Differences in Venous Thromboembolism Prevention and Outcome between Hospitalized Patients with Solid and Hematologic Malignancies

Tracer indicators in patients with acute surgical abdomen

“…In the last 30 years, there have been more publications regarding abdominal reinterventions, in different surgical circumstances and after various procedures. 2,4,7,11 Of the 35 reoperated patients, the highest percentage corresponded to the female sex (52.4% ), which slightly predominated over males (47.6%), which differs slightly from studies such as those by Prado 9 et al, Sartelli10 et al, Quintana11 et al However, there are many who believe that gender is not an element to be taken into account in the rate of reinterventions, giving greater interest to age.…”

“…In the sample studied, 10.2% of the patients died, a relatively high figure when compared to works where their samples were larger than ours, such as that of the authors. 3,5,7,12 The fundamental causes of death in the study were pulmonary thromboembolism followed by septic shock, the latter caused by fibrinopurulent peritonitis and bronchopneumonia, with the causes of death accumulating among them in more than half of the deceased. This coincides with that reported by most of the studies on the subject that coincide in relating its appearance with the etiology of the intestinal obstruction as well as the age and comorbidities of the patients.…”

“…6,8 The aforementioned coincides with the study by Marchena et al, 6 finding pulmonary thromboembolism followed by septic shock as the first cause of death in the General Surgery service. Figueroa et al, 7 found pulmonary thromboembolism and severe exudative peritonitis as a direct cause of death with a mortality rate of 4.1%, considered low. Sánchez et al, 8 found a mortality rate of 7.7%, mainly attributable to generalized infection and septic shock.…”

“…We agree with many authors who point to intestinal obstruction as the first cause of acute surgical abdomen in the elderly, although in different proportions and for different reasons. [6][7][8][9] This may be because adhesions are responsible for at least 65% of intestinal obstructions. Of these, more than 80% are post-surgical and 15% have an inflammatory cause.…”

“…The usual incidence of surgical site infections probably does not reflect reality, given the short institutional stay of the patient, which restricts epidemiological surveillance of SSIs for the hospitalization period 1,8 and makes the diagnosis of surgical site infections frequent. at readmission 4,7,9,15 Post-discharge surveillance could detect up to 84% of SSI diagnoses, mainly in short-stay surgeries, and represents the central point of an effective infectionassociated control program to medical services. The results of postdischarge surveillance improve the underestimated rates and could be a starting point for the identification of procedures that represent a greater risk for SSIs, guiding prevention and control actions8.…”