¿En qué áreas podemos mejorar en artroplastia de rodilla en Hospital Clínico Universidad de Chile? Análisis por grupo relacionado a diagnóstico (GRD) 2018 a 2022
Autores/as
Maximiliano Barahona V.
Hospital Clínico Universidad de Chile
Macarena Barahona V.
Hospital Clínico Universidad de Chile
Alfredo Aguila R.
Hospital Clínico Universidad de Chile
Introduction: Knee arthroplasty (TKA) is crucial for treating severe osteoarthritis. The pandemic decreased the number of procedures, leading to significant waiting list. The Hospital Clínico de la Universidad de Chile (HCUCH) is a leader in these surgeries and seeks to optimize its efficiency. Material and Method: Ecological study. Data from Diagnosis Related Groups (DRG) and Ti-Cares from 2018 to 2022 were analyzed. Knee arthroplasty cases were included and hospital stay, use of intermediate beds, surgical time and operating room efficiency were analyzed through exploratory analysis and statistical models. Results: A total of 658 procedures were recorded. The mean age was 66 years and hospital stay was reduced from 4 to 3 days, with a more pronounced decrease after 2020. The use of intermediate beds was frequent (47.87%). Factors such as age, diabetes and comorbidities influenced this usage, with 2019 and 2021 being protective years. Conclusion: Improving management in HCUCH involves reducing hospital stay, optimizing the use of intermediate beds and increasing operating room efficiency. Strategies such as early discharge and use of technology can achieve greater efficiency in procedures, benefiting both patients and the public health system.
Palabras clave:
knee osteoarthritis, knee arthroplasties, diagnosis-related groups, length of stay
Barahona V., M., Barahona V., M., & Aguila R., A. (2024). ¿En qué áreas podemos mejorar en artroplastia de rodilla en Hospital Clínico Universidad de Chile? Análisis por grupo relacionado a diagnóstico (GRD) 2018 a 2022. Revista Hospital Clínico Universidad De Chile, 35(3), 238–47. https://doi.org/10.5354/2735-7996.2024.76972
