Utilidad de catéter doble j calcificado como predictor de complicaciones, según factores de riesgo
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2021
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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En Ecuador, existe una gran prevalencia de litiasis que en ocasiones posterior a la desobstrucción de la vía urinaria es necesaria la colocación de un catéter doble jota, y debe ser retirado en un período corto de tiempo porque su efecto adverso tiende a calcificarse. El Objetivo. Determinar el tiempo de calcificación de catéter doble jota como predictor de complicaciones según factores de riesgo. Materiales y Método. No experimental, de corte transversal, correlacional, realizado en el Hospital del IESS “Los Ceibos”, en la cuidad de Guayaquil durante el periodo 2018 - 2020. Resultados. Del total de pacientes con catéter doble j el 63.9% son hombres y 36.1% mujeres; el grupo de edad mayoritario fueron de 30 a 59 años de edad con 59.2%, seguido del 31.1% que son mayores de 60 años y un 9.7% menores de 29 años de edad. El tiempo de permanencia del catéter doble j en pacientes urológicos fue menor de 6 meses el 78.3%, de 6 a 12 meses 15.4%. Del total de pacientes el 18.7% presentaron calcificación del catéter doble j, el tiempo en que se calcificó el catéter fue el 35.7% menor a 6 meses y de 6 a 12 meses respectivamente. De los pacientes con catéter doble j calcificado, entre sus factores de riesgo fue litiasis (79%), fármacos (43%), hipertensión (29%), obesidad (21%) e infección urinaria (18%). Conclusiones. La litiasis es un factor predictor para la calcificación del catéter doble j y que el tiempo de calcificación es menos de 12 meses
In Ecuador, there is a high prevalence of lithiasis that sometimes after the unblocking of the urinary tract is necessary to place a double j catheter, and it must be removed in a short period of time because its adverse effect tends to calcify. Objective. Determine the double j catheter calcification time as a predictor of complications according to risk factors. Materials and Method. Non-experimental, cross-sectional, correlational, carried out at the Hospital of the IESS “Los Ceibos”, in the city of Guayaquil during the period 2018 - 2020. Results. Of the total of patients with double j catheter, 63.9% are men and 36.1% women; The majority age group was from 30 to 59 years old with 59.2%, followed by 31.1% who are older than 60 years and 9.7% who are younger than 29 years old. The permanence time of the double j catheter in urological patients was less than 6 months for 78.3%, from 6 to 12 months for 15.4%. Of the total number of patients, 18.7% presented calcification of the double j catheter, the time in which the catheter calcified was 35.7% less than 6 months and 6 to 12 months respectively. Among the patients with a calcified double j catheter, their risk factors were lithiasis (79%), drugs (43%), hypertension (29%), obesity (21%), and urinary tract infection (18%). Conclusions. Lithiasis is a predictor factor for double j catheter calcification and the calcification time is less than 12 months
In Ecuador, there is a high prevalence of lithiasis that sometimes after the unblocking of the urinary tract is necessary to place a double j catheter, and it must be removed in a short period of time because its adverse effect tends to calcify. Objective. Determine the double j catheter calcification time as a predictor of complications according to risk factors. Materials and Method. Non-experimental, cross-sectional, correlational, carried out at the Hospital of the IESS “Los Ceibos”, in the city of Guayaquil during the period 2018 - 2020. Results. Of the total of patients with double j catheter, 63.9% are men and 36.1% women; The majority age group was from 30 to 59 years old with 59.2%, followed by 31.1% who are older than 60 years and 9.7% who are younger than 29 years old. The permanence time of the double j catheter in urological patients was less than 6 months for 78.3%, from 6 to 12 months for 15.4%. Of the total number of patients, 18.7% presented calcification of the double j catheter, the time in which the catheter calcified was 35.7% less than 6 months and 6 to 12 months respectively. Among the patients with a calcified double j catheter, their risk factors were lithiasis (79%), drugs (43%), hypertension (29%), obesity (21%), and urinary tract infection (18%). Conclusions. Lithiasis is a predictor factor for double j catheter calcification and the calcification time is less than 12 months
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Catéter ureteral, Cólico renal, Catéter calcificado, Litiasis, Hospital IESS Los Ceibos, Cantón Guayaquil, Ecuador