Factores de riesgo asociados a estancia hospitalaria postoperatoria prolongada en colecistectomía laparoscópica. Hospital Belén de Trujillo

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dc.contributor.authorAbanto Mera, Luis Fernando
dc.date.accessioned2016
dc.date.available2016
dc.date.issued2015
dc.descriptionThe aim of this study was to determine whether age, the risk prequirugico, dificille bladder, intraoperative bleeding, biliary infiltrated, nausea and vomiting, severe pain and administrative factors were factors for prolonged post-operative hospital stay. Material and Methods: An analytical retrospective case-control study types was performed. Patients entered the study that laparoscopic cholecystectomy for chronic cholecystitis were conducted during the period January 2012 - January 2014 that met the inclusion and exclusion criteria. Results: It was obtained for the variable age: OR = 1.99 (CI: 0876-4516) p: 0.9565; for variable preoperative high risk (ASA III): OR: 1.37 (CI 0.2713 - 6.9207) p: 0.7019; for bladder dificille variable: OR: 16.37 (CI: 3.7393 - 71.6972) p: 0.00; for intraoperative bleeding variable: OR: 10.1884 (CI: 2.9332 - 35.3895) p: 0.00; for variable infiltrated gall: OR: 12.5474 (CI: 2.8212 - 55.8051) p: 0.00; Variable for nausea and vomiting: OR: 6.4176 (CI: 2.3272 - 17.6971) p: 0.00; for variable pain: OR: 10.0962 (CI: 1.2238 - 83.2923) p: 0.0087; for the variable administrative factors was found that 47.7% of the group cases presented extended stay. Conclusion: The factors associated with prolonged hospital stay are: dificille bladder, intraoperative bleeding, biliary infiltration, nausea and vomiting, severe pain and administrative factorses_PE
dc.description.abstractEl objetivo de este estudio fue determinar si la edad, el riesgo prequirugico, vesicula dificille, sangrado intraoperatorio, infiltrado biliar, nauseas y vomitos, dolor intenso y factores administrativos eran factores para una estancia hospitalaria post operatoria prolongada. Material y Métodos: Se llevó a cabo un estudio analítico, retrospectivo, tipos casos y controles. Ingresaron al estudio los pacientes que se realizaron colecistectomía laparoscópica por colecistitis crónica durante el periodo Enero 2012 – Enero 2014 que cumplieron con los criterios de inclusión y exclusión. Resultados: Se obtuvo para la variable edad: OR: 1.99 (IC: 0.876 – 4.516) p: 0.9565; para la variable riesgo prequirurgico alto (ASA III): OR: 1.37 (IC: 0.2713 – 6.9207) p: 0.7019; para la variable vesícula dificille: OR: 16.37 (IC: 3.7393 – 71.6972) p: 0.00; para la variable sangrado intraoperatorio: OR: 10.1884 (IC: 2.9332 – 35.3895) p: 0.00; para la variable infiltrado biliar: OR: 12.5474 (IC: 2.8212 – 55.8051) p: 0.00; para la variable nauseas y vómitos: OR: 6.4176 (IC: 2.3272 – 17.6971) p: 0.00; para la variable dolor intenso: OR: 10.0962 (IC: 1.2238 – 83.2923) p: 0.0087; para la variable factores administrativos se encontró que el 47.7% del grupo casos presento estancia prolongada. Conclusión: Los factores asociados a estancia postoperatoria prolongada son: vesícula dificille, sangrado intraoperatorio, infiltrado biliar, náuseas y vómitos, dolor intenso y factores administrativoses_PE
dc.identifier.urihttps://hdl.handle.net/20.500.14414/1090
dc.language.isospaes_PE
dc.publisherUniversidad Nacional de Trujilloes_PE
dc.rightsinfo:eu-repo/semantics/openAccesses_PE
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/pe/
dc.sourceUniversidad Nacional de Trujilloes_PE
dc.sourceRepositorio institucional - UNITRUes_PE
dc.subjectRiesgo prequirurgico, Vesiculla dificille, Colecisitectomía laparoscoica, Factores administrativos, Infiltrado biliar, Sangrado intraoperatorioes_PE
dc.titleFactores de riesgo asociados a estancia hospitalaria postoperatoria prolongada en colecistectomía laparoscópica. Hospital Belén de Trujilloes_PE
dc.typeinfo:eu-repo/semantics/bachelorThesises_PE
thesis.degree.disciplineMedicina
thesis.degree.grantorUniversidad Nacional de Trujillo.Facultad de Medicina
thesis.degree.levelTítulo Profesional
thesis.degree.nameMédico Cirujano
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