Factores asociados a la estancia hospitalaria prolongada en pacientes operados por cáncer colorrectal del Hospital Nacional Dos de Mayo, Lima, Perú

• Autores: Tapia-Alejos, Lenin Brumel, Roman-Escalaya, Luis Alberto, Pilco-Jara, Washington, Marcelo Pacheco, Roberth Gustavo
• Formato: artículo
• Fecha de Publicación: 2024
• Institución: Sociedad Peruana de Medicina Interna
• Repositorio: Revista de la Sociedad Peruana de Medicina Interna
• Lenguaje: español
• OAI Identifier: oai:medicinainterna.net.pe:article/810
• Enlace del recurso: https://revistamedicinainterna.net/index.php/spmi/article/view/810
• Nivel de acceso: acceso abierto
• Materia: Cáncer colorrectal; Estancia hospitalaria prolongada; Colorectal cancer; Prolonged hospital stay

Objective: to determine the factors associated with prolonged hospital stay in patients operated on for colorectal cancer in the I-3 service of the Dos de MayoNational Hospital, Lima, Peru, 2016-2021. Material and methods: quantitative study, observational design (non-experimental), retrospective, cross-sectional,analytical. The technique used was the collection of documentary information from medical records and the instrument was the variable data collection form.The population consisted of 156 patients and the sample consisted of the census population, that is, 156 patients operated on for colorectal cancer. Results: the presence of prolonged hospital stay (>8 days) was 69.9%. Among the preoperative factors that increased hospital stay were comorbidities (p<0.001;OR:1.59; 95% CI: 1.24-2.04), anemia (p=0.006; OR: 1.39; 95% CI: 1.17-1.66). The clinical stage of the operated RCC was III, the most frequent (75%), as forthe location, the right and left were similar, 46.8% and 49.4% respectively. And of the postoperative factors, surgical site infection (p<0.001; OR: 2.67; 95% CI:1.96-3.63), anastomotic dehiscence (p<0.001; OR: 1.59; 95% CI: 1.39-1.81), adynamic ileus (p<0.001; OR: 3.17; 95% CI: 2.09-4.80) and postoperativepneumonia (p<0.001; OR: 1.63; 95% CI: 1.41-1.87) increased hospital stay significantly.