Fasting of less than eight hours in urgent and emergency surgeries versus complication. / Jejum inferior a oito horas em cirurgias de urgência e emergência versus complicações.

OBJECTIVE: to verify the occurrence of intraoperative and postoperative complications in patients undergoing urgent and emergency surgical procedures between January and December 2012, with fasting time of less than 8 hours. METHOD: a quantitative study was conducted, of the retrospective cohort type, through the analysis of medical records. RESULTS: we included 181 records of patients undergoing surgical procedures with average duration of 59.4 minutes. Fractures correction surgeries stood out, totalling 32% of cases. We observed complications in 36 patients (19.9%), vomiting being the most prevalent (47.2%); followed by nausea (16.7%); need for blood transfusion (13.9%); surgical site infection (11.1%); and death (11.1%). The average fasting time was 133.5 minutes. The fasting time showed no statistically significant correlation with the complications investigated. CONCLUSION: intraoperative and postoperative complications were associated with the clinical conditions of the patients and not with the fasting time.

Jejum inferior a oito horas em cirurgias de urgência e emergência versus complicações / Ayuno inferior a ocho horas en cirugías de urgencia y emergencia versus las complicaciones intra y posoperatorias / Fasting of less than eight hours in urgent and emergency surgeries versus complication

RESUMO Objetivo: verificar a ocorrência de complicações intraoperatórias e pós-operatórias em pacientes submetidos a procedimentos cirúrgicos de urgência e emergência entre janeiro e dezembro de 2012, com tempo de jejum inferior a oito horas. Método: conduziu-se um estudo quantitativo, tipo coorte retrospectivo, por meio da análise de prontuários médicos. Resultados: foram incluídos 181 prontuários de pacientes submetidos a procedimentos cirúrgicos com duração média de 59,4 minutos, destacando-se a cirurgia de correção de fraturas em 32% dos casos. Foram observadas complicações em 36 (19,9%) dos pacientes, destacando-se o vômito (47,2%); seguido de náuseas (16,7%); necessidade de transfusão sanguínea (13,9%); infecção do sítio cirúrgico (11,1%); e óbito (11,1%). O tempo médio de jejum foi de 133,5 minutos. O tempo de jejum não apresentou correlação estatisticamente significante com as complicações investigadas. Conclusão: as complicações intraoperatórias e pós-operatórias estiveram associadas às condições clínicas dos pacientes e não ao tempo de jejum.

RESUMEN Objetivo: verificar la ocurrencia de complicaciones intra y posoperatorias en pacientes sometidos a procedimientos quirúrgicos de urgencia y emergencia, entre enero y diciembre de 2012, con tiempo de ayuno inferior a ocho horas. Método: estudio cuantitativo, de tipo corte retrospectivo, utilizando fichas médicas para análisis. Resultados: se incluyeron 181 fichas de pacientes sometidos a procedimientos quirúrgicos con promedio de duración de 59,4 minutos, el 32% de los casos fueron de cirugía de corrección de fracturas. Se observaron complicaciones en 36 pacientes (19,9%), destacando en primer lugar el vómito (47,2%); después las náuseas (16,7%); la necesidad de transfusión sanguínea (13,9%); la infección del centro quirúrgico (11,1%); y fallecimiento (11,1%). El promedio del tiempo de ayuno fue de 133,5 minutos. El promedio de ayuno no presentó correlación estadísticamente significativa con las complicaciones evaluadas. Conclusión: las complicaciones intra y posoperatorias no estuvieron asociadas al tiempo de ayuno de los pacientes, sino a las condiciones clínicas de ellos.

ABSTRACT Objective: to verify the occurrence of intraoperative and postoperative complications in patients undergoing urgent and emergency surgical procedures between January and December 2012, with fasting time of less than 8 hours. Method: a quantitative study was conducted, of the retrospective cohort type, through the analysis of medical records. Results: we included 181 records of patients undergoing surgical procedures with average duration of 59.4 minutes. Fractures correction surgeries stood out, totalling 32% of cases. We observed complications in 36 patients (19.9%), vomiting being the most prevalent (47.2%); followed by nausea (16.7%); need for blood transfusion (13.9%); surgical site infection (11.1%); and death (11.1%). The average fasting time was 133.5 minutes. The fasting time showed no statistically significant correlation with the complications investigated. Conclusion: intraoperative and postoperative complications were associated with the clinical conditions of the patients and not with the fasting time.