Aplicabilidad del Curb 65 en pacientes ingresados con diagnóstico de neumonía en el Hospital de Infectología Dr. José Rodríguez Maridueña durante el período de mayo a diciembre de 2015
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
La neumonía adquirida en la comunidad es una de las enfermedades que se presentan en la población general especialmente en los adultos mayores y en personas con comorbilidades existentes. La incidencia anual de neumonía adquirida en la comunidad es de 5.16 a 6.11 casos por 1000 habitantes, su incremento se encuentra relacionado directamente proporcional con el paciente, y además se ha visto que la mortalidad varía de acuerdo al sitio geográfico donde se haya desarrollado la infección, siendo América Latina la región con mayor mortalidad por neumonía representando un 13.3%.
El objetivo de este estudio fue determinar la aplicabilidad de la escala CURB 65 en una muestra de 50 pacientes atendidos en el hospital de infectología Dr. José Rodríguez Maridueña durante el periodo de mayo a diciembre de 2015.
Además se buscó establecer datos como el porcentaje de mortalidad por casos de neumonía adquirida en la comunidad, y la frecuencia de ingresos a la unidad de cuidados intensivos y a hospitalización. El estudio fue basado en la revisión de historias clínicas.
Los resultados mostraron que la escala CURB 65 se aplica en la mayoría de los casos de pacientes con diagnóstico de neumonía adquirida en la comunidad, pero aun no en todos. 16 pacientes fueron ingresados a la unidad de cuidados intensivos y 34 pacientes pasaron a hospitalización. El porcentaje de mortalidad fue del 18% de pacientes, el grupo etario en el que se presentó con más frecuencia la neumonía adquirida en la comunidad fue en los pacientes de 40 a 50 años de edad, y de género masculino.
En cuanto al perfil epidemiológico de los pacientes, un 50% procedían de zonas húmedas, frías o contaminadas, el 26% padecía de hipertensión arterial, el 54% tenía el virus de inmunodeficiencia humana, el 20% tenía diabetes, y un 44% de los pacientes fue mayor de 60 años.
The community-acquired pneumonia is one of the diseases that occur in the general population, especially in the elderly and in people with existing comorbidities. The annual incidence of community-acquired pneumonia is 5.16 to 6.11 cases per 1,000 population, the increase is related directly proportional to the patient, and it has been that mortality varies according to geographical location where it was developed infection being Latin America, the region with the highest mortality from pneumonia representing 13.3%. The aim of this study was to determine the applicability of the CURB-65 scale in a sample of 50 patients treated at the infectious diseases hospital Dr. Jose Rodriguez Maridueña during the period from May to December 2015. He also sought to establish data as the percentage of mortality cases of community-acquired pneumonia, and frequency of income to the intensive care unit and hospitalization. The study was based on a review of medical records. The results showed that the CURB-65 scale applies in most cases of patients diagnosed with community-acquired pneumonia, but still not all. 16 patients were admitted to the intensive care unit and 34 patients underwent hospitalization. The mortality rate was 18% of patients, the age group that appeared most often community-acquired pneumonia patients was 40 to 50 years of age, and male gender. As for the epidemiological profile of patients, 50% were from wet, cold or polluted areas, 26% had hypertension, 54% had the human immunodeficiency virus, 20% had diabetes, and 44% of patients was older than 60 years.
The community-acquired pneumonia is one of the diseases that occur in the general population, especially in the elderly and in people with existing comorbidities. The annual incidence of community-acquired pneumonia is 5.16 to 6.11 cases per 1,000 population, the increase is related directly proportional to the patient, and it has been that mortality varies according to geographical location where it was developed infection being Latin America, the region with the highest mortality from pneumonia representing 13.3%. The aim of this study was to determine the applicability of the CURB-65 scale in a sample of 50 patients treated at the infectious diseases hospital Dr. Jose Rodriguez Maridueña during the period from May to December 2015. He also sought to establish data as the percentage of mortality cases of community-acquired pneumonia, and frequency of income to the intensive care unit and hospitalization. The study was based on a review of medical records. The results showed that the CURB-65 scale applies in most cases of patients diagnosed with community-acquired pneumonia, but still not all. 16 patients were admitted to the intensive care unit and 34 patients underwent hospitalization. The mortality rate was 18% of patients, the age group that appeared most often community-acquired pneumonia patients was 40 to 50 years of age, and male gender. As for the epidemiological profile of patients, 50% were from wet, cold or polluted areas, 26% had hypertension, 54% had the human immunodeficiency virus, 20% had diabetes, and 44% of patients was older than 60 years.
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Neumonía, Pacientes hospitalizados, Escala de Curb-65, Hospital de Infectología Dr. José Daniel Rodríguez Maridueña, Cantón Guayaquil, Ecuador, Infecciones comunitarias adquiridas