Valor predictivo positivo de la escala de Alvarado de diabéticos tipo 2 estudio a realizarse en el Hospital Universitario de Guayaquil, enero 2015 a diciembre 2016
No hay miniatura disponible
Fecha
2018
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La apendicitis es considerada como uno de los motivos de consulta más comunes al manifestarse como dolor abdominal y posible cuadro de abdomen agudo; esta patología se torna complicada al diagnóstico en los extremos de las edades y en pacientes con endocrinopatías (DMII), por ello el uso de escalas valorativas como la de Alvarado, se convierten en sugestivo de la probabilidad diagnostica, siendo necesario analizar la viabilidad y resultados posibles de esta escala valorativa en paciente con diabetes mellitus. En Ecuador no se han reportado datos específicos sobre la asociación entre la apendicitis y diabetes mellitus, por lo que no se conoce como la escala de Alvarado es capaz de usarse o emplearse en la presunción diagnostica de este grupo con riesgo elevado de perforación y complicaciones post apendicetomía. Nuestro trabajo de tipo analítico descriptivo observacional indirecto enfocado en pacientes sometidos a cirugía y con antecedentes de diabetes mellitus tipo II, con un total de 165 pacientes, predominio femenino con 62%, y el 37% de la población menor de 50 años, nivel económico medio en todos los casos, el Score Alvarado en estos pacientes mostro ser poco probable en 77 casos, sin embargo la probabilidad intermedia y alta se presentó en el 54%, siendo en el primer grupo el hallazgo flemoso el más común y en el segundo grupo el diagnóstico de apendicitis gangrenosa tuvo mayor frecuencia.
Appendicitis is considered one of the most common reasons for consultation when it manifests as abdominal pain and possible acute abdomen. This pathology becomes complicated to the diagnosis in the extremes of the ages and in patients with endocrinopathies (DMII), therefore the use of valuation scales such as Alvarado's, become suggestive of the diagnostic probability, being necessary to analyze the viability and results possible of this assessment scale in a patient with diabetes mellitus. In Ecuador no specific data have been reported on the association between appendicitis and diabetes mellitus, so it is not known how the Alvarado scale is capable of being used or used in the diagnostic presumption of this group with high risk of perforation and post-complications. appendectomy Our descriptive, indirect observational, analytical work focused on patients undergoing surgery and with a history of type II diabetes mellitus, with a total of 165 patients, predominantly female with 62%, and 37% of the population under 50 years of age, economically. mean in all cases, the Alvarado Score in these patients was unlikely in 77 cases, however the intermediate and high probability was presented in 54%, being in the first group the phlegmon finding the most common and in the second group the diagnosis of gangrenous appendicitis was more frequent.
Appendicitis is considered one of the most common reasons for consultation when it manifests as abdominal pain and possible acute abdomen. This pathology becomes complicated to the diagnosis in the extremes of the ages and in patients with endocrinopathies (DMII), therefore the use of valuation scales such as Alvarado's, become suggestive of the diagnostic probability, being necessary to analyze the viability and results possible of this assessment scale in a patient with diabetes mellitus. In Ecuador no specific data have been reported on the association between appendicitis and diabetes mellitus, so it is not known how the Alvarado scale is capable of being used or used in the diagnostic presumption of this group with high risk of perforation and post-complications. appendectomy Our descriptive, indirect observational, analytical work focused on patients undergoing surgery and with a history of type II diabetes mellitus, with a total of 165 patients, predominantly female with 62%, and 37% of the population under 50 years of age, economically. mean in all cases, the Alvarado Score in these patients was unlikely in 77 cases, however the intermediate and high probability was presented in 54%, being in the first group the phlegmon finding the most common and in the second group the diagnosis of gangrenous appendicitis was more frequent.
Descripción
PDF
Palabras clave
Apendicitis, Escala de Alvarado, Diabetes mellitus tipo 2, Indicadores de morbimortalidad, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador