Prevalencia de apendicitis aguda en el Area de Emergencia del Hospital Abel Gilbert, propuesta de un protocolo actualizado período 2010
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La apendicitis aguda, constituye una de las patologías quirúrgicas de mayor prevalencia a nivel mundial. Sus complicaciones graves traen implicaciones físicas, psicológicas, sociales y económicas, que pueden ser prevenibles y reducidas. Se determinó la prevalencia de apendicitis aguda en los pacientes atendidos en emergencia del Hospital Abel Gilbert Pontón de Guayaquil en el período comprendido del 1 de julio al 31 de diciembre del 2010. En base a resultados de la investigación, se elaboró un protocolo adecuado para Apendicitis Aguda. Fue un estudio descriptivo, prospectivo de 2980 pacientes con dolor abdominal que llegaron a emergencia del hospital y una nuestra de 244 por los pacientes intervenidos quirúrgicamente por apendicitis aguda. Se tomó en cuenta variables como la edad, sexo, estado civil, procedencia, nivel cultural, ocupación, agentes predeterminantes y factores de riesgo. Los resultados para prevalencia de 8% con predominio del sexo masculino el 57% y de estos el 86% procedían del área periférica de la ciudad. El 74% de estos pacientes fueron a emergencia del hospital como primer lugar de atención, solo el 1% fueron intervenido por laparoscopia. Este trabajo se realizó en base a revisión de historia clínicas de emergencia en el área de estadística. Acorde a resultados se elaboró el presente protocolo actualizado en apendicitis aguda que servirá como plan piloto para el hospital y otros centros de asistencia médica.
Acute appendicitis is one of the most prevalent surgical pathologies worldwide. His serious complications bring physical, psychological, social and economic implications, which can be prevented and reduced. The prevalence of acute appendicitis in patients treated at Hospital Abel Gilbert emergency pontoon Guayaquil in the period from July 1 to December 31, 2010 period was determined. Based on research results, a suitable protocol for acute appendicitis was made. It was a prospective study of 2980 patients with abdominal pain who came to hospital emergency and 244 for our patients undergoing surgery for acute appendicitis. It took into account variables such as age, sex, marital status, national origin, educational level, occupation, predetermining agents and risk factors. The results for prevalence of 8% with predominance of males and 57% of these 86% were from the peripheral area of the city. 74% of these patients went to hospital emergency care as first; only 1% was operated laparoscopically. This work was based on review of medical history of emergency in the area of statistics. According to this protocol results in acute appendicitis updated to serve as a pilot plan for the hospital and other health care centers was developed.
Acute appendicitis is one of the most prevalent surgical pathologies worldwide. His serious complications bring physical, psychological, social and economic implications, which can be prevented and reduced. The prevalence of acute appendicitis in patients treated at Hospital Abel Gilbert emergency pontoon Guayaquil in the period from July 1 to December 31, 2010 period was determined. Based on research results, a suitable protocol for acute appendicitis was made. It was a prospective study of 2980 patients with abdominal pain who came to hospital emergency and 244 for our patients undergoing surgery for acute appendicitis. It took into account variables such as age, sex, marital status, national origin, educational level, occupation, predetermining agents and risk factors. The results for prevalence of 8% with predominance of males and 57% of these 86% were from the peripheral area of the city. 74% of these patients went to hospital emergency care as first; only 1% was operated laparoscopically. This work was based on review of medical history of emergency in the area of statistics. According to this protocol results in acute appendicitis updated to serve as a pilot plan for the hospital and other health care centers was developed.
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Apendicitis, Protocolos, Servicio de Urgencia en Hospital, Epidemiologia descriptiva, Estudios prospectivos, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Cantón Guayaquil, Ecuador