Crisis asmática factores desencadenantes y complicaciones en escolares estudio a realizar en el Area de Emergencia del Hospital Universitario de Guayaquil período 2015
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
El hospital universitario de Guayaquil atiende a un número considerable de personas que habitan en la zona norte de Guayaquil y de lugares cercanos.
En el servicio de pediatría solo en el 2015 que es nuestro año de estudio fueron atendidos 1846 pacientes diagnosticados con asma pacientes de los cuales el 58 % fueron atendidos en el área de emergencia pediátrica.
El 48% de estos casos se encuentran en nuestro rango de estudio (escolares) teniendo así una muestra de 510 pacientes, en los cuales tienen como factores desencadenantes en primer lugar las infecciones víricas de las vías respiratorias siendo la causante de 36% de exacerbaciones de crisis asmáticas, la exposición a Aero alérgenos con un 26% el cambio de clima o periodo estacional con un 16% a estos se suman el ejercicios físicos, en un 12%. Lastimosamente encontré un porcentaje bastante importante de historias clínicas en la cual no se indica cual fue la causa que inicio en los pacientes las crisis asmáticas, esto en un 9%.
Así también observamos que las complicaciones productos de las crisis asmáticas son muy escasas, en la literatura se indican cuatro principales complicaciones, mas en nuestro estudio solo pudimos constatar la presencia de solo uno y de estas complicaciones esta fue la neumonía, patología que solo se presentó apenas en un 8% un rango muy pequeño para el 92 % de los pacientes que presento un proceso de crisis asmáticas pero que no presento complicación alguna.
Se utilizó el estudio retrospectivo, la revisión de historias clínicas para obtener los datos incluidos en las tablas.
The Hospital Universitario de Guayaquil serves a considerable number of people living in the north of Guayaquil and nearby places. In the pediatric ward alone in 2015 is our year of study patients were treated 1846 patients diagnosed with asthma which 58% were seen in the pediatric emergency area. 48% of these cases are in our range of study (school) and taking a sample of 510 patients, which have as triggers first viral infections of the respiratory tract being the cause of 36% of exacerbations asthma attacks, exposure to allergens Aero with 26% changing climate or seasonal period with 16% of these joined the exercise, by 12%. Unfortunately I found a fairly significant percentage of medical records in which there is no indication what caused that started in patients with asthma crisis, this 9%. Unfortunately, I found a significant percentage of medical records in which there is no indication what caused that started in patients with asthma crisis, this 20%. so also we note that complications products asthma attacks are very rare in literature four major complications, but in our study could only confirm the presence of only one and these complications this was pneumonia indicated pathology that is only present just 8% a very small range for 92% of patients present a process of asthma attacks but did not present any complications. The retrospective study was used, review of medical records for the data included in the tables.
The Hospital Universitario de Guayaquil serves a considerable number of people living in the north of Guayaquil and nearby places. In the pediatric ward alone in 2015 is our year of study patients were treated 1846 patients diagnosed with asthma which 58% were seen in the pediatric emergency area. 48% of these cases are in our range of study (school) and taking a sample of 510 patients, which have as triggers first viral infections of the respiratory tract being the cause of 36% of exacerbations asthma attacks, exposure to allergens Aero with 26% changing climate or seasonal period with 16% of these joined the exercise, by 12%. Unfortunately I found a fairly significant percentage of medical records in which there is no indication what caused that started in patients with asthma crisis, this 9%. Unfortunately, I found a significant percentage of medical records in which there is no indication what caused that started in patients with asthma crisis, this 20%. so also we note that complications products asthma attacks are very rare in literature four major complications, but in our study could only confirm the presence of only one and these complications this was pneumonia indicated pathology that is only present just 8% a very small range for 92% of patients present a process of asthma attacks but did not present any complications. The retrospective study was used, review of medical records for the data included in the tables.
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Estado asmático, Escolares, Servicio de Urgencia en Hospital, Pediatría, Estudios retrospectivos, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador, Factores desencadenantes