Epidemiological characterization of neurosurgical outcomes at Hospital Las Higueras in Talcahuano from its establishment to december 2023
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Abstract
The Healthcare Network of the Talcahuano Health Service serves a population of 397,625 people, most of whom are located in urban areas. Within this network, Las Higueras Hospital, inaugurated in 1969, has increased its level of complexity and serves as a base for advanced medical care in the region. Despite being a highly complex hospital, high-complexity neurosurgical cases had to be referred to other centers. The hospital’s Neurology Service, established in 2015, observed an increase in neurosurgical cases, which led to the creation of a Neurosurgery Unit. In 2020, the first neurosurgeon was hired, and in 2021 the team was expanded with the hiring of more specialists to provide 24/7 emergency care throughout the year, thus meeting the requirements to operate as a Type C Neurosurgery Center. The unit began surgical operations in October 2021, addressing urgent neurosurgical pathologies. In 2022, the care of patients with traumatic brain injuries was included in the GES network, and the first oncology surgeries were performed. During 2023, the unit received support from the National Neurosurgery Commission, introduced improvements, and continued with its development plan by acquiring specialized instruments and expanding its surgical capabilities. To date, the Neurosurgery Unit has performed 1,260 cranial and spinal neurosurgical procedures (921 patients), improving neurosurgical care in the region, ensuring equitable and timely access for beneficiary patients, and directly contributing to the National Neurosurgery Network. This article describes the historical development of neurosurgery at Las Higueras Hospital, its health impact, and future challenges.
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Hospital Las Higueras, neurosurgery, historical development
1. Las Higueras -Servicio de Salud Talcahuano H, Desempeño L DE. Lineamientos operacionales para las empresas adjudicadas. Talcahuano; 2018.
2. Hospital las Higueras-. Normalización [Internet]. 2024 [cited 2024 Apr 17]. Available from: https://www.hospitallashigueras.cl/info/normalizacion
3. ¿Que es la Red Asistencial? [Internet]. 2024. Available from: https://sstalcahuano.cl/que-es-la-red-asistencial/
4. Feigin VL, Abajobir AA, Abate KH, Abd-Allah F, Abdulle AM, Abera SF, et al. Global, regional, and national burden of neuro¬logical disorders during 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet Neurol [Internet]. 2017 Nov [cited 2018 Dec 20];16(11):877-97. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1474442217302995
5. Carroll WM. Global, regional, and national burden of neuro¬logical disorders, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol [Internet]. 2019;18(5):418-9. Available from: http://dx.doi.org/10.1016/S1474-4422(19)30029-8
https://doi.org/10.1016/S1474-4422(19)30029-8 DOI: https://doi.org/10.1016/S1474-4422(19)30029-8
6. Feigin VL, Vos T, Nichols E, Owolabi MO, Carroll WM, Dichgans M, et al. The global burden of neurological disorders: translating evidence into policy. Lancet Neurol. 2020;19(3):255-65.
https://doi.org/10.1016/S1474-4422(19)30411-9 DOI: https://doi.org/10.1016/S1474-4422(19)30411-9
7. BioBío S de S. Hospital Los Ángeles. 2024; Available from:
https://www.hospitallosangeles.cl/web2/index.php?c=historia
8. Servicio de Salud Ñuble. Hospital Herminada Martin de Chillán [Internet]. 2024. Available from: https://hospitaldechillan.cl/web/quienes/historia/
9. Rios S de SL. Hospital Base Valdivia [Internet]. 2024. Available from: https://www.hbvaldivia.cl/portal/index.php/quienes-somos/
10. Organización Panamericana de la Salud. Las funciones esen¬ciales de la salud pública en las Américas. Marco conceptual y descripción. 2019.
11. Adam T, de Savigny D. Systems thinking for strengthening health systems in LMICs: need for a paradigm shift. Health Policy Plan [Internet]. 2012;27(suppl_4):iv1-3. Available from: https://doi.org/10.1093/heapol/czs084
https://doi.org/10.1093/heapol/czs084 DOI: https://doi.org/10.1093/heapol/czs084
12. División de Gestión de Redes Asistenciales y División de Aten¬ción Primaria - Subsecretaría de Redes Asistenciales. ORIEN¬TACIONES PARA LA IMPLEMENTACIÓN DEL MODELO DE ATENCION INTEGRAL DE SALUD FAMILIAR Y COMUNITA¬RIA. Dirigidos a Equipos de Salud. 2012.
13. ORGANIZACIÓN MUNDIAL DE LA SALUD. CONSEJO EJE¬CUTIVO 146.a REUNIÓN. [Internet]. 2020. Available from: https://www.pj.gob.pe/wps/wcm/connect/cf69f7804ec9465191b-3f1cbea455c49/RESOLUCION+ADMINISTRATIVA-000173-2020-CE.pdf?MOD=AJPERES&CACHEID=cf69f7804ec9465191b3f1cbea455c49
14. Biblioteca del Congreso Nacional C. Decreto 140, REGLAMEN¬TO ORGANICO DE LOS SERVICIOS DE SALUD [Internet]. 2006 p. Capitulo I. Available from: https://www.bcn.cl/leychile/navegar?idNorma=237231
15. Dirección de Gestión de la Red Asistencial. Redes de Gestión GES y No GES [Internet]. Santiago de Chile.; 2022. Availa-ble from: https://www.dipres.gob.cl/597/w3-multipropertyva-lues-14679-35324.html#gestion
16. Moudgil-Joshi J, Liu J, Haugh JP, Scott C, Mian S, Gallo P, et al. WFNS 2022 abstract book. In 2022.
17. Negrette N, Perozo J, Rivera M, Arditi L, Lopez J, Cuadra E. SINDROME DEL TREFINADO: A PROPOSITO DE UN CASO. In: Congreso LXXVIII Sociedad Chilena de Neurología, Psiquia¬tría y Neurocirugía. 2023.
18. Pastor JI, Delgado D, Berrios A, Caba D, Perozo J, Ojeda O. Escoliosis degenerativa del adulto. Reporte de caso. In: 50 Congreso Chileno de Ortopedia y Traumatología [Internet]. Viña del Mar; 2022. Available from: https://www.schot.org/trabajos-seleccionados-congreso-schot-2022/
19. Florencia A. Manejo de hemangioma vertebral agresivo, a propósito de un caso. In: 59° Congreso Chileno de Ortopedia y Traumatología [Internet]. 2023. Available from: https://www.schot.org/trabajos-seleccionados-59-congreso-chileno-de- ortopedia-y-traumatologia/
20. Sundstrom N, Malm J, Laurell K, Lundin F, Kahlon B, Cesarini KG, et al. Incidence and outcome of surgery for adult hydrocephalus patients in Sweden. Br J Neurosurg [Internet]. 2017;31(1):21-7. Available from: http://dx.doi.org/10.1080/02688697.2016.1229749
https://doi.org/10.1080/02688697.2016.1229749 DOI: https://doi.org/10.1080/02688697.2016.1229749
21. Subdural C, An H. Hematoma subdural crónico. Una actualiza¬ción y revisión. Univ Medica. 2021;62(4).
https://doi.org/10.11144/Javeriana.umed62-4.hsca DOI: https://doi.org/10.11144/Javeriana.umed62-4.hsca
22. Coppola F, Campbell J, Herrero J, Volpe E, Cersosimo T. Comparative analysis of Grade i vs Grade II intracranial Menin¬giomas in a retrospective series of 63 patients. Surg Neurol Int. 2017;8(3):S37-42.
https://doi.org/10.4103/sni.sni_286_17 DOI: https://doi.org/10.4103/sni.sni_286_17
23. MOUNT SINAI EXPERT GUIDES. Oncology. In: William K. Oh M, Ajai Chari M, editors. Oncology. This editi. 2019. p. 501-97.
24. de Silva MJ, Roberts I, Perel P, Edwards P, Kenward MG, Fernandes J, et al. Patient outcome after traumatic brain injury in high-, middle- and low-income countries: Analysis of data on 8927 patients in 46 countries. Int J Epidemiol. 2009;38(2):452-8.
https://doi.org/10.1093/ije/dyn189 DOI: https://doi.org/10.1093/ije/dyn189
25. Wahjoepramono POP, Sasongko AB, Halim D, Aviani JK, Lukito PP, Adam A, et al. Hydrocephalus is an independent factor affecting morbidity and mortality of ICH patients: Syste¬matic review and meta-analysis. World Neurosurg X. 2023 Jul 1;19:100194.
https://doi.org/10.1016/j.wnsx.2023.100194 DOI: https://doi.org/10.1016/j.wnsx.2023.100194
26. Wang CW, Liu YJ, Lee YH, Hueng DY, Fan HC, Yang FC, et al. Hematoma shape, hematoma size, glasgow coma scale score and ich score: Which predicts the 30-day mortality better for intracerebral hematoma? PLoS One. 2014;9(7).
https://doi.org/10.1371/journal.pone.0102326 DOI: https://doi.org/10.1371/journal.pone.0102326
27. Saribekian AS, Ponomarev VA, Poliakova LN, Romen VA. [Mortality after surgical treatment of patients with hypertensive intracerebral hematomas]. Zh Vopr Neirokhir Im N N Burdenko. 2009;(1):3-11.
28. Jayaraman DK, Mehla S, Joshi S, Rajasekaran D, Goddeau RP. Update in the Evaluation and Management of Perioperative Stroke. Curr Treat Options Cardiovasc Med. 2019;21(11).
https://doi.org/10.1007/s11936-019-0779-3 DOI: https://doi.org/10.1007/s11936-019-0779-3
29. Shukla D, Agrawal A. Decompressive Craniectomy for Acute Stroke: The Good, the Bad, and the Ugly of it. Rom Neurosurg. 2014;21(3):349-52.
https://doi.org/10.2478/romneu-2014-0048 DOI: https://doi.org/10.2478/romneu-2014-0048
30. Dower A, Mulcahy M, Maharaj M, Chen H, Lim CED, Li Y, et al. Surgical decompression for malignant cerebral oedema after ischaemic stroke. Cochrane Database Syst Rev. 2022;2022(11).
https://doi.org/10.1002/14651858.CD014989.pub2 DOI: https://doi.org/10.1002/14651858.CD014989.pub2
31. Hospital Las Higueras. Unidad de Estadística y GRD. Talcahuano; 2024.
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