RESUMO
BACKGROUND: The Surgical Safety Checklist (SSC) is a tool developed by the World Health Alliance for Patient Safety, to assist health professionals in improving patient safety during surgery. Numerous specialties have incorporated this into their clinical practice. The purpose of this study is to adapt and implement this tool within the field of podiatric surgery and to evaluate its impact upon safety standards and post-surgical complications. METHODS: An analytical, observational, longitudinal study has been performed retrospectively. The implementation of the Surgical Safety Checklist in podiatric surgery took place over a 10-month period. The sample is made up from the medical histories of patients who were operated on (n = 134) in the University of Seville's podiatric clinic. The sample was divided into three groups: those prior to the implementation process (65 subjects), those after the implementation process: without the SSC (35 subjects) and those with the SSC (34 subjects). The safety standards included in the tool were analysed in conjunction with the results and post-operative complications. RESULTS: An improvement was seen in compliance with the Prophylaxis Protocol and the correct completion of the Informed Consent (p = 0.00), as well as a statistically significant relationship between the correct use of antibiotic prophylaxis and the use of the Surgical Safety Checklist (p = 0.049). The results demonstrate a reduction in the number of post-operative days (p = 0.012). No cases of surgery being performed in the wrong place were found in this study. CONCLUSIONS: The Surgical Safety Checklist allows us to improve compliance with the safety protocols recommended by the scientific community, and consequently to reduce the incidence of complications related to surgery and to improve patient safety during elective podiatric surgery.
RESUMO
El objetivo de este estudio es demostrar la correlación existente entre la patología de Onicocriptosis y la presencia de Hallux interfalángico patológico. Algunos conceptos claves que debemos manejar son el de Hallux Abductus interfalángico del primer dedo y Onicocriptosis, cuya etiología es muy variada. La muestra del estudio está formada por un total de 312 pies pertenecientes a 156 sujetos, de los cuales son 189 mujeres y 123 hombres. El tipo de estudio diseñado es un estudio transversal, analítico, observacional y de caso y control. Los resultados del valor medio de HIF del grupo de estudio son de 17,39. El valor medio de HIF del grupo control es de 13, 47. Nuestros resultados muestran que en el grupo de estudio el 73,71% presentan valores de HIF por encima del valor de 13,47. El valor de HIF no influye en el mayor o menor grado de afectación de onicocriptosis. La mayoría de los pacientes, casi el 60% presentan onicocriptosis de grade 1. Y la mayoría de los casos presentan afectación de los bordes tibial y peroneal. La afectación es mayor en mujeres que en hombres siendo de más del doble para la afectación del borde tibial y peroneal. Como conclusiones de este estudio podemos extraer que existe un alto grado de correlación entre la presencia de HIF patológico y Onicocriptosis. Los pacientes con onicocriptosis tienen un ángulo interfalángico significativamente superior a aquellos que no lo padecen. Los grados de Onicocriptosis más frecuentes son los estadios 1° y 2°. E1 valor medio del H.I.F de este estudio es de 13,47. No existen resullados significativos para la variables edad y sexo de la muestra. El valor dc HIF no influye en el mayor 0 menor grado de afectación de onicocriptosis (AU)
The aim of this study is to prove the possible relation between onycochryptosis and the pathologic interphalangeal Hallux. Some of the key concepts that we must take into account are interphalangeal Hallux Abductus of the first toe and onycochryptosis, whose etiology is very wide. The sample of this study is 312 feet belonging to 156 subjects, of which 189 are women and 123 men. We conducted a transverse, analytical, observational, case-control study. The mean value of the PIH of the study group is 17,39 whereas, the mean of the control group is 13, 47". Our results show that in the study group, 73,71% present a PIH value higher than 13,47. PIH value does not influence the major or minor degree of affectation of onycochryptosis. Most of the patients, almost 60% present onycochryptosis of stage 1. And the majority of the cases present affectation of the tibial and peroneal edges. The affectation is higher in women than men, being more than twice the affectation of the tibial and peroneal edge. As conclusions, we can state that there is a high degree of correlation between the presence of PIH and onycochryptosis. Patients with onycochryptosis have an interphalangeal angle significantly superior to those who do not suffer this condition. The most frequent degrees of onycochryptosis are stage 1 and 2. The mean value of the PIH of this study is 13,47. We could not find significant results related to age and sex. PIH Value does not influence the major or minor degree of affectation (AU)
