Adverse events in gastrointestinal endoscopy: a cohort of 62,088 procedures performed

• Autor(a) principal: Costa, Eliana Auxiliadora Magalhães
• Data de Publicação: 2019
• Outros Autores: Moreira, Lícia Lígia, Chagas, Tânia, Barreto, Miriam
• 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
• topic: Endoscópio; Dano ao Paciente; Endoscope; Patient Harm

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.