Complicaciones en pacientes hospitalizados con evento cerebro vascular isquémico
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Las enfermedades cerebro vasculares (ECV) tienen como característica principal la
perdida funcional transitoria o permanente de parte del sistema nervioso central, de
instalación súbita, por oclusión trombótica o embólica, o por la ruptura de una arteria
o vena encefálica. Según la Organización Mundial de la Salud (OMS) en todo el mundo
hay aproximadamente 15 millones de personas que sufren un evento cerebro vascular
cada año, así como también casi seis millones de pacientes mueren de apoplejía. Las
complicaciones asociadas al ictus son la principal causa de mortalidad y morbilidad.
OBJETIVO: Determinar los factores asociados a complicaciones en pacientes con evento
cerebro vascular isquémico en el Hospital Abel Gilbert Pontón en el periodo 2016- 2017.
METODOS: Los datos obtenidos en esta investigación se extrajo de archivos e historias
clínicas de 164 pacientes que tenían diagnóstico de evento cerebro vascular isquémico
que estuvieron hospitalizados en el período de enero 2016 a enero del 2017 en el
Hospital Abel Gilbert Pontón. RESULTADOS: Las principales complicaciones en esta
investigación son: En primer lugar, las infecciones nosocomiales con 26 casos (30%),
segundo lugar hipertensión endocraneal con 18 casos (21%), en tercer lugar,
hiperglicemia con 14 casos (16%).
PALABRAS CLAVES: ECV, CAUSAS, FACTORES DE RIESGO, COMPLICACIONES, ÁREA
PENUMBRA ISQUÉMICA.
The main characteristic of cerebrovascular diseases (CVD) is the transient or permanent functional loss of part of the central nervous system, of sudden installation, by thrombotic or embolic occlusion, or by the rupture of an artery or vein in the brain. According to the World Health Organization (WHO) around the world there are approximately 15 million people who suffer a cerebrovascular event every year, as well as nearly six million patients die of apoplexy. Complications associated with stroke are the main cause of mortality and morbidity. OBJECTIVE: To determine the factors associated with complications in patients with ischemic cerebrovascular event at the Abel Gilbert Pontón Hospital in the 2016-2017 period. METHODS: The data obtained in this investigation was extracted from the files and medical records of 164 patients who were diagnosed with cerebrovascular ischemic event that were hospitalized in the period from January 2016 to January 2017 at the Abel Gilbert Pontón Hospital. RESULTS: The main complications in this investigation are: First, nosocomial infections with 26 cases (30%), second place endocranial hypertension with 18 cases (21%), thirdly, hyperglycemia with 14 cases (16%).
The main characteristic of cerebrovascular diseases (CVD) is the transient or permanent functional loss of part of the central nervous system, of sudden installation, by thrombotic or embolic occlusion, or by the rupture of an artery or vein in the brain. According to the World Health Organization (WHO) around the world there are approximately 15 million people who suffer a cerebrovascular event every year, as well as nearly six million patients die of apoplexy. Complications associated with stroke are the main cause of mortality and morbidity. OBJECTIVE: To determine the factors associated with complications in patients with ischemic cerebrovascular event at the Abel Gilbert Pontón Hospital in the 2016-2017 period. METHODS: The data obtained in this investigation was extracted from the files and medical records of 164 patients who were diagnosed with cerebrovascular ischemic event that were hospitalized in the period from January 2016 to January 2017 at the Abel Gilbert Pontón Hospital. RESULTS: The main complications in this investigation are: First, nosocomial infections with 26 cases (30%), second place endocranial hypertension with 18 cases (21%), thirdly, hyperglycemia with 14 cases (16%).
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Evento cerebrovasculares isquémico, Complicaciones, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Cantón Guayaquil, Ecuador, Pacientes internos