Hemorragia digestiva alta asociada al uso de antiinflamatorios no esteroirdeos entre 35 a 70 años en el Hospital León Becerra Camacho en 2014-2015
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
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OBJETIVO: El propósito de este trabajo fue Determinar Los factores de los factores de riesgos de Hemorragia Digestiva Alta debida AINES entre los pacientes de 35 a 70 años del Hospital León Becerra Camacho en la ciudad de Milagro. Periodo 2014-2015
METODO: Para este estudio se incluyeron todos los pacientes con diagnostico de Hemorragia Digestiva Alta por consumo de AINES durante el año 2014 al 2015 y atendidos en el Hospital León Becerra Camacho, se excluirán a todo los pacientes que no hayan sido diagnosticados con hemorragia digestiva alta , que no consumieron AINES , sin factores de riesgos y que no cumplan con los criterios de inclusión. El estudio es Descriptivo retrospectivo utilizando la información que está en los registros de la base de datos del departamento de estadística, de los pacientes atendidos durante el período de estudio en el Hospital León Becerra Camacho, la misma que será tabulada en cuadros gráficos.
RESULTADOS: Se obtuvieron 110 historias clínicas, pero según dichos criterios de inclusión y exclusión solo fueron validas 75 historias clínicas, 32 historias del 2014 y 43 en el 2015 .
CONCLUSIONES: Gracias a este proyecto hemos podido establecer de una manera ordenada, tabulada y verídica que El AINEs de mayor frecuencia utilizado actualmente por la población en estudio fue el ibuprofeno con 46.6% (35 casos) seguido del ) Diclofenaco, 16% (12 casos) Aspirina, 13.4% (10 casos) Ketorolaco, 5.4% (4 casos) Naproxeno. la frecuencia de HDA por consumo de AINES fue de 42% ( 32 casos) en el 2014 , en comparación con el 2015 fue de 58% ( 43 casos) , se observa un incremento de casos en el ultimo año. Se establecio que el sexo con mayor frecuencia fue el masculinoDurante el periodo comprendido entre Enero del 2014 y Diciembre del 2015 se presentaron más casos de pacientes con HDA por AINES en las edades comprendidas entre 65 -70 años teniendo una frecuencia de 37.4% (28 casos) del total de la muestra en el Hospital Leon Becerra , mientras que los pacientes que se encontraron entre las edades de 35 a 45 años en los que la frecuencia fue de 12 % ( 9 casos ) en dicho centro, siendo este grupo el menos afectoSe determinaron los factores que riesgos que se relacionaron con el HDA por consumo de AINES del total de la muestra de 75 pacientes el 76 % (57 casos) tenían una enfermedad ulcerosa péptica seguido de un 64 % (48 casos) consumían tabaco, el 44 % (33 casos) consumían alcohol ,37.4% (28 casos) edad avanzada, 26.6 % (20 casos) Enfermedad Reumatologica previa, 18.6 % (14 casos) Infeccion Previa por Helicobacter Pylori, 8% (6 casos) uso de corticoesteroides, 6.6 % ( 5 casos) cardiopatía previa
OBJECTIVE: The purpose of this study was to determine the factors of risk factors for gastrointestinal bleeding due Alta NSAIDs among patients 35 to 70 years Camacho León Becerra Hospital in the city of Milagro. period 2014-2015 METHOD: For this study all patients with a diagnosis of gastrointestinal bleeding High by NSAID during 2014 to 2015 and served in the León Becerra Camacho Hospital, all patients who have not been diagnosed with upper gastrointestinal bleeding were excluded , who did not use NSAIDs without risk factors and that do not meet the inclusion criteria. The study is retrospective descriptive using information that is in the records of the database statistics department of patients seen during the study period RESULTS: 110 medical records were obtained, but according to the criteria of inclusion and exclusion were only 75 valid medical records, 32 stories of 2014 and 43 in 2015. CONCLUSIONS: Through this project we were able to establish an orderly, tabulated and truthfully that the NSAIDs most commonly currently used by the study population was ibuprofen with 46.6% (35 cases) followed by) Diclofenac, 16% (12 cases ) Aspirin, 13.4% (10 cases) ketorolac 5.4% (4 cases) Naproxen. HDA frequency of NSAID was 42% (32 cases) in 2014 compared to 2015 was 58% (43 cases), an increase of cases in the last year is observed. It was established that sex was more often male, more cases of patients with HDA presented by NSAIDS in the aged 65 -70 years having a frequency of 37.4% (28 cases) of the total sample in Leon Hospital Becerra, while patients who were found between the ages of 35-45 years in which the rate was 12% (9 cases) in the center, being the least affected this group the factors that risks related to the HDA by NSAID the total sample of 75 patients 76% (57 cases) had a peptic ulcer disease followed by 64% (48 cases) consumed snuff were determined, 44 % (33 cases) consumed alcohol, 37.4% (28 cases) advanced age, 26.6% (20 cases) prior rheumatological disease, 18.6% (14 cases) Infection after Helicobacter pylori, 8% (6 cases) corticosteroid use, 6.6 % (5 cases), previous heart disease KEY
OBJECTIVE: The purpose of this study was to determine the factors of risk factors for gastrointestinal bleeding due Alta NSAIDs among patients 35 to 70 years Camacho León Becerra Hospital in the city of Milagro. period 2014-2015 METHOD: For this study all patients with a diagnosis of gastrointestinal bleeding High by NSAID during 2014 to 2015 and served in the León Becerra Camacho Hospital, all patients who have not been diagnosed with upper gastrointestinal bleeding were excluded , who did not use NSAIDs without risk factors and that do not meet the inclusion criteria. The study is retrospective descriptive using information that is in the records of the database statistics department of patients seen during the study period RESULTS: 110 medical records were obtained, but according to the criteria of inclusion and exclusion were only 75 valid medical records, 32 stories of 2014 and 43 in 2015. CONCLUSIONS: Through this project we were able to establish an orderly, tabulated and truthfully that the NSAIDs most commonly currently used by the study population was ibuprofen with 46.6% (35 cases) followed by) Diclofenac, 16% (12 cases ) Aspirin, 13.4% (10 cases) ketorolac 5.4% (4 cases) Naproxen. HDA frequency of NSAID was 42% (32 cases) in 2014 compared to 2015 was 58% (43 cases), an increase of cases in the last year is observed. It was established that sex was more often male, more cases of patients with HDA presented by NSAIDS in the aged 65 -70 years having a frequency of 37.4% (28 cases) of the total sample in Leon Hospital Becerra, while patients who were found between the ages of 35-45 years in which the rate was 12% (9 cases) in the center, being the least affected this group the factors that risks related to the HDA by NSAID the total sample of 75 patients 76% (57 cases) had a peptic ulcer disease followed by 64% (48 cases) consumed snuff were determined, 44 % (33 cases) consumed alcohol, 37.4% (28 cases) advanced age, 26.6% (20 cases) prior rheumatological disease, 18.6% (14 cases) Infection after Helicobacter pylori, 8% (6 cases) corticosteroid use, 6.6 % (5 cases), previous heart disease KEY
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HEMORRAGIA DIGESTIVA ALTA, ANTIINFLAMATORIOS NO ESTEROIDEOS, HOSPITAL GENERAL DR. LEÓN BECERRA CAMACHO, CANTÓN MILAGRO, ECUADOR