Factores de riesgo de crisis hipertensiva en adultos obesos, propuesta un plan de prevención
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Antecedentes: En los últimos años ha evidenciado un incremento de
asistencias en salas de urgencia de esta unidad y a nivel nacional de cuadros de
crisis hipertensivas que junto al resto de complicaciones de HTA, fueron la cuarta
causa de muerte en Ecuador el 2014. La obesidad es la acumulación anormal o
excesiva de grasa y afecta a más de la mitad de hipertensos siendo los usuarios
obesos los mayores demandantes de atención por esta patología en la unidad de
estudio. Objetivo General: Determinar los factores de riesgo asociados al
aumento de casos de crisis hipertensiva en los adultos obesos atendidos en el
centro de salud IESS Balzar durante el período de enero a diciembre del 2015.
Metodología: La investigación realizada es de tipo cuantitativa, retrospectiva,
analítica, de corte transversal. Resultado: Los resultados alcanzados fueron que no
hubo asociación entre el estado nutricional e incumplimiento del tratamiento (p
0.972), no obstante las variables sedentarismo (p ,000), ingesta de alcohol (p ,018),
consumo excesivo de sal (p ,035) y consumo de tabaco (p ,007) si presentaron
asociación estadística. Las crisis hipertensivas en usuarios adultos obesos predomino
en el sexo masculino con un porcentaje valido 54,4%, una media de edad de 60,95
y de procedencia urbana con 66,7%. Conclusiones: se concluye que los factores de
riesgo sedentarismo, consumo de alcohol, ingesta excesiva de sal y consumo de
tabaco se asocian al aumento de crisis hipertensivas en los usuarios adultos obesos
con un p valor <0.05
Background: In recent years, there has been an increase in emergency room attendance at this unit and at the national level of hypertensive crisis, which, together with the other complications of hypertension, were the fourth cause of death in Ecuador in 2014. Obesity is The abnormal or excessive accumulation of fat and affects more than half of hypertensive patients being the obese users the most demanding care for this pathology in the unit of study. General Objective: To determine the risk factors associated with the increase of hypertensive crisis cases in obese adults treated at the IESS Balzar health center during the period from January to December 2015. Methodology: The research is quantitative, retrospective, Analytical, cross-sectional study. The results were that there was no association between nutritional status and treatment failure (p 0.972), despite the variables sedentarism (p, 000), alcohol intake (p, 018), excessive salt intake (p, 035) and tobacco consumption (p, 007) if they had statistical association. Hypertensive crises in obese adult users predominated in males with a valid percentage of 54.4%, mean age of 60.95, mean or mean BMI of 32.19, and urban origin with 66.7%. Conclusions: it is concluded that risk factors for sedentary lifestyle, alcohol consumption, excessive salt intake and smoking are associated with an increase in hypertensive crises in obese adult users with p valve <0.05.
Background: In recent years, there has been an increase in emergency room attendance at this unit and at the national level of hypertensive crisis, which, together with the other complications of hypertension, were the fourth cause of death in Ecuador in 2014. Obesity is The abnormal or excessive accumulation of fat and affects more than half of hypertensive patients being the obese users the most demanding care for this pathology in the unit of study. General Objective: To determine the risk factors associated with the increase of hypertensive crisis cases in obese adults treated at the IESS Balzar health center during the period from January to December 2015. Methodology: The research is quantitative, retrospective, Analytical, cross-sectional study. The results were that there was no association between nutritional status and treatment failure (p 0.972), despite the variables sedentarism (p, 000), alcohol intake (p, 018), excessive salt intake (p, 035) and tobacco consumption (p, 007) if they had statistical association. Hypertensive crises in obese adult users predominated in males with a valid percentage of 54.4%, mean age of 60.95, mean or mean BMI of 32.19, and urban origin with 66.7%. Conclusions: it is concluded that risk factors for sedentary lifestyle, alcohol consumption, excessive salt intake and smoking are associated with an increase in hypertensive crises in obese adult users with p valve <0.05.
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FACTORES DE RIESGO, CRISIS HIPERTENSIVA, OBESIDAD, PLANES Y PROGRAMAS DE SALUD, MEDICINA PREVENTIVA, UNIDAD DE ATENCIÓN AMBULATORIA BALZAR - IESS, CANTÓN BALZAR, ECUADOR