Hemotórax en pacientes ingresados en el Area del Cardiotórax en el Hospital Dr. Teodoro Maldonado Carbo en el período 2012 - 2014
Fecha
2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
OBJETIVO:Identificar la incidencia real de hemotórax en pacientes ingresados en el Área De Cardiotórax en el Hospital Dr. Teodoro Maldonado Carbo en el periodo 2012 – 2014, mediante la recopilación y análisis de los datos obtenidos en este centro hospitalario para contribuir con información fidedigna que logrará establecer el punto de partida para instituir protocolos para el diagnóstico y el manejo inicial y eficaz de dicha patología ,que servirían a los médicos que se encuentran dentro del área de emergencia y que de esta forma disminuya la tasa de mortalidad de estos pacientes, al ser identificada de manera oportuna.
METODO: Para este estudio se incluyó a los pacientes ingresados en el Área De Cardiotórax provenientes tanto del área de emergencia, como del área de consulta externa, durante el periodo 2012- 2014, con historias clínicas que incluyan exámenes imagenológicos (radiografía) o toracocentesis diagnostica que confirmen la patología estudiada. Se excluirán los pacientes con que no cumplan con los criterios de inclusión.
El estudio es descriptivo retrospectivo analítico, debido a que se utilizó la información que está en los registros de la base de datos del Servicio De Cardiotórax, así como del departamento de estadística de los pacientes atendidos durante el período de estudio, en el Hospital Dr. Teodoro Maldonado Carbo.
RESULTADOS: De un total de 4105 pacientes q fueron atendidos en el área de Cardiotórax del Hospital Dr. Teodoro Maldonado Carbo durante el periodo de estudio, se obtuvieron 100 casos, los cuales cumplieron con los criterios de inclusión, exclusión y fueron ingresados con el CIE: HEMOTÓRAX. En cuanto al género, el sexo masculino fue el más afectado con 92 casos en el periodo establecido a diferencia de las mujeres con solo 8 casos. La complicación más frecuente fue el Hemotórax Coagulado
VIII
CONCLUSIONES: La situación del Hemotórax varía según el escenario formativo de los diferentes países, es decir que si comparamos los resultados de ésta investigación con las publicadas en las diferentes revistas médicas, nos podríamos dar cuenta que los datos obtenidos son muy diferentes
La incidencia del Hemotórax en el año 2012 – 2014, corresponde al 2,43 % del universo que se estudia, con un total de 100 casos (muestra), de los cuales fueron 41 casos en el 2012, 38 y 21 casos en el 2013 y 2014 correspondientemente
El sexo más afectado fue el masculino que el femenino. Con un total de 92 casos en los años establecidos en el este estudio
La edad de mayor incidencia fue entre los 45 y los 59 años de edad
La complicación de mayor frecuencia fue en primer lugar el Hemotórax Coagulado con un total de 30 casos, seguido de shock, derrame pleural y empiema, correspondiendo a 1 caso en cada una de éstos, es decir que corresponderían al 1% cada uno de ellos en las estadísticas de éste trabajo.
GOAL: To identify the true incidence of hemothorax in patients admitted incardiothoracic area at Dr. Teodoro Maldonado Carbo Hospital in the period 2012 - 2014, through the compilation and analysis of the obtained data in this hospital in order to contribute with reliable information that will be able to establish the starting point to constitute protocols for the diagnosis and the initial and effective management of this pathology that will be useful for the physicians who are within the area of emergency and thus the mortality rate of these patients will decrease, being identified in a timely manner. METHOD: For this study, patients were admitted to the cardiothoracic area from two departments, the emergency area and the outpatient department during the period 2012- 2014, with medical records that include imaging tests (X-ray) or diagnostic thoracentesis that confirm the studied pathology. Patients who do not fulfill the inclusion criteria will be excluded. The study is descriptive, retrospective and analytic, because the used information is in the records of the database of the cardiothoracic service area as well as the statistics department of the patients seen during the study period at the Dr. Teodoro Maldonado Carbo Hospital. RESULTS: Out of 4105 total patients that were seen in the area of cardiothoracic at Dr. Teodoro Maldonado Carbo Hospital, 100 cases which met the inclusion and exclusion criteria were obtained and admitted to the CIE hemothorax. Regarding gender, male sex was the most affected with 92 cases in the established period unlike women with only 8 cases. The most common complication was Hemothorax Coagulated. X CONCLUSIONS: The Hemothorax´s situation varies according to the formative scene of the different countries, which means that if we compare the results of this research with the published research of various medical journals, we could realize that the obtained data are very different.TheHemothorax incidence in 2012 - 2014, which corresponds to 2.43% in the universe being studied, with a total of 100 cases (sample), which were 41 cases in 2012, 38 and 21 cases in 2013 and 2014 correspondingly. The most affected patients were male than female, with a total of 92 cases during the established years in this study. The age rate of more incidences was between 45 and 59 years old. The complication of high frequency on the first place was hemothorax Coagulated with a total of 30 cases, followed by shock, pleural effusion and empyema, corresponding to one case each, which means that it would correspond to 1% each in the statistics of this job.
GOAL: To identify the true incidence of hemothorax in patients admitted incardiothoracic area at Dr. Teodoro Maldonado Carbo Hospital in the period 2012 - 2014, through the compilation and analysis of the obtained data in this hospital in order to contribute with reliable information that will be able to establish the starting point to constitute protocols for the diagnosis and the initial and effective management of this pathology that will be useful for the physicians who are within the area of emergency and thus the mortality rate of these patients will decrease, being identified in a timely manner. METHOD: For this study, patients were admitted to the cardiothoracic area from two departments, the emergency area and the outpatient department during the period 2012- 2014, with medical records that include imaging tests (X-ray) or diagnostic thoracentesis that confirm the studied pathology. Patients who do not fulfill the inclusion criteria will be excluded. The study is descriptive, retrospective and analytic, because the used information is in the records of the database of the cardiothoracic service area as well as the statistics department of the patients seen during the study period at the Dr. Teodoro Maldonado Carbo Hospital. RESULTS: Out of 4105 total patients that were seen in the area of cardiothoracic at Dr. Teodoro Maldonado Carbo Hospital, 100 cases which met the inclusion and exclusion criteria were obtained and admitted to the CIE hemothorax. Regarding gender, male sex was the most affected with 92 cases in the established period unlike women with only 8 cases. The most common complication was Hemothorax Coagulated. X CONCLUSIONS: The Hemothorax´s situation varies according to the formative scene of the different countries, which means that if we compare the results of this research with the published research of various medical journals, we could realize that the obtained data are very different.TheHemothorax incidence in 2012 - 2014, which corresponds to 2.43% in the universe being studied, with a total of 100 cases (sample), which were 41 cases in 2012, 38 and 21 cases in 2013 and 2014 correspondingly. The most affected patients were male than female, with a total of 92 cases during the established years in this study. The age rate of more incidences was between 45 and 59 years old. The complication of high frequency on the first place was hemothorax Coagulated with a total of 30 cases, followed by shock, pleural effusion and empyema, corresponding to one case each, which means that it would correspond to 1% each in the statistics of this job.
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Hemotórax, Complicaciones, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Epidemiología descriptiva, Estudios retrospectivos