Factores nutricionales que influyen en la evolución y las complicaciones en apendicitis aguda en edades pediátricas
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
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Antecedentes: La apendicitis aguda proyecta retos diagnósticos y terapéuticos en la población pediátrica debido a que en los niños lo que implica un incremento de la morbimortalidad, gastos hospitalarios y ausentismo escolar.
Objetivo: Determinar los factores nutricionales que influyen en la presencia de apendicitis en los menores de 5 a 12 años.
Materiales y métodos: Se realizó un estudio observacional, transversal en pacientes pediátricos que ingresaron al servicio de urgencias con sospecha de apendicitis aguda, se les diligenció el formulario que contiene las variables que se consideró podrían influir en el desarrollo de complicaciones y se excluyeron aquellos con diagnostico negativo para apendicitis.
Muestra: Se incluyeron en el estudio 193 pacientes entre 1 y 12 años, 85 niñas (44%) y 108 niños (56%), 25 menores de 6 años.
Resultados: Se demostró que 98 pacientes (50,8%), cursaron con apendicitis perforada diagnosticada por el cirujano. Hubo diferencias marcadas entre los pacientes que cursaron o complicaciones con respecto a la edad, tratamientos antibióticos previos, tipo de sistema de salud, síntomas y signos encontrados al examen físico. Concluyendo Existen factores de riesgo para la presencia de las complicaciones en pacientes pediátricos con apendicitis como son la edad menor de 6 años, el tiempo de evolución, tratamiento previo con antibióticos.
Background: The acute appendicitis projects diagnostic and therapeutic challenges in the pediatric population due to the fact that in the children what implies an increase of the morbimortalidad, hospital expenses and school absenteeism. Objective: To determine the nutritional factors that influence the presence of appendicitis the minors from 5 to 12 years. Materials and methods: A study was realized observacional, transversely in pediatric patients who entered to the service of urgencies with suspicion of sharp appendicitis, they there was dealed the form that contains the variables that it was considered to be they might influence the development of complications and those were excluded by negative diagnosis for appendicitis. Sample: It was included 193 patients in the study between 1 and 12 years, 85 girls (44%) and 108 children (56 %), 25 6-year-old minors. Results: There was demonstrated that 98 patients (50,8 %), dealed with perforated appendicitis diagnosed by the surgeon. There were differences marked between the patients that they dealed or complications with regard to the age, antibiotic previous treatments, type of system of health, symptoms and signs found to the physical examination. Concluding factors of risk Exist for the presence of the complications in pediatric patients with appendicitis since they are the age 6-year-old minor, the time of evolution, previous treatment with antibiotics.
Background: The acute appendicitis projects diagnostic and therapeutic challenges in the pediatric population due to the fact that in the children what implies an increase of the morbimortalidad, hospital expenses and school absenteeism. Objective: To determine the nutritional factors that influence the presence of appendicitis the minors from 5 to 12 years. Materials and methods: A study was realized observacional, transversely in pediatric patients who entered to the service of urgencies with suspicion of sharp appendicitis, they there was dealed the form that contains the variables that it was considered to be they might influence the development of complications and those were excluded by negative diagnosis for appendicitis. Sample: It was included 193 patients in the study between 1 and 12 years, 85 girls (44%) and 108 children (56 %), 25 6-year-old minors. Results: There was demonstrated that 98 patients (50,8 %), dealed with perforated appendicitis diagnosed by the surgeon. There were differences marked between the patients that they dealed or complications with regard to the age, antibiotic previous treatments, type of system of health, symptoms and signs found to the physical examination. Concluding factors of risk Exist for the presence of the complications in pediatric patients with appendicitis since they are the age 6-year-old minor, the time of evolution, previous treatment with antibiotics.
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Apendicitis, Factores nutricionales, Complicaciones, Pediatría, Cantón Babahoyo, Ecuador, Hospital General Martín Icaza