Relación de la morbimortalidad por sepsis con el diagnóstico y tratamiento precoz en emergencia
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La sepsis es una enfermedad que se considera temporo dependiente, en la que los progresos
en el conocimiento no se han traducido de forma similar en progresos terapéuticos. Por ello
se ha considerado necesario analizar el manejo que se está realizando a aquellos pacientes
portadores de ésta patología en nuestro medio. Metodología; Con tal finalidad se realizó un
estudio No experimental Cuantitativo, Observacional, Transversal de cohorte Histórico,
Analítico, Correlacional, en 131 pacientes que acudieron a la Emergencia del Hospital
Teófilo Dávila, con diagnóstico de sepsis, a quienes se aplicó el protocolo de manejo
temprano según Rivers durante las primeras 6 horas. Objetivos; El presente estudio tiene
como propósito fundamental evaluar la relación que existe entre la morbi-mortalidad con el
diagnóstico y tratamiento precoz en pacientes con sepsis, atendidos en el servicio de
Emergencias del Hospital Teófilo Dávila, que fueron atendidos en las primeras seis horas de
acuerdo al estudio de Rivers, como mecanismo para disminuir su incidencia, aumentar la
conciencia acerca de ésta terrible enfermedad y mejorar la supervivencia en sepsis.
Resultados; Evidenciándose que no existen diferencias significativas entre un manejo
considerado estándar y un manejo temprano dirigido por metas. Conclusiones; Esto en
concordancia con los estudios PROMISE, ARISE y PROCESS; por lo que se concluye que
el protocolo de Rivers debería seguir siendo sujeto a análisis como terapéutica para todos los
pacientes sépticos que acuden al hospital.
Sepsis is a disease that is considered temporo dependent on the progress in knowledge have not translated similarly in therapeutic progress. Therefore it has been considered necessary to analyze the operation being performed on those patients with this pathology in our environment. For this purpose a non-experimental study Quantitative, Observational, Transversal Historical cohort, analytical, correlational, was performed in 131 patients presenting to the Emergency Hospital Teofilo Davila, diagnosed with sepsis, whom the protocol early management was applied according Rivers during the first 6 hours. This study's main purpose is to evaluate the relationship between morbidity and mortality and early diagnosis and treatment in patients with sepsis, treated in the Emergency Hospital Teofilo Davila, who were seen during the first six hours according to Rivers study as a mechanism to reduce its incidence, increase awareness of this terrible disease and improve survival in sepsis. Demonstrating that there are no significant differences between management considered early management standard and goal driven. This in accordance with the PROMISE PROCESS ARISE and studies; so it is concluded that the protocol Rivers should remain subject to analysis as a therapeutic for all septic patients who come to the hospital.
Sepsis is a disease that is considered temporo dependent on the progress in knowledge have not translated similarly in therapeutic progress. Therefore it has been considered necessary to analyze the operation being performed on those patients with this pathology in our environment. For this purpose a non-experimental study Quantitative, Observational, Transversal Historical cohort, analytical, correlational, was performed in 131 patients presenting to the Emergency Hospital Teofilo Davila, diagnosed with sepsis, whom the protocol early management was applied according Rivers during the first 6 hours. This study's main purpose is to evaluate the relationship between morbidity and mortality and early diagnosis and treatment in patients with sepsis, treated in the Emergency Hospital Teofilo Davila, who were seen during the first six hours according to Rivers study as a mechanism to reduce its incidence, increase awareness of this terrible disease and improve survival in sepsis. Demonstrating that there are no significant differences between management considered early management standard and goal driven. This in accordance with the PROMISE PROCESS ARISE and studies; so it is concluded that the protocol Rivers should remain subject to analysis as a therapeutic for all septic patients who come to the hospital.
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INDICADORES MORBIMORTALIDAD, SEPSIS, DIAGNOSTICOS, TRATAMIENTO DE URGENCIA, SERVICIOS DE URGENCIAS, EPIDEMIOLOGIA ANALITICA, HOSPITAL GENERAL TEOFILO DAVILA, CANTON MACHALA, ECUADOR