Incidencia de síndrome de distrés respiratorio del adulto atendidos en el Area de Emergencia del Hospital Teófilo Dávila de Machala 2012
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El síndrome de distrés respiratorio en el adulto constituye una de las patologías que reviste mayor importancia por la frecuencia que ocurre con implicaciones físicas psicológicas, sociales y familiares. Se originan en gran parte por la inadecuada profilaxis el desconocimiento de los factores de riesgo y tratamiento ineficaz. Como objetivos se ha propuesto determinar la incidencia en base a edad, sexo, lugar de procedencia y nivel cultural, investigar contenidos, seleccionar casos clínicos, protocolos actualizados y elaborar el protocolo de manejo de distrés respiratorio. En metodología se tomará una muestra de un universo desde 1 enero 2012 hasta 31 diciembre 2012 en emergencia del hospital Teófilo Dávila de Machala, la que será aplicada al instrumento recolector clínico. Los resultados que se obtendrán con sus respectivos análisis y disfusión servirán para elaborar el protocolo para implantarlo como plan piloto de la institución y otras casas de salud. Los resultados son: La incidencia es de 7.8%, mientras que de las complicaciones por distres respiratorio, el 92% de los pacientes han presentado algún tipo de complicación, acorde a la edad, el 80% está en la población mayor de los 40 años de edad, el grupo de 80 a 89 años de edad con el 22.5%, le sigue los de 70 a 79 años de edad con el 18.1%., no hay mayor diferencia entre sexo, y proceden el 63% de Machala. La fase exudativa del distres, está en el grupo de 50 a 59 años de edad, mientras que la fase proliferativa temprana está a partir de los 70 años de edad, y la tardía a partir de los 80 años de edad. Entre las complicaciones presentadas están el 23.9% fue fibrosis pulmonar, el 14,5% presentaron distención gástrica, 10.1% presentaron insuficiencia renal, 41.3% presentan hipertensión arterial, el sepsis alcanza el 2.2%, el 23.9% fue la anemia. El protocolo de Distres Respiratorio utilizado fue de la clasificación de 3 fases de distres como es la exudativa, proliferativa temprana y proliferativa tardía. Mientras que las complicaciones se basan en el enfoque de aparatos y sistemas afectados como son: pulmonar, gastrointestinal, renal, cardiovascular, infecciones y hematológico.
Respiratory distress syndrome in adults is one of the pathologies of greater importance for the frequency happens to psychological, social and family physical implications. It originates largely inadequate prophylaxis ignorance of the risk factors and ineffective treatment. Objectives has been proposed to determine the incidence based on age, sex, place of origin and cultural level, research content, select clinical cases develop updated protocols and protocol handling respiratory distress. In a sample methodology universe it will be taken from January 1, 2012 to December 31, 2012 in Teofilo Davila emergency hospital in Machala, which will be applied to clinical instrument collector. The results obtained with their analysis and disfusión used to develop the protocol to implement it as a pilot of the institution and other home health plan. The results are: The incidence of complications from respiratory distress, 92% of patients presented some type of complication, according to age, 80% are in the population over 40 years of age, mostly in group 80 to 89 years old with 22.5%, followed by those of 70-79 years with 18.1%., there is no greater difference between sex, and 63% come from Machala. Exudative phase of distress, is in the age group of 50-59 years old, while the early proliferative phase is from 70 years of age, and late from 80 years of age. Among the complications presented are 23.9% were pulmonary fibrosis, 14.5% had gastric distension, 10.1% had renal failure, 41.3% have hypertension, sepsis reaches 2.2%, 23.9% was anemia. Respiratory Distress protocol used was the classification of 3 phases of distress such as the exudative, proliferative early proliferative and late. While complications are based on the approach affected devices and systems such as pulmonary, gastrointestinal, renal, cardiovascular, infections and hematological
Respiratory distress syndrome in adults is one of the pathologies of greater importance for the frequency happens to psychological, social and family physical implications. It originates largely inadequate prophylaxis ignorance of the risk factors and ineffective treatment. Objectives has been proposed to determine the incidence based on age, sex, place of origin and cultural level, research content, select clinical cases develop updated protocols and protocol handling respiratory distress. In a sample methodology universe it will be taken from January 1, 2012 to December 31, 2012 in Teofilo Davila emergency hospital in Machala, which will be applied to clinical instrument collector. The results obtained with their analysis and disfusión used to develop the protocol to implement it as a pilot of the institution and other home health plan. The results are: The incidence of complications from respiratory distress, 92% of patients presented some type of complication, according to age, 80% are in the population over 40 years of age, mostly in group 80 to 89 years old with 22.5%, followed by those of 70-79 years with 18.1%., there is no greater difference between sex, and 63% come from Machala. Exudative phase of distress, is in the age group of 50-59 years old, while the early proliferative phase is from 70 years of age, and late from 80 years of age. Among the complications presented are 23.9% were pulmonary fibrosis, 14.5% had gastric distension, 10.1% had renal failure, 41.3% have hypertension, sepsis reaches 2.2%, 23.9% was anemia. Respiratory Distress protocol used was the classification of 3 phases of distress such as the exudative, proliferative early proliferative and late. While complications are based on the approach affected devices and systems such as pulmonary, gastrointestinal, renal, cardiovascular, infections and hematological
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Síndrome de dificultad respiratoria, Servicio de emergencia del hospital, Hospital General Teófilo Dávila, Cantón Machala, Ecuador, Adulto