SOCIODEMOGRAPHIC AND CLINICAL PROFILE OF PATIENTS UNDERGOING SURGERY FOR COLORECTAL CANCER IN A TEACHING HOSPITAL (Atena Editora)

Abstract

Tracing the sociodemographic and clinical profile of patients undergoing colorectal surgery for cancer in a teaching hospital between 2010 and 2019, and estimating factors related to discharge and readmission. For this purpose, data will be collected, processed and analyzed from medical records of patients undergoing colorectal procedures at Hospital Santa Casa de Misericórdia de Vitória, which serves patients in the public and private network. The survey was approved by the CEP of EMESCAM with an opinion consubstantiated 4,167,383. Data from 350 patients were included. There was a higher proportion of patients aged 45 to 75 years (72.3%), female (53.7%), brown (71.1%), with a partner (53.7%), and attended by the SUS (88.9%). Most procedures were elective (78.3%), with a predominance of tumors in the ascending colon, followed by rectum and sigmoid colon. Most patients did not undergo ostomy. Approximately 46% of the individuals analyzed had metastasis, and 80% of the cases had free surgical margins. Comparing sociodemographic and clinical variables to the reason for discharge and postoperative readmission, it is suggested that unfavorable outcomes are associated with the nature of the surgery (p < 0.01) and marital status (p < 0.01). Conclusion: The present study suggests that there is a higher mortality in patients without a partner and undergoing emergency surgery, as well as a longer hospital stay in the latter group. This result is important in establishing public policies that improve screening and provide early treatment for this health problem, and generate data to improve hospital management.