IMPACTO DEL FAST TRACK EN EL POSTOPERATORIO DE PACIENTES SOMETIDOS A APENDICECTOMÍA EN EL HOSPITAL TEODORO MALDONADO EN EL PERIODO ENERO 2015 A DICIEMBRE 2016

Abstract

Justification: Appendicitis is the most common surgical pathology. The most frequent complication postapendicectomy is ISQ. FAST TRACK (FT) or Enhanced Recovery After Surgery (ERAS) is a multimodal perioperative care route for accelerated post-surgical recovery. It is intended to improve postoperative evolution by applying FT in appendectomized patients. Objectives: To determine the impact of FT on the postoperative evolution of appendectomized patients in the HTMC in hospital stay, postoperative pain, work reintegration, complications and readmissions. Methodology: Descriptive and observational, ambispective study. Probabilistic sample for convenience of 229 patients from a population of 2491 with inclusion and exclusion criteria. Results: Mean hospital stay using FT was 13.87 h with DS = 3.282 h, without FT it was 23.48 h, DS=1.58 h reducing the average hospital stay in 9.61 h. The mean pain was 2.21 (DS=0.408) in the FT group and in the non-FT group the mean was 2.39 with DS of 0.543. The labor reinsertion in FT the average is 24 d with DS=4,182, in the non FT is 29 d (DS=1,756 d). The FT group presented no complications, not FT 6.42%. Conclusions: The application of the FT protocol decreases the postoperative complications, reduces the average hospital stay in 9 h and the work reintegration is 5 d faster. Recommendations: To develop an observational, descriptive study of nonintervention that evaluates the implementation of FT in patients with conventional an laparoscopic appendectomy, reducing the bias. Keywords: FAST TRACK surgery, ERAS, Appendectomy, Multimodal approach, Post-surgical complications, Ambulatory Surgery.