Factores de riesgo y complicaciones de colecistitis aguda, Hospital Nicolás Cotto Infante período 2015
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
El Punto departida del estudio fue las facilidades que encontré en el Hospital “Nicolás Coto Infante” de Vinces por parte de sus Directivos, Docentes, Residentes, Talento Humano en general, donde con mucho énfasis y disciplina realice mi inolvidable Internado Rotativo. Las variables incluyeron: la colecistitis Aguda, las complicaciones y los factores de riesgo en su orden secuencial.
Objetivo General.
Determinar los factores de riesgo, de Colecistitis Aguda, para lograr un diagnóstico oportuno y evitar complicaciones, en usuarios del Hospital Básico “Nicolás Coto Infante” periodo 2015.
Materiales y Métodos.
Se realizó un estudio retrospectivo, descriptivo, clínico, observacional y transversal, se analizaron archivos clínicos de 100 usuarios que acudieron a Emergencia, Hospitalizados y Consulta Externa, se utilizó un formato para recolección de datos, Los datos obtenidos fueron procesados y su representación grafica con hoja de cálculo Excel.
Resultados.
Se trabajo con una muestra de 100 casos que acudieron en el año 2015, siendo el 77% mujeres y 23% masculino. Estudios de Ecografía corresponde: Litiasis Biliar 82%, Litiasis con barro biliar, paniculitis y absceso 4%, colelitiasis calculosa 6%, colecistitis acalculosa 8%; Casos en: Emergencia 60%, Consulta Externa 36%, requirieron hospitalización 4%; Grupo Etario: mujeres de 5 – 9 Años 0%, 10 – 19 Años 3%, 20 – 64 años 60%, 65 Años y más 14%; varones de 5 – 9 Años 0%, 10 – 19 Años 0%, 20 – 64 años 20%, 65 Años y más 3%.
The study was in location the facilities found in the “Nicolas Coto Infante” Vinces Hospital by their principals, teachers, residents, human talent in general, where with great emphasis and disciplines make my unforgettable rotating internship. The variables included: Acute cholecystitis, complications and risk factors in sequential order. General Objective. Determine the risk factors of acute cholecystitis, to achieve timely diagnosis and avoid complications, users of the Hospital "Nicolas Coto Infante" 2015 period. Materials and methods. A retrospective, descriptive, clinical, observational and cross-sectional study, medical records of 100 people who attended Emergency Inpatient and Outpatient were analyzed, a format for data collection was used, the data obtained were processed and graphic representation with Excel spreadsheet. Results. We worked with a sample of 100 cases came in 2015, with 77% female and 23% male. Ultrasound studies corresponds: 82% Biliary lithiasis, biliary calculi with mud, paniculitis and abscess 4%, 6% calculosa cholelithiasis, cholecystitis acalculous 8%; Cases: 60% Emergency, Outpatient 36%, 4% required hospitalization; Age Group: Women 5 to 9 years 0%, 10 to 19 years 3% 20-64 60% 65 years and over 14%; males 5 to 9 years 0%, 10 to 19 years 0% 20-64 years 20%, 65 years and over 3%.
The study was in location the facilities found in the “Nicolas Coto Infante” Vinces Hospital by their principals, teachers, residents, human talent in general, where with great emphasis and disciplines make my unforgettable rotating internship. The variables included: Acute cholecystitis, complications and risk factors in sequential order. General Objective. Determine the risk factors of acute cholecystitis, to achieve timely diagnosis and avoid complications, users of the Hospital "Nicolas Coto Infante" 2015 period. Materials and methods. A retrospective, descriptive, clinical, observational and cross-sectional study, medical records of 100 people who attended Emergency Inpatient and Outpatient were analyzed, a format for data collection was used, the data obtained were processed and graphic representation with Excel spreadsheet. Results. We worked with a sample of 100 cases came in 2015, with 77% female and 23% male. Ultrasound studies corresponds: 82% Biliary lithiasis, biliary calculi with mud, paniculitis and abscess 4%, 6% calculosa cholelithiasis, cholecystitis acalculous 8%; Cases: 60% Emergency, Outpatient 36%, 4% required hospitalization; Age Group: Women 5 to 9 years 0%, 10 to 19 years 3% 20-64 60% 65 years and over 14%; males 5 to 9 years 0%, 10 to 19 years 0% 20-64 years 20%, 65 years and over 3%.
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Palabras clave
Colecistitis, Epidemiología descriptiva, Estudios retrospectivos, Hospital Dr. Nicolás Cotto Infante, Cantón Vinces, Ecuador