Prevalencia de abdomen agudo quirúrgico no traumático y propuesta de un protocolo de atención actualizado, Area de Emergencia del Hospital Militar de Guayaquil, 2009 - 2010
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El abdomen agudo quirúrgico no traumático constituye un grave problema en las salas de urgencia, por la alta frecuencia, aspecto médico, social y económico. Diagnóstico tardío pediátrico o geriátrico compromete a conocer esta enfermedad y así poder prevenirla, diagnosticarla y tratarla de forma idónea. El objetivo de esta investigación es determinar la prevalencia acorde a filiación, detectar factores de riesgo, causas, complicaciones, estancia hospitalaria a los pacientes acudieron con abdomen agudo quirúrgico no traumático en el Área de Emergencia Hospital Militar de la Ciudad de Guayaquil periodo 2009 a 2010. Se analizó 1346 historias clínicas de las cuales 113 presentaron abdomen agudo quirúrgico. Después de tabular los resultados se determinó que el síntomas con mayor porcentaje que acompañó al dolor abdominal es el vómito con el 52%, una prevalencia del 0.08%, que el 59% corresponden al género masculino, con una mayor la frecuencia en el grupo etario comprendido entre 15 a 49 años, el 19% de los pacientes presenta factores de riesgo, siendo la diabetes mellitus y la hipertensión las más frecuentes, las principales causas de cirugía fueron la apendicitis ( 65%), colecistitis (15%), de la muestra estudiada el 36% presentó complicaciones post-quirúrgicas, de estas la fiebre es la más frecuente y con una estancia hospitalaria del 39% en el grupo de más de 5 días de hospitalización. Y acorde a la evaluación de los resultados y con el soporte del marco teórico se elaboró un protocolo de atención actualizado
The non-traumatic acute abdomen is a serious problem in emergency rooms because of the high frequency, medical, social and economic aspect. Pediatric or geriatric late diagnosis compromises to know this disease so we can prevent, diagnose and treat it in an ideal way. The objective of this research is to determine the prevalence according to affiliation, detect risk factors, causes, complications, hospital stay for patients presenting with non-traumatic acute abdomen in the emergency area Military Hospital in the city of Guayaquil period 2009 to 2010. 1346 medical records of which 113 had acute abdomen was analyzed. After tabulating the results determined that the symptoms more percentage abdominal pain is accompanied with vomiting 52%, a prevalence of 0.08%, that 59% were males, with greater frequency in the age group between 15 to 49 years, 19% of patients have risk factors, diabetes mellitus being the most common and hypertension, the leading causes were appendicitis surgery (65%), cholecystitis (15%) of the sample studied, 36% had post-surgical complications, such fever is the most common and a hospital stay of 39% in the group of more than 5 days of hospitalization. And according to the evaluation of the results and with the support of the theoretical framework updated care protocol it was developed
The non-traumatic acute abdomen is a serious problem in emergency rooms because of the high frequency, medical, social and economic aspect. Pediatric or geriatric late diagnosis compromises to know this disease so we can prevent, diagnose and treat it in an ideal way. The objective of this research is to determine the prevalence according to affiliation, detect risk factors, causes, complications, hospital stay for patients presenting with non-traumatic acute abdomen in the emergency area Military Hospital in the city of Guayaquil period 2009 to 2010. 1346 medical records of which 113 had acute abdomen was analyzed. After tabulating the results determined that the symptoms more percentage abdominal pain is accompanied with vomiting 52%, a prevalence of 0.08%, that 59% were males, with greater frequency in the age group between 15 to 49 years, 19% of patients have risk factors, diabetes mellitus being the most common and hypertension, the leading causes were appendicitis surgery (65%), cholecystitis (15%) of the sample studied, 36% had post-surgical complications, such fever is the most common and a hospital stay of 39% in the group of more than 5 days of hospitalization. And according to the evaluation of the results and with the support of the theoretical framework updated care protocol it was developed
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Abdomen agudo, Calidad de la atención de salud, Cirugía, Protocolos, Hospital Militar II de Libertad, Cantón Guayaquil, Ecuador