Factores de riesgo de reinfarto en pacientes hospitalizado por infarto agudo del miocardio, Unidad de Cuidados Coronarios, Hospital Regional del IESS Dr. Teodoro Maldonado Carbo
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2013
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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El reinfarto agudo del miocardio (REIAM) o es la presencia de un nuevo evento en un pacientes con un infarto anterior, complicación de relativa frecuencia 3.0% entre pacientes con infarto agudo del miocardio (IAM) internados en las unidades de cuidados intensivos, con una alta morbimortalidad. En este contexto, el hospital Regional 2 IESS “Dr. Teodoro Maldonado Carbo” posee un área especializada, donde cada año, decenas de pacientes con IAM son atendidos. Con el objetivo de identificar los factores que determina el mayor riesgo de reinfarto se propone desarrollar un estudio de tipo observacional, correlacional, de diseño no experimental, longitudinal retrospectivo en el periodo 2009-2010, seleccionando 50 pacientes con IAM que desarrollaron REIAM y 50 pacientes en los que no ocurrió este evento . Para el análisis estadístico se emplear0n pruebas para el análisis de impacto ARA, RR; OR y pruebas de comparación (Chi2 y Test exacto de Fisher). Se espera que este trabajo o investigación ayude a planificar intervenciones terapéuticas tempranas que disminuyan la posibilidad de su aparición de tal forma que se logre disminuir la morbimortalidad producida asociada a esta complicación.
The REAMI is a relatively common complication among patients with AMI admitted to intensive care units with high morbidity and mortality. The "Dr Teodoro Maldonado Carbo” Hospital, is an institution with a cardiac intensive care unit where every year tens of AMI patients are cared for and known risk factors the greatest impact on the development of this complication early intervention could help decrease the possibility of appearance. In order to identify the factor determining the increased risk of reinfarction in patients with acute myocardial infarction treated in the cardiac care unit of the hospital, "Dr. Teodoro Maldonado Carbo. "For this reason it is proposed to develop an observational study, correlational, not experimental design, longitudinal retrospective that will incorporate 50 patients with AMI who developed REAMI and 50 patients who did not. The statistical analysis was used to test the impact analysis ARA, RR, OR and comparison tests (Chi2 and Fisher exact test). It is hoped the study will help to reduce morbidity and mortality caused by this factor in the unit
The REAMI is a relatively common complication among patients with AMI admitted to intensive care units with high morbidity and mortality. The "Dr Teodoro Maldonado Carbo” Hospital, is an institution with a cardiac intensive care unit where every year tens of AMI patients are cared for and known risk factors the greatest impact on the development of this complication early intervention could help decrease the possibility of appearance. In order to identify the factor determining the increased risk of reinfarction in patients with acute myocardial infarction treated in the cardiac care unit of the hospital, "Dr. Teodoro Maldonado Carbo. "For this reason it is proposed to develop an observational study, correlational, not experimental design, longitudinal retrospective that will incorporate 50 patients with AMI who developed REAMI and 50 patients who did not. The statistical analysis was used to test the impact analysis ARA, RR, OR and comparison tests (Chi2 and Fisher exact test). It is hoped the study will help to reduce morbidity and mortality caused by this factor in the unit
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Infarto del miocardio, Pacientes hospitalizados, Estudios retrospectivos, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Reinfarto