Estudio de los factores de riesgos de mortalidad en pacientes con sepsis abdominal, Hospital Nacional de Especialidades de Guayaquil Dr. Abel Gilbert Pontón 2005 - 2010
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Antecedentes: La sepsis abdominal es una situación común de ingreso a la Unidad de cuidados intensivos y muchas veces es de resolución quirúrgico debido a los procesos patológicos asociados. Un hecho importante en la sobrevida es tratar precozmente los posibles factores que pueden complicar el cuadro y llevar a estos pacientes a la muerte Objetivos: Identificar los factores tradicionales de riesgo de mortalidad presente en pacientes operados por sepsis abdominal atendidos en el hospital Abel Gilbert Pontón Metodología: Se realizó un estudio observacional, descriptivo, retrospectivo en el que se incluyeron los expedientes clínicos de 102 pacientes con sepsis abdominal que fueron intervenidos quirúrgicamente en esta institución. Se incluyeron aquellos expedientes a los cuales se accedió y que permitieron identificar los factores. Resultados: El promedio de edad de los pacientes fue de 44,32 años. La relación hombre mujer fue de 1,4:1. El 37,3% tenía alteraciones nutricionales. El 36,3% informó una comorbilidad, principalmente diabetes. En el 91,2% de los casos la cirugía fue contaminada o sucia. El 55,8% de las cirugías duraron entre 1 y 2 horas. Requirieron reintervención el 31,4%. El 47% desarrolló una complicación. La operación era reciente en solo el 4%. Hospitalización reciente se informó en el 2%. El 5,9% tenía algún catéter y/o dispositivo. En el 11,8% había antecedentes de inmunosupresión. El 58% tuvo un abdomen agudo peritoneal. La mortalidad solo se informó en un paciente. Conclusiones: El factor tradicional de riesgo de muerte que se presenta con mayor frecuencia es el antecedente de cirugía de tipo sucia
Background: abdominal sepsis is a common situation for admission to the intensive care unit and is often surgical resolution because of the associated disease processes. An important fact in survival is early treatment possible factors that can complicate the picture and bring these patients to death Objectives: Identify traditional mortality risk factors present in patients operated abdominal sepsis treated at the Abel Gilbert hospital form Guayaquil – Ecuador. Methods: An observational, descriptive, retrospective study in which the clinical records of 102 patients with abdominal sepsis who were surgically treated at this institution between January 1 to October 30, 2014. We performed included those records were included to which was accessed and which identified factors. Results: The mean age of the patients was 44.32 years. The male-female ratio was 1.4: 1. 37.3% had nutritional alterations. 36.3% reported a comorbidity, especially diabetes. In 91.2% of cases surgery was contaminated or dirty. 55.8% of surgeries lasted between 1 and 2 hours. They required reoperation 31.4%. 47% developed a complication. The recent operation was only 4%. Recent hospitalization was reported in 2%. 5.9% had a catheter and / or device. 11.8% had a history of immunosuppression. 58% had a peritoneal acute abdomen. Mortality was reported only in one patient. Conclusions: The traditional risk factor for death that occurs most frequently is the antecedent of surgery dirty guy.
Background: abdominal sepsis is a common situation for admission to the intensive care unit and is often surgical resolution because of the associated disease processes. An important fact in survival is early treatment possible factors that can complicate the picture and bring these patients to death Objectives: Identify traditional mortality risk factors present in patients operated abdominal sepsis treated at the Abel Gilbert hospital form Guayaquil – Ecuador. Methods: An observational, descriptive, retrospective study in which the clinical records of 102 patients with abdominal sepsis who were surgically treated at this institution between January 1 to October 30, 2014. We performed included those records were included to which was accessed and which identified factors. Results: The mean age of the patients was 44.32 years. The male-female ratio was 1.4: 1. 37.3% had nutritional alterations. 36.3% reported a comorbidity, especially diabetes. In 91.2% of cases surgery was contaminated or dirty. 55.8% of surgeries lasted between 1 and 2 hours. They required reoperation 31.4%. 47% developed a complication. The recent operation was only 4%. Recent hospitalization was reported in 2%. 5.9% had a catheter and / or device. 11.8% had a history of immunosuppression. 58% had a peritoneal acute abdomen. Mortality was reported only in one patient. Conclusions: The traditional risk factor for death that occurs most frequently is the antecedent of surgery dirty guy.
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SEPSIS ABDOMINALES, CIRUGIA ABDOMINAL, MORTALIDAD, ESTUDIOS RETROSPECTIVOS, HOSPITAL DE ESPECIALIDADES GUAYAQUIL DR. ABEL GILBERT PONTON, CANTON GUAYAQUIL, ECUADOR