysis of 8.950 cases

Se reclasificó la patologia quirúrgica del apéndice cecal. El diagnóstico clínico emitido con mayor frecuencia fue apendicitis aguda ( 80.5%). Los diagnósticos histopatológicos de revisión más frecuentes fueron apendicitis aguda (72%), apendicitis aguda con abscesos (36.2%), apéndice perforado (18.2%), apéndice cecal normal (11.2%), periapendicitis (4.1%), apendicitis crónica (2.5%), diverticulosis adquirida (1.7%), diverticulitis (1.2%), parasitosis (2.7%), apendicitis amibiana (1.1%) y neoplasias (1.2%). Se practicaron 558 apendicectomías profilácticas y en 158 casos (28.3%) se encontraron diferentes alteraciones patológicas. En 8.092 pacientes se emitión el diagnóstico clínico de apendicitis aguda o amibiana y en 2,067 (25.5%) no se apreciaron alteraciones que repercutieran clínicamente. De los 6,444 casos de apendicitis aguda, 5,559 (86.2%) el diagnóstico clínico coincidió con el histopatológico de revisión. En 12,788 diagnóstico histopatológicos se identificaron 4,877 discrepancias (38.1%) entre el diagnóstico intencionado de revisión y el de rutina