Pesquisadores brasileiros desenvolvem índice para reduzir atraso e fortalecer cirurgias eletivas
Ferramenta é descrita em artigo publicado na revista 'The Lancet', uma das mais prestigiadas do mundo, e tem pesquisadores do HRAC-USP entre os coautores
![](data:image/jpeg;base64,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)
Um estudo que acaba de ser publicado na revista científica The Lancet, uma das mais antigas e prestigiadas do mundo na área da medicina – e que tem pesquisadores do Hospital de Reabilitação de Anomalias Craniofaciais (HRAC/Centrinho) da USP em Bauru entre os coautores – aponta que, no início de 2022, cerca de 200 milhões de pacientes em todo o mundo aguardavam cirurgias eletivas (aquelas que podem ser agendadas com antecedência).
Com o objetivo de fortalecer os serviços cirúrgicos eletivos e reduzir os atrasos crescentes, os cientistas desenvolveram e validaram um Índice de Preparação Cirúrgica – Surgical Preparedness Index (SPI) –, primeira ferramenta que avalia especificamente a cirurgia eletiva e a preparação do sistema de anestesia. Para essa finalidade, foram priorizados 23 indicadores globalmente relevantes de preparação cirúrgica em quatro domínios: instalações, pessoal, priorização e processos.
De acordo com o estudo, a aplicação do SPI pode identificar alvos e subsidiar políticas públicas e investimentos nos níveis regional e local. O trabalho sugere também que os hospitais devem implementar urgentemente a avaliação anual do SPI e criar planos de ação locais para fortalecer os serviços cirúrgicos eletivos.
A situação foi agravada pela pandemia, mas os estudiosos lembram que a covid-19 é apenas um dos fatores que impactaram o serviço. Epidemias de gripe e vírus ebola tiveram efeitos significativos nos serviços cirúrgicos na última década. E fenômenos naturais associados às mudanças climáticas, bem como conflitos, continuam a representar uma ameaça substancial ao funcionamento desse sistema.
“O acúmulo de pacientes aguardando procedimentos eletivos é agora um dos desafios mais prementes para a saúde global nos próximos dez anos”, destacam os pesquisadores.
Embora o SPI tenha sido desenvolvido durante a pandemia de covid-19, ele foi projetado para ser aplicável a qualquer contexto de pressão do sistema de saúde. O trabalho mostra ainda que esforços concentrados para lidar com a preparação cirúrgica serão essenciais para lidar com os crescentes atrasos e mitigar os danos aos pacientes que aguardam a cirurgia eletiva.
“Melhorar a preparação provavelmente fortalecerá os serviços cirúrgicos eletivos contra futuros choques externos e apoiará a ampliação da cirurgia para atender às crescentes demandas. Portanto, o SPI apoia uma área de grande prioridade para a Organização Mundial da Saúde (OMS) para o progresso contínuo em direção ao Objetivo de Desenvolvimento Sustentável 3 [da Organização das Nações Unidas – ONU]: Saúde e Bem-estar”, pontuam os pesquisadores.
Intitulado Elective surgery system strengthening: development, measurement, and validation of the surgical preparedness index across 1.632 hospitals in 119 countries (Fortalecimento do sistema de cirurgia eletiva: desenvolvimento, medição e validação do índice de preparação cirúrgica em 1.632 hospitais em 119 países), o artigo foi publicado em 31 de outubro e está disponível para consulta no endereço https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)01846-3/fulltext.
Este é mais um trabalho desenvolvido pela plataforma de estudos internacional sobre a covid-19 e a segurança em cirurgias chamada CovidSurg Collaborative, da qual o HRAC-USP participa. A iniciativa é liderada por pesquisadores da Universidade de Birmingham (Inglaterra) e conta com a participação de mais de 142 mil pacientes, 1.600 centros e 120 países. Essa colaboração internacional já resultou em diversos artigos publicados em 2021 e 2022 em conceituados periódicos científicos internacionais.
Pesquisadores do HRAC-USP
Três pesquisadores da USP participam da CovidSurg Collaborative e estão entre os coautores das publicações. São eles os professores: Carlos Ferreira dos Santos, superintendente do HRAC-USP e vice-diretor da Faculdade de Odontologia de Bauru (FOB) da USP; Cristiano Tonello, chefe técnico do Departamento Hospitalar do HRAC-USP e docente do Curso de Medicina da FOB; e Nivaldo Alonso, chefe técnico da Seção de Cirurgia Craniofacial do HRAC-USP e docente da Disciplina de Cirurgia Plástica da Faculdade de Medicina da USP (FMUSP).
“Esta é mais uma amostra da excelência que caracteriza o trabalho realizado pela equipe do HRAC, tanto pela relevância e impacto científico como também pela inovação e contribuição para a melhoria contínua da assistência, das cirurgias eletivas”, ressalta Santos.