Complicaciones de la cirrosis en pacientes del Hospital Teodoro Maldonado período enero - diciembre 2016
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
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Introducción: La cirrosis es un síndrome que corresponde a la etapa tardía de toda enfermedad hepática de etiología diversa. Presenta manifestaciones clínicas variadas y comprende dos fases bien diferenciadas en su historia natural; la cirrosis compensada y la descompensada. El pronóstico de la cirrosis es muy variable puesto que está influenciado por una serie de factores incluidos la etiología, gravedad, la presencia de complicaciones y enfermedades comórbidas. Metodología: El objetivo de este proyecto de investigación es Determinar las complicaciones de las cirrosis hepática del Hospital Teodoro Maldonado Carbo, Se estableció un estudio retrospectivo, observacional y descriptivo durante enero a diciembre del año 2016, el universo escogido fueron pacientes atendidos en el área de Gastroenterología del Hospital Teodoro Maldonado Carbo, la muestra fueron 218 pacientes que presentaron cirrosis descompensada con la diversidad de sus complicaciones por hipertensión portal e insuficiencia hepática. Resultados: De las complicaciones la más incidente fue la Hemorragia digestiva alta. Los pacientes masculinos fueron la población con más incidencia de cirrosis Mediante la clasificación child pugh podemos establecer la mortalidad de los pacientes, en este estudio 92 pacientes presentaron una cirrosis descompensada con una sobrevida menor al 35% en 2 años. Dentro de la clasificación MELD 74 pacientes presentaron mortalidad a los 3 meses mayor del 71%, del total de 218 pacientes fallecieron 61 por complicaciones.
Introduction: Cirrhosis is a syndrome that corresponds to the late stage of all liver disease of diverse etiology. Cirrhosis presents varied clinical manifestations and includes two well differentiated phases in its natural history; compensated and decompensated cirrhosis. The prognosis of cirrhosis is very variable since it is influenced by a series of factors including the etiology, severity, the presence of complications and comorbid diseases. Methodology: The objective of this research project is to determine the complications of liver cirrhosis of Teodoro Maldonado Carbo Hospital. A retrospective, observational and descriptive study was established during January to December 2016, the universe chosen were patients treated in the area of Gastroenterology Hospital Teodoro Maldonado Carbo, the sample was 218 patients who presented decompensated cirrhosis with the diversity of its complications due to portal hypertension and liver failure. Results: Of the complications, the most incident was high digestive hemorrhage. Male patients were the population with the highest incidence of cirrhosis. Through the child pugh classification we can establish the mortality of patients. In this study, 92 patients presented decompensated cirrhosis with a survival rate of less than 35% in 2 years. Within the MELD classification, 74 patients presented 3-month mortality greater than 71%, of the total of 218 patients, 61 died due to complications.
Introduction: Cirrhosis is a syndrome that corresponds to the late stage of all liver disease of diverse etiology. Cirrhosis presents varied clinical manifestations and includes two well differentiated phases in its natural history; compensated and decompensated cirrhosis. The prognosis of cirrhosis is very variable since it is influenced by a series of factors including the etiology, severity, the presence of complications and comorbid diseases. Methodology: The objective of this research project is to determine the complications of liver cirrhosis of Teodoro Maldonado Carbo Hospital. A retrospective, observational and descriptive study was established during January to December 2016, the universe chosen were patients treated in the area of Gastroenterology Hospital Teodoro Maldonado Carbo, the sample was 218 patients who presented decompensated cirrhosis with the diversity of its complications due to portal hypertension and liver failure. Results: Of the complications, the most incident was high digestive hemorrhage. Male patients were the population with the highest incidence of cirrhosis. Through the child pugh classification we can establish the mortality of patients. In this study, 92 patients presented decompensated cirrhosis with a survival rate of less than 35% in 2 years. Within the MELD classification, 74 patients presented 3-month mortality greater than 71%, of the total of 218 patients, 61 died due to complications.
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Complicaciones, Cirrosis hepática, Hemorragia gastrointestinal, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Estudios retrospectivos, Epidemiología descriptiva