PERFIL EPIDEMIOLÓGICO E MORBIMORTALIDADE DOS PACIENTES SUBMETIDOS À RECONSTRUÇÃO DE TRÂNSITO INTESTINAL: EXPERIÊNCIA DE UM CENTRO SECUNDÁRIO DO NORDESTE BRASILEIRO Epidemiologic profile and morbimortality of patients undergoing reconstruction intestinal transit: experience of a secundary health service in the northeast of Brazil

RESUMO - Racional - A reconstrucao do trânsito intestinal nao esta isenta de riscos cirurgicos e apresenta taxas consideraveis de complicacoes pos-operatorias, sendo que a infeccao continua a ser um dos maiores desafios existentes neste procedimento. Objetivo - Perfil epidemiologico e morbimortalidade dos pacientes submetidos a reconstrucao de trânsito intestinal. Metodos - Foram analisados retrospectivamente 86 prontuarios de pacientes com colostomia ou ileostomia, atraves de fatores que tivessem impacto sobre a morbimortalidade apos a reconstrucao de trânsito intestinal, de janeiro de 2003 a abril de 2009. Resultados - Houve 20 mulheres e 60 homens, com idade media de 43 anos. A colostomia em alca (n=34) e o trauma abdominal indicando colostomia ou ileostomia foram as condicoes mais frequentes. O intervalo medio entre a confeccao do estoma e a reconstrucao de trânsito intestinal foi 15,7 meses. O indice de morbidade foi 56,8%, sendo a infeccao incisional a complicacao mais comum (27.47%). A permanencia hospitalar media foi 7,6 dias. Houve regressao linear positiva entre permanencia hospitalar pos-operatoria e a idade do paciente. Demonstrou-se associacao estatisticamente significativa entre o prolongamento da permanencia hospitalar e a ocorrencia de complicacoes (p<0,001). Conclusao - Pode-se inferir que ocorrencia de complicacoes pos-operatorias e idade associaram-se a prolongamento da permanencia hospitalar.ABSTRACT - Background - The reconstruction of the intestinal tract is not surgical complications risk-free and is associated to postoperative complications high rates; furthermore, infection remains the hardest challenge in this procedure. Aim - Epidemiological profile and mortality and morbidity in patients undergoing reconstruction of intestinal transit. Methods - Retrospectively, 86 patients with intestinal stomas were analyzed through factors that impact on the morbimortality afterwards intestinal transit reconstruction, since January 2003 to April 2009. Results - Loop colostomy (n=34) and abdominal trauma implicating 38.2% of indications to colostomy or ileostomy, were the most frequent conditions. The mean interval between stoma confection and intestinal transit reconstruction was 15.7 months. The morbidity frequency was 56.8% and incisional infection was its commonest complication (27.47%). The mean inpatient length of stay was 7.6 days. There was positive linear regression between post-operative inpatient length of stay and inpatient’s age. Inpatient length of stay prolongation is associated to occurrence of complications (p<0,001). Conclusion –It can be inferred that the occurrence of postoperative complications and age were associated with prolonged hospital stay.