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Bicudo-Salomão A, Meireles MB, Caporossi C, et al. Impact of the ACERTO project in the postoperative morbi-mortality in a university hospital. Rev Col Bras Cir. 2011;38(1):3-10doi: 10.1590/s0100-69912011000100002.
Bicudo-Salomão, A., Meireles, M. B., Caporossi, C., Crotti, P. L., & de Aguilar-Nascimento, J. E. (2011). Impact of the ACERTO project in the postoperative morbi-mortality in a university hospital. Revista do Colegio Brasileiro de Cirurgioes, 38(1), 3-10. https://doi.org/10.1590/s0100-69912011000100002
Bicudo-Salomão, Alberto, et al. "Impact of the ACERTO project in the postoperative morbi-mortality in a university hospital." Revista do Colegio Brasileiro de Cirurgioes vol. 38,1 (2011): 3-10. doi: https://doi.org/10.1590/s0100-69912011000100002
Bicudo-Salomão A, Meireles MB, Caporossi C, Crotti PL, de Aguilar-Nascimento JE. Impact of the ACERTO project in the postoperative morbi-mortality in a university hospital. Rev Col Bras Cir. 2011 Jan-Feb;38(1):3-10. doi: 10.1590/s0100-69912011000100002. Portuguese. PMID: 21537736.
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Rev Col Bras Cir. 2011 Jan-Feb;38(1):3-10. doi: 10.1590/s0100-69912011000100002.

Impact of the ACERTO project in the postoperative morbi-mortality in a university hospital.

Revista do Colegio Brasileiro de Cirurgioes

[Article in Portuguese]
Alberto Bicudo-Salomão, Márcio Bertocco Meireles, Cervantes Caporossi, Pedro Luis Reis Crotti, José Eduardo de Aguilar-Nascimento

Affiliations

  1. Department of Surgery, Faculty of Medical Sciences, Federal University of Mato Grosso (UFMT)-MT-BR.

PMID: 21537736 DOI: 10.1590/s0100-69912011000100002

Abstract

OBJECTIVE: To evaluate the postoperative outcomes of patients in the Department of General Surgery, University Hospital Julio Muller, before and after implementation of the ACERTO multimodal protocol.

METHODS: We conducted a retrospective study from 5974 patients' charts. We compared two periods: from January 2002 to December 2004 (before implementation of the ACERTO protocol: AA period, n = 1987) and January 2005 to December 2008 (after implementation of the protocol: DA period, n = 3987). The variables studied were length of hospital stay, blood transfusions, surgical site infections (SSI), postoperative complications and deaths.

RESULTS: There was a decrease in one day in length of stay between the AA and DA period (median [range]: 4 [0-137] vs 3. [0-126] days and mode: 3 vs. 2 days, p < 0.001). During AA there was a relationship of 2.53 packs of blood products transfused per patient against 0.77 in the DA period (p <0.001). A downward trend in the number of cases of SSI was noticeable over the years (A =-153.08; AA: 7.51% vs. DA: 3.36% (p <0.001, RR = 2.23, 95 % CI:1.73-2.89). There was also a decreasing trend in operative complications (A =- 51.41, AA: 7.9% vs. DA: 6.14%, p = 0.02, RR = 1.29, 95% CI:1.03-1.60), reoperation (A =- 57.10; AA: 2.65%. vs DA: 1.19%, p <0.001, RR = 2, 22, 95% CI: 1.43 to 3.44) and deaths (A =- 62.07, 2.81 vs. 1%, 73%, p <0.01, RR = 1.63, 95% CI: 1.15 to 2.31).

CONCLUSION: The introduction of the ACERTO protocol improved the surgical results, expressed as a shorter hospital stay, blood transfusion, and reduction in cases of surgical site infection, postoperative complications and deaths.

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