Calidad de vida y cuidados paliativos en el paciente con cirrosis hepática en el Hospital Universitario de Guayaquil año 2014
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Fecha
2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Antecedentes: La cirrosis es una patología crónica del hígado y tiene de particular el ser irreversible, difusa, progresiva y de causa variada. Esto tiene como consecuencia que exista una variación de la arquitectura vascular del hígado y por lo tanto constituye un problema de salud pública.
Objetivo general: Determinar la Calidad de Vida y Cuidados Paliativos en el Paciente con Cirrosis Hepática en el Hospital Universitario de Guayaquil año 2014
Materiales, métodos y tipos de estudio: Se realizó un estudio observacional, retrospectivo a 254 pacientes afectados con Cirrosis Hepática en el Hospital Universitario de Guayaquil, dentro del período 2014-2015. Utilizando los datos obtenidos de las historias clínicas, se determinó la calidad del manejo interdisciplinario del paciente cirrótico.
Resultados: Se evidenció que en el Hospital Universitario de Guayaquil se debe priorizar la atención integral y multidisciplinaria de varias especialidades para el paciente con Cirrosis Hepática, más que nada en su fase descompensada.
Conclusión: El 88.6% (225) con cirrosis corresponde al segundo grupo etario comprendido entre 45 y 85 años, 61.4% (156) corresponde al sexo femenino, el 53.1% (135) fue ingresado según CIE10: K74, el 47.6% (121) corresponde al Área Gastroenterología como el principal servicio que diagnostica esta patología y el 45.8% (49) corresponde al porcentaje de interconsultas emitidas por el área de Medicina Interna a Gastroenterología.
Background: Cirrhosis is a chronic liver disease and is particularly irreversible, diffuse, progressive and varied causes to be. This has the consequence that there is a variation of the liver vascular architecture and thus is a public health problem. Objective: Determine the Quality of Life and Palliative Care in the Patient with Liver Cirrhosis at the University Hospital of Guayaquil 2014 Materials, methods and types of study: A retrospective on 254 patients with liver cirrhosis at the University Hospital of Guayaquil, in the period 2014-2015 observational study. Using data obtained from medical records, quality of interdisciplinary care of cirrhotic patients was determined. Results: It was observed that at the University Hospital of Guayaquil should prioritize comprehensive and multidisciplinary care of various specialties for patients with liver cirrhosis, mostly in the decompensated stage. Conclusion: 88.6% (225) with cirrhosis corresponds to the second comprised age group between 45 and 85 years, 61.4% (156) corresponds to the female, 53.1% (135) was entered as ICD10: K74, 47.6% (121) is the gastroenterology area as the main service diagnosed with this pathology and 45.8% (49) is the percentage of consultations issued by the area of Internal Medicine in Gastroenterology
Background: Cirrhosis is a chronic liver disease and is particularly irreversible, diffuse, progressive and varied causes to be. This has the consequence that there is a variation of the liver vascular architecture and thus is a public health problem. Objective: Determine the Quality of Life and Palliative Care in the Patient with Liver Cirrhosis at the University Hospital of Guayaquil 2014 Materials, methods and types of study: A retrospective on 254 patients with liver cirrhosis at the University Hospital of Guayaquil, in the period 2014-2015 observational study. Using data obtained from medical records, quality of interdisciplinary care of cirrhotic patients was determined. Results: It was observed that at the University Hospital of Guayaquil should prioritize comprehensive and multidisciplinary care of various specialties for patients with liver cirrhosis, mostly in the decompensated stage. Conclusion: 88.6% (225) with cirrhosis corresponds to the second comprised age group between 45 and 85 years, 61.4% (156) corresponds to the female, 53.1% (135) was entered as ICD10: K74, 47.6% (121) is the gastroenterology area as the main service diagnosed with this pathology and 45.8% (49) is the percentage of consultations issued by the area of Internal Medicine in Gastroenterology
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Cirrosis hepática, Unidades de Cuidados Intensivos, Estudio retrospectivo, Gastroenterología, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador, Calidad de vida, Cuidados paliativos