Prevalencia de alteraciones de la densidad mineral ósea medida por densitómetro en pacientes con hipotiroidismo e hipertiroidismo. Hospital Regional IESS Dr. Teodoro Maldonado Carbo 2009-2010
Fecha
2011
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Las tiroideopatias siguen siendo patologíasmuy frecuentes en mujeres y de gran impacto en los sistemas de salud debido al alto número de dolencias crónicas como la Osteoporosis, trastorno producido por una disminución de la masa ósea de los huesos lo que afecta su densidad y resistencia, tornándolos a ser tan frágiles llegando a la fractura, incluso en traumatismos leves, relacionándose además con el uso crónico de medicamentos analgésicos y bifosfonatos y moduladores selectivos de los receptores estrogénicoslo que significa grandes rubros destinados para esta enfermedad. Lamentablemente en el Servicio de Endocrinología del Hospital Teodoro Maldonado Carbo no se cuenta con una base de datos sobre el manejo de este trastorno. Con el propósito de conocer esta información para desarrollar proyectos y programas de salud encaminados a la solución de las complicaciones de pacientes con tiroideopatias se realizóun estudio tipode investigación descriptivo observacional con diseño no experimental, longitudinal retrospectivo durante el periodo del 01 de agosto del 2009 hasta el 31 de julio del 2010 para determinar características epidemiológicas y clínicas de los pacientes hipertiroideos e hipotiroideos atendidos en este servicio por Osteopenia y Osteoporosis.Se presentó una prevalencia de 52,7% de alteraciones de la densidad mineral ósea, además dentro de las principales características de los pacientes se incluyeron edad (más de 45 años), Sexo (Femenino 83%), Etnia (Blanca 21%, Mestiza 77%).Solamente el 9% de los pacientes presentaron fracturas, y no se registraron muertes durante la investigación.
The thyroid disorders are still very common diseases in women and impact on health systems due to the high number of chronic conditions such as osteoporosis, a condition caused by decreased bone mass that affects bone density and strength, making them getting to be so fragile to fracture, even minor trauma, also related to chronic use of analgesics and bisphosphonates and selective modulators of estrogen receptors which means major categories for this disease. Unfortunately at the Department of Endocrinology, Hospital Teodoro Maldonado Carbodo not have a database on the management of this disorder. In order to know this information to develop projects and health programs aimed at resolving the complications of patients with thyroid disorders such a study is descriptive research design is not experimental, observational, longitudinal retrospective during the period of August 1, 2009 until July 31, 2010 to determine epidemiological and clinical characteristics of hyperthyroid and hypothyroid patients treated in this service for Osteopenia and Osteoporosis.You presents a prevalence of 52.7% of alterations of the bony mineral density, also inside the main characteristics of the patients they were included age (but of 45 years), sex (woman 83%), ethnos (white 21%, it crossbreeds 77%). Only the 95 of the patients presented fractures, and they didn’t register deaths during the investigation.
The thyroid disorders are still very common diseases in women and impact on health systems due to the high number of chronic conditions such as osteoporosis, a condition caused by decreased bone mass that affects bone density and strength, making them getting to be so fragile to fracture, even minor trauma, also related to chronic use of analgesics and bisphosphonates and selective modulators of estrogen receptors which means major categories for this disease. Unfortunately at the Department of Endocrinology, Hospital Teodoro Maldonado Carbodo not have a database on the management of this disorder. In order to know this information to develop projects and health programs aimed at resolving the complications of patients with thyroid disorders such a study is descriptive research design is not experimental, observational, longitudinal retrospective during the period of August 1, 2009 until July 31, 2010 to determine epidemiological and clinical characteristics of hyperthyroid and hypothyroid patients treated in this service for Osteopenia and Osteoporosis.You presents a prevalence of 52.7% of alterations of the bony mineral density, also inside the main characteristics of the patients they were included age (but of 45 years), sex (woman 83%), ethnos (white 21%, it crossbreeds 77%). Only the 95 of the patients presented fractures, and they didn’t register deaths during the investigation.
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Hipotiroidismo, Hipertiroidismo, Desintometría ósea, Osteoporosis, Osteopenia, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador