Factores de riesgo y complicaciones de la hemorragia digestiva alta en pacientes adultos mayores, y su tendencia en el Hospital Universitario de Guayaquil, período enero a diciembre del 2016
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
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El propósito de este trabajo fue identificar los factores de riesgo y complicaciones de la hemorragia digestiva alta en pacientes adultos mayores del hospital Universitario de Guayaquil en el año 2015 ; analizar las características al ingreso, el curso evolutivo y el pronóstico de la hemorragia digestiva alta (HDA) en el paciente anciano.
Para este estudio se incluyeron 120 pacientes con edad igual o mayor a 65 años, que han sido ingresados por un episodio de Hemorragia Digestiva Alta en el Hospital Universitario durante el año 2015, analizamos los antecedentes personales, características de la hemorragia, realización de la endoscopia urgente diagnóstica y terapéutica y factores pronósticos asociados. El estudio es descriptivo retrospectivo utilizando la información que está en los registros de las historias clínicas de los pacientes atendidos durante el período de estudio, en el Hospital universitario, la misma que será tabulada en cuadros gráficos.
La etiología más frecuente de la HDA fue el sangrado por úlcera gastroduodenal en el 65,1%, siendo los 60,2% consumidores crónicos de antiinflamatorios no esteroideos. Se realizó endoscopia diagnóstica urgente en todos ellos, con una eficacia del 94,2% y terapéutica en el 28,2%. La tasa de resangrado fue del 8%, requiriendo cirugía urgente el 4,9%, con una mortalidad global del 5,8%.
Gracias a este proyecto hemos podido establecer de una manera ordenada, tabulada y verídica los factores de riesgo y las complicaciones de la Hemorragia Digestiva Alta en pacientes adultos mayores del Hospital Universitario que fue con un total de 120 casos, los cuales fueron del año 2015 y la realización de endoscopia urgente y la aplicación de terapéutica endoscópica es un método seguro y eficaz para detener el sangrado por HDA en el anciano, lo cual ha reducido la necesidad de cirugía urgente, mejorando la supervivencia del enfermo anciano sangrante.
The purpose of this study was to identify risk factors and complications of upper gastrointestinal bleeding in elderly patients at the University Hospital of Guayaquil in 2015; analyze the characteristics at admission, clinical course and prognosis of upper gastrointestinal bleeding (HDA) in elderly patients. For this study 120 patients aged greater than or equal to 65 years who have been admitted for an episode of gastrointestinal bleeding Alta at the University Hospital during 2015 were included, we analyze the personal background, characteristics of bleeding, performing endoscopy urgent diagnostic and therapeutic and associated prognostic factors. The retrospective descriptive study using the information that is in the records of the medical records of patients seen during the study period at the University Hospital, the same will be tabulated in charts. The most common etiology of HDA was bleeding gastroduodenal ulcer by 65.1%, with 60.2% chronic users of NSAIDs. urgent diagnostic endoscopy was performed in all of them, with an efficiency of 94.2% and 28.2% therapeutics. Rebleeding rate was 8%, requiring emergency surgery 4.9%, with an overall mortality of 5.8%. Through this project we have been able to establish an orderly, tabulated and truthfully risk factors and complications of gastrointestinal bleeding High in elderly patients at University Hospital was a total of 120 cases, which were 2015 and performing urgent endoscopy and application of endoscopic therapy is a safe and effective method to stop bleeding by UGB in the elderly, which has reduced the need for emergency surgery, improving patient survival elderly bleeding.
The purpose of this study was to identify risk factors and complications of upper gastrointestinal bleeding in elderly patients at the University Hospital of Guayaquil in 2015; analyze the characteristics at admission, clinical course and prognosis of upper gastrointestinal bleeding (HDA) in elderly patients. For this study 120 patients aged greater than or equal to 65 years who have been admitted for an episode of gastrointestinal bleeding Alta at the University Hospital during 2015 were included, we analyze the personal background, characteristics of bleeding, performing endoscopy urgent diagnostic and therapeutic and associated prognostic factors. The retrospective descriptive study using the information that is in the records of the medical records of patients seen during the study period at the University Hospital, the same will be tabulated in charts. The most common etiology of HDA was bleeding gastroduodenal ulcer by 65.1%, with 60.2% chronic users of NSAIDs. urgent diagnostic endoscopy was performed in all of them, with an efficiency of 94.2% and 28.2% therapeutics. Rebleeding rate was 8%, requiring emergency surgery 4.9%, with an overall mortality of 5.8%. Through this project we have been able to establish an orderly, tabulated and truthfully risk factors and complications of gastrointestinal bleeding High in elderly patients at University Hospital was a total of 120 cases, which were 2015 and performing urgent endoscopy and application of endoscopic therapy is a safe and effective method to stop bleeding by UGB in the elderly, which has reduced the need for emergency surgery, improving patient survival elderly bleeding.
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Anciano, Factores de riesgo, Hemorragia gastrointestinal, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador