Impacto de las comorbilidades asociadas a infarto agudo de miocardio con el índice de cormorbilidades de Charlson en el Hospital Luis Vernaza en el año 2014
No hay miniatura disponible
Fecha
2015
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Los pacientes con infarto agudo de miocardio aparte de tener asociado los factores riesgos cardiovasculares clásicos, se le suman las distintas comorbilidades, que hoy en día es el común denominador de los pacientes hospitalizados llevando al alza la tasa de mortalidad en estos pacientes. Según los datos obtenidos de la OMS, los pacientes que oscilan entre la edad de 30 a 70 años de edad al padecer una patología de las 4 principales enfermedades no trasmisibles, entre las cuales como primer causa se encuentra la cardiovascular, la probabilidad de muerte anual de ese paciente es del 12% y sabiendo que la mayoría de los pacientes con afectación cardiovascular tienen sumado a su a ver más comorbilidades, su mortalidad aumentara de manera significativa. Charlson et al. Desarrollaron un índice ponderado de las comorbilidades en base a los registros médicos e identificó un total de 19 condiciones que influyen en la mortalidad. Entre las comorbilidades más frecuentes asociadas a pacientes con infarto agudo de miocardio en el año 2014 en nuestro estudio, ocupo el primer lugar la Diabetes Mellitus con 81 pacientes de 153, que representa a un 39%, seguido de la Insuficiencia cardiaca con 56/153 pacientes con un porcentaje del 27%, la Diabetes mellitus con lesión orgánica y la patología renal moderada grave ambas con 16/153 pacientes con un porcentaje del 8% para ambas. La comorbilidad asociada es un aspecto importante en el paciente con cardiopatía isquémica que influye no sólo en el pronóstico, sino también en el diagnóstico, la calidad de vida y la selección del tratamiento. Proponemos Que se realice una valoración desde la emergencia del paciente con IAM del iCCh para tener un pronóstico más acertado y refinado, junto con los demás índices post-IAM (TIMI-GRACE).
The Patients with acute myocardial infarction have associated besides the classic cardiovascular risk factors, they are added the various comorbidities, which today is the common denominator of hospitalized patients leading to rising mortality rate in these patients. According to data from WHO, patients ranging from the age of 30-70 years old to have a pathology of the four main non-communicable diseases, including as a first cause is cardiovascular, the annual probability of death that patient is 12% and knowing that most of the patients with cardiovascular impairment have added to their to see more comorbidities, mortality increased significantly. Charlson et al. They developed a weighted index of comorbidities based on medical records and identified a total of 19 conditions that influence mortality. Among the most frequent comorbidities in patients with acute myocardial infarction in 2014 in our study ranked first with 81 Diabetes Mellitus 153 patients, representing 39%, followed by heart failure with 56/153 Patients with a percentage of 27%, Diabetes mellitus with organ damage and severe moderate renal pathology both with 16/153 patients with a percentage of 8% for both. The comorbidity is important in patients with ischemic heart disease that affects not only the prognosis but also in diagnosis, quality of life and treatment selection aspect. We propose that an assessment since the emergence of the ICCH patients with AMI to have a more accurate and refined, along with other post-myocardial infarction (TIMI-GRACE) indexes forecast is made.
The Patients with acute myocardial infarction have associated besides the classic cardiovascular risk factors, they are added the various comorbidities, which today is the common denominator of hospitalized patients leading to rising mortality rate in these patients. According to data from WHO, patients ranging from the age of 30-70 years old to have a pathology of the four main non-communicable diseases, including as a first cause is cardiovascular, the annual probability of death that patient is 12% and knowing that most of the patients with cardiovascular impairment have added to their to see more comorbidities, mortality increased significantly. Charlson et al. They developed a weighted index of comorbidities based on medical records and identified a total of 19 conditions that influence mortality. Among the most frequent comorbidities in patients with acute myocardial infarction in 2014 in our study ranked first with 81 Diabetes Mellitus 153 patients, representing 39%, followed by heart failure with 56/153 Patients with a percentage of 27%, Diabetes mellitus with organ damage and severe moderate renal pathology both with 16/153 patients with a percentage of 8% for both. The comorbidity is important in patients with ischemic heart disease that affects not only the prognosis but also in diagnosis, quality of life and treatment selection aspect. We propose that an assessment since the emergence of the ICCH patients with AMI to have a more accurate and refined, along with other post-myocardial infarction (TIMI-GRACE) indexes forecast is made.
Descripción
Palabras clave
Infarto del miocardio, Hospital Luis Vernaza, Indice de Charlson, Cantón Guayaquil, Ecuador, Comorbilidad