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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(01): 133-140
DOI: 10.1055/s-0041-1736469
Artigo Original
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O impacto do envolvimento do residente nos resultados dos pacientes na revisão da artroplastia total do quadril

Article in several languages: português | English
Bradley Alexander 
1   Divisão de Cirurgia Ortopédica, Universidade do Alabama em Birmingham, Birmingham, Alabama, Estados Unidos
,
Mackenzie Sowers 
1   Divisão de Cirurgia Ortopédica, Universidade do Alabama em Birmingham, Birmingham, Alabama, Estados Unidos
,
Roshan Jacob 
1   Divisão de Cirurgia Ortopédica, Universidade do Alabama em Birmingham, Birmingham, Alabama, Estados Unidos
,
Gerald McGwin 
2   Departamento de Epidemiologia, Universidade do Alabama em Birmingham, Universidade Boulevard Birmingham, Alabama, Estados Unidos
,
Nicola Maffulli 
3   Departamento de Distúrbios Musculoesqueléticos, Faculdade de Medicina e Cirurgia, Universidade de Salerno, Baronissi, Itália
,
Sameer Naranje 
1   Divisão de Cirurgia Ortopédica, Universidade do Alabama em Birmingham, Birmingham, Alabama, Estados Unidos
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Resumo

Objetivo O objetivo do presente estudo foi determinar a influência do envolvimento dos residentes nas taxas de complicações agudas na revisão da artroplastia total do quadril (ATQ).

Métodos Utilizando o banco de dados do American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP, na sigla em inglês), foram identificadas 1.743 revisões de ATQs entre 2008 e 2012; 949 delas envolveram um médico residente. Foram analisadas informações demográficas, incluindo gênero e raça, comorbidades, incluindo doenças pulmonares, doenças cardíacas e diabetes, tempo de permanência e complicações agudas pós-operatórias no prazo de 30 dias.

Resultados O envolvimento dos residentes não foi associado a um aumento significativo no risco de complicações agudas. O tempo de operação total demonstrou associação estatisticamente significativa com o envolvimento de um residente (161,35 minutos com residente presente, 135,07 minutos sem residente; p < 0,001). Não houve evidência de que o envolvimento do residente tenha sido associado a um maior tempo de internação hospitalar (5,61 dias com residente presente, 5,22 dias sem residente; p = 0,46).

Conclusão O envolvimento de um residente ortopédico durante a revisão da ATQ não parece aumentar as taxas de complicações pós-operatórias de curto prazo, apesar de um aumento significativo nos tempos operacionais.

Palavras-chave

internato e residência - artroplastia de quadril - procedimentos ortopédicos - complicações pós-operatórias

Aprovação Ética

A aprovação do IRB não foi necessária, uma vez que esses dados foram obtidos a partir de um banco de dados nacional não identificado.


Isenção de responsabilidade ACS NSQIP

O Programa Nacional de Melhoria da Qualidade Cirúrgica do Colégio Americano de Cirurgiões e os hospitais participantes do ACS NSQIP são a fonte dos dados aqui utilizados; não verificaram e não se responsabilizam pela validade estatística da análise dos dados ou pelas conclusões derivadas dos autores.


Suporte Financeiro

A presente pesquisa não recebeu nenhuma subvenção específica de agências de fomentação nos setores público, comercial ou sem fins lucrativos.


Trabalho desenvolvido na Divisão de Cirurgia Ortopédica, Universidade do Alabama em Birmingham, Birmingham, Alabama, Estados Unidos da América.




Publication History

Received: 21 February 2021

Accepted: 02 September 2021

Article published online:
04 November 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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