Adverse events in gastrointestinal endoscopy: a cohort of 62,088 procedures performed
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Vigilância Sanitária em Debate |
Texto Completo: | https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1294 |
Resumo: | Introduction: Endoscopes have greatly contributed to the prevention and treatment of various pathologies. However, despite the considerable advance in hospital care made possible by the advent of such equipment, the use of these devices has brought, beyond the obvious benefits, the risk of transmission of infection. Objective: To identify the incidence of adverse events (AD) related to endoscopic procedures. Method: Retrospective cohort study at a Digestive Endoscopy Service located in Salvador, BA. Gastrointestinal procedures, passive reports by patients and reports reported by endoscopists, between 2016 and 2018, were included in this cohort. Data collection occurred between October and November 2018, using our own instrument. Results: From 2016 to 2018, 21,827 colonoscopies, with an incidence of AE of 0.200%, were performed, and 40,261 upper digestive endoscopies, with incidence of AE of 0.080%, were also performed. In those years, the service performed 62,088 endoscopies, with a total incidence of AE of 0.100%. The most frequent adverse events were bacteremias, mucosal laceration, pain and abdominal distension, with an incidence of 0.030%, 0.010%, 0.010% and 0.010%, respectively. Conclusions: This study identified the incidence of AE related to endoscopic exams, contributing to the formation of data in the area of Brazilian gastrointestinal endoscopy. The incidence of 0.100% of AE identified here is much lower than the data in the international literature, as well as the incidence of the types of adverse events identified, signaling to the control of risks, quality and safety of the endoscopy service studied. |
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Adverse events in gastrointestinal endoscopy: a cohort of 62,088 procedures performedEventos adversos em endoscopia gastrointestinal: uma coorte de 62.088 procedimentos realizadosEndoscópioDano ao PacienteEndoscopePatient HarmIntroduction: Endoscopes have greatly contributed to the prevention and treatment of various pathologies. However, despite the considerable advance in hospital care made possible by the advent of such equipment, the use of these devices has brought, beyond the obvious benefits, the risk of transmission of infection. Objective: To identify the incidence of adverse events (AD) related to endoscopic procedures. Method: Retrospective cohort study at a Digestive Endoscopy Service located in Salvador, BA. Gastrointestinal procedures, passive reports by patients and reports reported by endoscopists, between 2016 and 2018, were included in this cohort. Data collection occurred between October and November 2018, using our own instrument. Results: From 2016 to 2018, 21,827 colonoscopies, with an incidence of AE of 0.200%, were performed, and 40,261 upper digestive endoscopies, with incidence of AE of 0.080%, were also performed. In those years, the service performed 62,088 endoscopies, with a total incidence of AE of 0.100%. The most frequent adverse events were bacteremias, mucosal laceration, pain and abdominal distension, with an incidence of 0.030%, 0.010%, 0.010% and 0.010%, respectively. Conclusions: This study identified the incidence of AE related to endoscopic exams, contributing to the formation of data in the area of Brazilian gastrointestinal endoscopy. The incidence of 0.100% of AE identified here is much lower than the data in the international literature, as well as the incidence of the types of adverse events identified, signaling to the control of risks, quality and safety of the endoscopy service studied.Introdução: Os endoscópios muito têm contribuído para a prevenção e tratamento de várias patologias. Entretanto, a despeito do avanço considerável na assistência hospitalar possibilitada pelo advento desses equipamentos, a utilização desses dispositivos trouxe para além dos evidentes benefícios, o risco de transmissão de infecção. Objetivo: Identificar a incidência de eventos adversos (EA) relacionados a procedimento endoscópico. Método: Estudo de coorte retrospectiva em um Serviço de Endoscopia Digestiva localizado em Salvador, BA. Fizeram parte desta coorte os procedimentos gastrointestinais, as notificações passivas feitas pelos pacientes e notificações relatadas pelos endoscopistas entre 2016 e 2018. A coleta de dados ocorreu entre outubro a novembro de 2018, com instrumento próprio. Resultados: Durante 2016 e 2018 foram realizados 21.827 colonoscopias, com uma incidência de EA de 0,200% e 40.261 endoscopias digestivas altas com incidência de EA de 0,080%. Nesses anos, o serviço realizou 62.088 endoscopias, com uma incidência total de EA de 0,100%. Os EA mais frequentes foram: bacteremias, laceração de mucosa, dor e distensão abdominal, com incidência de 0,030%, 0,010%, 0,010% e 0,010%, respectivamente. Conclusões: Este estudo identificou a incidência de EA relacionados aos exames endoscópicos, contribuindo para a formação de dados na área da endoscopia gastrointestinal brasileira. A incidência de 0,100% de EA aqui identificada é muito menor do que os dados da literatura internacional, bem como a incidência dos tipos de eventos adversos identificados, sinalizando para o controle de riscos, qualidade e segurança do serviço de endoscopia estudado.Instituto Nacional de Controle de Qualidade em Saúde2019-08-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed article""Artículo revisado por pares""Artigo avaliado pelos pares"application/pdfapplication/pdfhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/129410.22239/2317-269X.01294Health Surveillance under Debate: Society, Science & Technology ; Vol. 7 No. 3 (2019): August; 25-30Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 7 Núm. 3 (2019): Agosto; 25-30Vigil Sanit Debate, Rio de Janeiro; v. 7 n. 3 (2019): Agosto; 25-302317-269Xreponame:Vigilância Sanitária em Debateinstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporenghttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1294/1033https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1294/1112Copyright (c) 2019 Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnologia (Health Surveillance under Debate: Society, Science & Technology) – Visa em Debatehttps://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessCosta, Eliana Auxiliadora MagalhãesMoreira, Lícia LígiaChagas, TâniaBarreto, Miriam2023-06-27T15:11:24Zoai:ojs.visaemdebate.incqs.fiocruz.br:article/1294Revistahttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebatePUBhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/oaiincqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br2317-269X2317-269Xopendoar:2023-06-27T15:11:24Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
Adverse events in gastrointestinal endoscopy: a cohort of 62,088 procedures performed Eventos adversos em endoscopia gastrointestinal: uma coorte de 62.088 procedimentos realizados |
title |
Adverse events in gastrointestinal endoscopy: a cohort of 62,088 procedures performed |
spellingShingle |
Adverse events in gastrointestinal endoscopy: a cohort of 62,088 procedures performed Costa, Eliana Auxiliadora Magalhães Endoscópio Dano ao Paciente Endoscope Patient Harm |
title_short |
Adverse events in gastrointestinal endoscopy: a cohort of 62,088 procedures performed |
title_full |
Adverse events in gastrointestinal endoscopy: a cohort of 62,088 procedures performed |
title_fullStr |
Adverse events in gastrointestinal endoscopy: a cohort of 62,088 procedures performed |
title_full_unstemmed |
Adverse events in gastrointestinal endoscopy: a cohort of 62,088 procedures performed |
title_sort |
Adverse events in gastrointestinal endoscopy: a cohort of 62,088 procedures performed |
author |
Costa, Eliana Auxiliadora Magalhães |
author_facet |
Costa, Eliana Auxiliadora Magalhães Moreira, Lícia Lígia Chagas, Tânia Barreto, Miriam |
author_role |
author |
author2 |
Moreira, Lícia Lígia Chagas, Tânia Barreto, Miriam |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Costa, Eliana Auxiliadora Magalhães Moreira, Lícia Lígia Chagas, Tânia Barreto, Miriam |
dc.subject.por.fl_str_mv |
Endoscópio Dano ao Paciente Endoscope Patient Harm |
topic |
Endoscópio Dano ao Paciente Endoscope Patient Harm |
description |
Introduction: Endoscopes have greatly contributed to the prevention and treatment of various pathologies. However, despite the considerable advance in hospital care made possible by the advent of such equipment, the use of these devices has brought, beyond the obvious benefits, the risk of transmission of infection. Objective: To identify the incidence of adverse events (AD) related to endoscopic procedures. Method: Retrospective cohort study at a Digestive Endoscopy Service located in Salvador, BA. Gastrointestinal procedures, passive reports by patients and reports reported by endoscopists, between 2016 and 2018, were included in this cohort. Data collection occurred between October and November 2018, using our own instrument. Results: From 2016 to 2018, 21,827 colonoscopies, with an incidence of AE of 0.200%, were performed, and 40,261 upper digestive endoscopies, with incidence of AE of 0.080%, were also performed. In those years, the service performed 62,088 endoscopies, with a total incidence of AE of 0.100%. The most frequent adverse events were bacteremias, mucosal laceration, pain and abdominal distension, with an incidence of 0.030%, 0.010%, 0.010% and 0.010%, respectively. Conclusions: This study identified the incidence of AE related to endoscopic exams, contributing to the formation of data in the area of Brazilian gastrointestinal endoscopy. The incidence of 0.100% of AE identified here is much lower than the data in the international literature, as well as the incidence of the types of adverse events identified, signaling to the control of risks, quality and safety of the endoscopy service studied. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-08-28 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion "Peer-reviewed article" "Artículo revisado por pares" "Artigo avaliado pelos pares" |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1294 10.22239/2317-269X.01294 |
url |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1294 |
identifier_str_mv |
10.22239/2317-269X.01294 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1294/1033 https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1294/1112 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc-nd/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Instituto Nacional de Controle de Qualidade em Saúde |
publisher.none.fl_str_mv |
Instituto Nacional de Controle de Qualidade em Saúde |
dc.source.none.fl_str_mv |
Health Surveillance under Debate: Society, Science & Technology ; Vol. 7 No. 3 (2019): August; 25-30 Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 7 Núm. 3 (2019): Agosto; 25-30 Vigil Sanit Debate, Rio de Janeiro; v. 7 n. 3 (2019): Agosto; 25-30 2317-269X reponame:Vigilância Sanitária em Debate instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Vigilância Sanitária em Debate |
collection |
Vigilância Sanitária em Debate |
repository.name.fl_str_mv |
Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
incqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br |
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1797042045366304768 |