Anemia como factor pronóstico de mortalidad en insuficiencia cardíaca crónica descompensada
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El objetivo de este trabajo es determinar si la anemia es un predictor de mortalidad en la Insuficiencia Cardiaca Crónica Descompensada, identificar la etiología más prevalente de anemia encontrada, además demostrar si la anemia es debidamente identificada y tratada en los pacientes con Insuficiencia Cardiaca (IC) y se protocolizar opciones de tratamiento para la anemia en insuficiencia cardiaca crónica descompensada. Mediante un estudio observacional de tipo retrospectivo, se estudió a todos los pacientes que fueron ingresados en unidades críticas (UCI, Reanimación y U. Coronaria) del Hospital Luis Vernaza durante el periodo de Enero 2014 a Diciembre 2015, con el diagnostico principal de IC. Se recolectó información de las historias clínicas incluyendo variables como edad, género, clase funcional NYHA, hemoglobina, estancia hospitalaria y datos ecocardiográficos como fracción de eyección, los cuales fueron tabulados metodológicamente. Se seleccionaron a los pacientes que reunieron criterios de inclusión para el estudio. El total de pacientes que se incluyeron en el estudio fue 99. Del total de pacientes incluidos 48 fueron varones (48%) y 51 mujeres (52%). La edad media fue de 70.1± --- años. El promedio de hemoglobina de los pacientes que presentaron y no presentaron anemia fue de 9.19± --- y 13.7± ---g/dl, respectivamente. Del total de pacientes que presentaron anemia el 72% presentaban FE <40%; el 69% presentó creatinina mayor de 1.5mg/dl; el 77% tenía clase funcional Grado III NYHA; el promedio de días de estancia hospitalaria fue de 17.3± --- días y el 25% presentaron eventos mortales. La anemia de trastornos crónicos se encontró en un 70%, seguida de la anemia ferropénica con un 25% y finalmente la anemia megaloblástica con el 5%. El 48% de la población anémica tenia estudios de perfil de hierro y el 17% recibieron tratamiento para la anemia.
The aim of this study is to determine whether anemia is a predictor of mortality in Chronic Heart Failure decompensated identify the most prevalent etiology of anemia found also show whether the anemia is properly identified and treated in patients with heart failure and notarize treatment options for anemia in chronic decompensated heart failure. An observational retrospective study, all patients who were admitted in critical (ICU Resuscitation and U. Campion) units Luis Vernaza Hospital during the period January 2014 to December 2015, with the primary diagnosis of IC was studied. Information from medical records including variables such as age, gender, NYHA functional class, hemoglobin, hospital stay and echocardiographic data as ejection fraction, which was collected were tabulated methodologically. Patients who met inclusion criteria for the study were selected. The total number of patients included in the study was 99. Of the 48 patients included were male (48%) and 51 women (52%). The mean age was 70.1 years ± ---. The average hemoglobin of patients who had and did not have anemia was ± 9.19 and 13.7 ± --- --- g / dl, respectively. Of the total number of patients experiencing anemia 72% they had EF <40%; 69% had higher creatinine of 1.5mg / dl; 77% had NYHA functional class III Grade; the average hospital stay was 17.3 ± --- days and 25% had fatal events. Anemia of chronic disorders was found in 70%, followed by iron deficiency anemia with 25% and finally megaloblastic anemia with 5%. 48% of the anemic population profile studies had iron and 17% were treated for anemia. KEYWORDS: Anemia
The aim of this study is to determine whether anemia is a predictor of mortality in Chronic Heart Failure decompensated identify the most prevalent etiology of anemia found also show whether the anemia is properly identified and treated in patients with heart failure and notarize treatment options for anemia in chronic decompensated heart failure. An observational retrospective study, all patients who were admitted in critical (ICU Resuscitation and U. Campion) units Luis Vernaza Hospital during the period January 2014 to December 2015, with the primary diagnosis of IC was studied. Information from medical records including variables such as age, gender, NYHA functional class, hemoglobin, hospital stay and echocardiographic data as ejection fraction, which was collected were tabulated methodologically. Patients who met inclusion criteria for the study were selected. The total number of patients included in the study was 99. Of the 48 patients included were male (48%) and 51 women (52%). The mean age was 70.1 years ± ---. The average hemoglobin of patients who had and did not have anemia was ± 9.19 and 13.7 ± --- --- g / dl, respectively. Of the total number of patients experiencing anemia 72% they had EF <40%; 69% had higher creatinine of 1.5mg / dl; 77% had NYHA functional class III Grade; the average hospital stay was 17.3 ± --- days and 25% had fatal events. Anemia of chronic disorders was found in 70%, followed by iron deficiency anemia with 25% and finally megaloblastic anemia with 5%. 48% of the anemic population profile studies had iron and 17% were treated for anemia. KEYWORDS: Anemia
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Insuficiencia cardíaca, Mortalidad, Anemia, Estudios retrospectivos, Hospital Luis Vernaza, Cantón Guayaquil, Ecuador, Pronóstico