Correlación clínica y nutricional de pacientes de cirrosis alcohólica entre 40 y 80 años estudio a realizarse en el Hospital Universitario de Guayaquil período 2016 - 2017
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
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La cirrosis hepática alcohólica en Ecuador ocupa el 7mo lugar de mortalidad según cifras del INEC 2014, sin embargo, en ellos no se han publicado datos estadísticos sobre su evolución y grados de morbilidad en las diferentes casas de salud. Caracterizado por la fibrosis hepática y nódulos de regeneración con alteración de metabolismo tanto proteico como de lípidos, la pérdida de peso por aumento de los requerimientos nutriciones y estado hipercatabólico, obligan al cuerpo a complementar la necesidad, pero debido a su hepatopatía este proceso es más lesivo, tornándose en un estado descompensado y posibles complicaciones descritas en la literatura médica; por lo que el nivel nutricional de estos pacientes se comprometido, causando sarcopenia, reducción del Índice de Masa Corporal y agravamiento del estado nutricional, porque brindar un tratamiento integral basado en el correcto aporte calórico y proteico es elemental, pero al no existir cifras en nuestro medio sobre la relación del estado nutricional con el grado de cirrosis alcohólica. Nuestro proyecto de forma cualitativa observacional indirecta y mediante corte transversal analítica y descriptivamente, pretendemos determinar en el Hospital Universitario de Guayaquil durante el periodo 2016-2017 cuales son los estadios clínicos según la escala de Child Pugh y su vinculación con grados de desnutrición demostró que la desnutrición un total de 100 pacientes que cumplieron los criterios inclusión, presentó más del 70 la sarcopenia marcada (moderada y severa), IMC comprometido (grado de desnutrición); concluyendo que aquellos pacientes en estadio clínico Child Pugh C presentaban desnutrición avanzada (74%).
Alcoholic liver cirrhosis in Ecuador occupies the 7th place of mortality according to figures from the INEC 2014; however, they have not published statistical data on its evolution and degrees of morbidity in the different health houses. Characterized by hepatic fibrosis and regeneration nodules with impaired protein and lipid metabolism, weight loss due to increased nutritional requirements and hypercatabolic state, force the body to complement the need, but due to its liver disease this process is more harmful, becoming a decompensated state and possible complications described in the medical literature; so that the nutritional level of these patients is compromised, causing sarcopenia, reduction of the Body Mass Index and aggravation of nutritional status, because providing an integral treatment based on the correct caloric and protein intake is elementary, but since there are no figures in our medium on the relationship of nutritional status with the degree of alcoholic cirrhosis. Our project of qualitative observational indirect form and through analytical and descriptive cross section, we intend to determine in the University Hospital of Guayaquil during the period 2016-2017 which are the clinical stages according to the Child Pugh scale and its link with degrees of malnutrition showed that the malnutrition a total of 100 patients who met the inclusion criteria, presented more than 70 marked sarcopenia (moderate and severe), compromised BMI (degree of malnutrition); concluding that those patients in clinical stage Child Pugh C presented advanced malnutrition (74%).
Alcoholic liver cirrhosis in Ecuador occupies the 7th place of mortality according to figures from the INEC 2014; however, they have not published statistical data on its evolution and degrees of morbidity in the different health houses. Characterized by hepatic fibrosis and regeneration nodules with impaired protein and lipid metabolism, weight loss due to increased nutritional requirements and hypercatabolic state, force the body to complement the need, but due to its liver disease this process is more harmful, becoming a decompensated state and possible complications described in the medical literature; so that the nutritional level of these patients is compromised, causing sarcopenia, reduction of the Body Mass Index and aggravation of nutritional status, because providing an integral treatment based on the correct caloric and protein intake is elementary, but since there are no figures in our medium on the relationship of nutritional status with the degree of alcoholic cirrhosis. Our project of qualitative observational indirect form and through analytical and descriptive cross section, we intend to determine in the University Hospital of Guayaquil during the period 2016-2017 which are the clinical stages according to the Child Pugh scale and its link with degrees of malnutrition showed that the malnutrition a total of 100 patients who met the inclusion criteria, presented more than 70 marked sarcopenia (moderate and severe), compromised BMI (degree of malnutrition); concluding that those patients in clinical stage Child Pugh C presented advanced malnutrition (74%).
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Cirrosis hepática, Alcoholismo, Estado nutricional, Epidemiología analítica, Epidemiología descriptiva, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador