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dc.contributor.advisorEspinoza Llerena, Roberto José Manuel
dc.contributor.authorMartínez Santos, Kriss Lisselly
dc.creatorMartínez Santos, Kriss Lisselly
dc.date.accessioned2024-05-02T21:01:25Z
dc.date.available2024-05-02T21:01:25Z
dc.date.issued2024
dc.identifier.urihttps://hdl.handle.net/20.500.12759/27991
dc.description.abstractObjetivo: Establecer los factores asociados a dehiscencia intestinal en pacientes con enteroanastomosis, del Hospital Regional Docente de Trujillo, atendidos entre enero del 2018 y julio del 2023. Metodología: Estudio caso-control, donde se analizaron los registros médicos de 128 pacientes sometidos previamente a enteroanastomosis, 32 con dehiscencia intestinal (casos) y el resto controles sin dehiscencia intestinal (DI). Se evaluaron factores clínicos, laboratoriales y quirúrgicos dentro de la historia y evolución del paciente hasta el alta hospitalaria. Se calcularon los OR y OR ajustados, la significancia fue obtenida por Chi cuadrado en el bivariado, y con regresión logística para el multivariado. Resultados: El análisis bivariado mostró, que la anemia fue más frecuente en los casos que en los controles (78.1% vs 46.9%, p=0.02), al igual que la hipoalbuminemia (71.9% vs 47.9%, p=0.005) y la sepsis abdominal (18.8% vs 3.1%, p=0.008). El tipo de anastomosis (p=0.023) y la necesidad de transfusión sanguínea (p<0.001), se asociaron a mayor chance de DI. Finalmente, el multivariado muestra que la hipoalbuminemia (ORa: 3.01, IC95%: 1.05-8.63), necesidad de transfusión sanguínea (ORa: 6.5, IC95%: 2.04-20.63) y anastomosis latero-lateral (ORa: 5.27, IC95%: 1.14-24.49), son factores asociados independientes a dehiscencia intestinal. Conclusiones: La hipoalbuminemia, necesidad de transfusión sanguínea y anastomosis latero-lateral son factores asociados a DI en pacientes sometidos a enteroanastomosises_PE
dc.description.abstractObjective: To establish the factors associated with intestinal dehiscence in patients with intestinal anastomosis, at the Trujillo Regional Teaching Hospital treated between January 2018 and July 2023. Methodology: Case-control study, where the medical records of 128 patients previously subjected to intestinal anastomosis were analyzed, 32 with intestinal dehiscence (cases) and the rest controls without intestinal dehiscence (ID). Clinical, laboratory and surgical factors were evaluated within the patient's history and evolution. The OR and adjusted OR were calculated, significance was obtained by Chi-square in the bivariate, and with logistic regression for the multivariate. Results: The bivariate analysis showed, that anemia was more frequent in cases than in controls (78.1% vs 46.9%, p=0.02), as well as hypoalbuminemia (71.9% vs 47.9%, p=0.005) and abdominal sepsis (18.8% vs 3.1%, p=0.008). The type of anastomosis (p=0.023) and the need for blood transfusion (p<0.001) were associated with a greater chance of ID. Finally, the multivariate shows that hypoalbuminemia (aOR: 3.01, 95% CI: 1.05-8.63), need for blood transfusion (aOR: 6.5, 95% CI: 2.04-20.63) and side-lateral anastomosis (aOR: 5.27, 95% CI: 1.14-24.49), are independent factors associated with intestinal dehiscence. Conclusions: Hypoalbuminemia, need for blood transfusion and side lateral anastomosis are factors associated with ID in patients undergoing intestinal anastomosises_PE
dc.description.uriTesises_PE
dc.formatapplication/pdfes_PE
dc.language.isospaes_PE
dc.publisherUniversidad Privada Antenor Orregoes_PE
dc.relation.ispartofseriesT_MED_3817
dc.rightsinfo:eu-repo/semantics/openAccesses_PE
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/es_PE
dc.sourceUniversidad Privada Antenor Orregoes_PE
dc.sourceRepositorio Institucional - UPAOes_PE
dc.subjectdehiscencia intestinales_PE
dc.subjectenteroanastomosises_PE
dc.subjectfactores asociadoses_PE
dc.titleFactores asociados a dehiscencia intestinal en pacientes con enteroanastomosises_PE
dc.typeinfo:eu-repo/semantics/bachelorThesises_PE
thesis.degree.levelTítulo Profesionales_PE
thesis.degree.grantorUniversidad Privada Antenor Orrego. Facultad de Medicina Humanaes_PE
thesis.degree.nameMédico Cirujanoes_PE
thesis.degree.disciplineMedicina Humanaes_PE
dc.subject.ocdehttps://purl.org/pe-repo/ocde/ford#3.02.27es_PE
renati.advisor.orcidhttps://orcid.org/0000-0003-2137-8005es_PE
renati.author.dni47234118
renati.advisor.dni41433382
renati.typehttps://purl.org/pe-repo/renati/type#tesises_PE
renati.levelhttps://purl.org/pe-repo/renati/level#tituloProfesionales_PE
renati.discipline912016es_PE
renati.jurorLozano Peralta, Katherine Yolanda
renati.jurorLuján Calvo, María Del Carmen
renati.jurorSosa Guillén, Noemí Matilde
dc.publisher.countryPEes_PE


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