Registro de actividades de la Sociedad Española de Angiología y Cirugía Vascular, año 2018

espanolObjetivo: describir la actividad asistencial del ano 2018 de los servicios/unidades de angiologia y cirugia vascular en Espana. Pacientes y metodos: estudio transversal con encuesta a 107 centros sobre procedimientos quirurgicos y exploraciones vasculares realizados en 2018. Analisis descriptivo de resultados y comparacion de la ratio de actividad / 100 000 habitantes respecto al ano 2016. Resultados: respondieron 53 servicios (49,5%), de los que solo 3 eran de ambito privado. De los 42 servicios docentes, respondieron 33 (78,5%), un 62,2% del total. En los servicios que respondieron se produjeron 36 321 ingresos (el 34,3% urgentes y el 65,7% programados), con una estancia media de 7,1 dias. La actividad quirurgica global en cirugia arterial en 2018 fue semejante a la de 2016, aunque hubo una disminucion moderada en la tasa de procedimientos endovasculares. Hubo sectores sin cambios significativos en la ratio / 100 000 habitantes: 8,9 frente a 9,3 en troncos supraaorticos; 23,6 frente a 23,5 en sector femoropopliteo y 9,4 frente a 10,3 en sector distal. Se encontro un aumento relevante de procedimientos endovasculares en los troncos supraaorticos (1,6 frente a 1,2). Hubo una disminucion moderada de la tasa actividad en aorta toracica (1,53 frente a 1,90), aorta toracoabdominal (0,43 frente a 0,49) y aorta abdominal (8,7 frente a 10,8), mientras que la disminucion fue relevante en la patologia obstructiva del sector aortoiliaco (9,2 frente a 13,1). Hubo un aumento moderado de actividad en las arterias viscerales (2,05 frente a 1,81). En 2018 se encontro una disminucion relevante en el numero de procedimientos relacionados con los accesos de hemodialisis (17,8 frente a 25,3). La actividad en amputaciones mayores fue semejante (7,8 frente a 7,5), con un aumento moderado de las menores (13,5 frente a 11,6). En la tasa de actividad sobre malformaciones se encontro una disminucion relevante (0,5 frente a 1,5). Por otro lado, se encontro un aumento relevante en la actividad global sobre el sector venoso en 2018 con respecto a la de 2016 (80,3 frente a 66,6). Ese aumento relevante se encontro tanto en los procedimientos de varices como en los de enfermedad tromboembolica. Tambien se encontro una disminucion relevante de la ratio / 100 000 habitantes de exploraciones vasculares (607,9 frente a 850,6). Conclusion: se encontro una disminucion ligera de la actividad quirurgica arterial global debido a la disminucion moderada de procedimientos endovasculares, sobre todo aorticos. La actividad quirurgica venosa global ha aumentado de forma relevante, con gran aumento de procedimientos endovasculares. Las exploraciones vasculares presentaron una disminucion relevante. Con relacion a 2016, aumento la participacion, lo que puede condicionar la interpretacion de los resultados. EnglishObjective: cross-sectional study using a questionnaire sent to 107 centres on surgical procedures and vascular examinations performed in 2018. A descriptive analysis of results and comparison of the activity ratio/100,000 population with 2016 is also presented. Patients and methods: cross-sectional study using a questionnaire sent to 107 centres on surgical procedures and vascular examinations performed in 2018. A descriptive analysis of results and comparison of the activity ratio/100,000 population with 2016 is also presented. Results: responses were received from 53 department (49.5%), including only 3 private centres. Of the 42 teaching centres, 33 responses were received (78.5%), corresponding with a 62.2% of all centres. According to received data, in 2018 there were 36,321 admissions (of which 34.3% were emergency and 65.7% were elective), with a mean hospital stay of 7.1 days. The overall arterial surgery activity in 2018 was similar to 2016, although there was a moderate decrease in the endovascular procedures rate. In some segments there were no significant changes in the ratios/100,000 population: 8.9 vs. 9.3 in supra-aortic trunks; 23.6 vs. 23.5 in the femoropopliteal segment and 9.4 vs. 10.3 in infrapopliteal segment. A relevant increase of endovascular procedures in supra-aortic trunks was found (1.6 vs. 1.2). There was a moderate decrease in the activity rate in thoracic aorta (1.53 vs 1.90), thoracic-abdominal aorta (0.43 vs. 0.49) and abdominal aorta (8.7 vs. 10.8), whereas the decrease in obstructive pathology of aortic-iliac segment was relevant (9.2 vs. 13.1). In 2018 there was also a moderate increase of activity in the visceral arteries (2.05 vs. 1.81), in contrast to a relevant decrease in the number of hemodialysis access procedures (17.8 vs. 25.3). Compared to 2016, major amputations rate was similar (7.8 vs. 7.5), with a moderate increase of minor amputations (13.5 vs. 11.6). There was also a relevant decrease in malformations (0.5 vs. 1.5). On the other hand, a relevant increase in overall venous surgery activity was found in 2018 (80.3 vs. 66.6). There increase was found in varicous veins procedures and also in thrombotic disease procedures. A relevant decrease of the vascular examination ratio/10000 population was found (607.9 vs. 850.6). Conclusion: a mild decrease in the overall arterial surgical activity was found because of the moderate decrease in endovascular procedures, especially those related to the aorta. The overall venous surgical activity increased significantly because of a higher number in endovascular procedures. There was a relevant decrease of vascular examinations. Compared to 2016, there was an increase in participating centres, which may condition the interpretation of the results.