Journal Information
Vol. 9. Issue 46.
Pages 28-33 (January - February 1995)
Vol. 9. Issue 46.
Pages 28-33 (January - February 1995)
Open Access
Mortalidad innecesariamente prematura y sanitariamente evitable en el Hospital Universitario San Carlos (HUSC)
Avoidable Deaths in the San carlos Teaching Hospital
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Susana de Juan García*, Cristina Fernández Pérez
Unidad de Epidemiología. Servicio de Medicina Preventiva. Hospital Universitario San Carlos
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Resumen

Las muertes producidas por apendicitis, hernia abdominal, colecistitis y colelitiasis y complicaciones del embarazo, parto y puerperio son propuestas como causas MIPSE “estrictamente hospitalarias”. Se realiza un análisis descriptivo de las series temporales de mortalidad hospitalaria anual por causa MIPSE y no MIPSE en el HUSC (1980–1990). Las tasas específicas de mortalidad fueron de 0,01 por 100 altas para las causas MIPSE y de 1,61 por 100 altas para las no MIPSE, resultando la diferencia estadísticamente significativa (p<0,0005). La tendencia de ambas series era significativamente descendente. Al desglosar el conjunto de las muertes se observa una tendencia general a la disminución resultando ésta estadísticamente significativa sólo para las hernias abdominales y ascendente sólo para apendicitis. El conocimiento de la evolución de las MIPSE hospitalarias resulta interesante como señal de alerta del funcionamiento defectuoso de los servicios sanitarios. Se considera necesaria una solución de consenso en cuanto a la creación de una lista de causas MIPSE estrictamente hospitalaria.

Palabras clave:
Mortalidad hospitalaria
Mortalidad evitable
Serie temporal
Summary

We propose the inclusion of deaths due to apendicitis, abdominal hernia, cholecystitis and cholelithiasis and complications occuring during pregnancy, delivery and puerperium as causes of death amenable to medical intervention occurring strictly in the hospital setting (MIPSE). We have carried out a descriptive longitudinal study with the yearly mortality series due to MIPSE and no MIPSE causes In the HUSC (1980–1990). The specific mortality rates were of 0.01 per 100 discharges for MIPSE causes and 1.61 per 100 discharges for no MIPSE causes. The difference was statistically significant (p<0.005). Both series showed a significantly declining tendency. Once the deaths were arranged under their respective headings, we observed a general decreasing tendency that was only statistically significant for abdominal hernias, whereas there was a rising tendency for deaths due to apendicitis. The knowledge of the evolution of hospital MIPSE is a interesing sign of alarm of malfunctioning health services. We believe that a consensus is necessary to elaborate a list of strictly hospitalary causes of MIPSE.

Key words:
Hospital mortality
Avoidable mortality
Temporal series
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