dc.contributor.advisor | Espinoza Llerena, Roberto José Manuel | |
dc.contributor.author | Martínez Santos, Kriss Lisselly | |
dc.creator | Martínez Santos, Kriss Lisselly | |
dc.date.accessioned | 2024-05-02T21:01:25Z | |
dc.date.available | 2024-05-02T21:01:25Z | |
dc.date.issued | 2024 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12759/27991 | |
dc.description.abstract | Objetivo: 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 enteroanastomosis | es_PE |
dc.description.abstract | Objective: 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 anastomosis | es_PE |
dc.description.uri | Tesis | es_PE |
dc.format | application/pdf | es_PE |
dc.language.iso | spa | es_PE |
dc.publisher | Universidad Privada Antenor Orrego | es_PE |
dc.relation.ispartofseries | T_MED_3817 | |
dc.rights | info:eu-repo/semantics/openAccess | es_PE |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | es_PE |
dc.source | Universidad Privada Antenor Orrego | es_PE |
dc.source | Repositorio Institucional - UPAO | es_PE |
dc.subject | dehiscencia intestinal | es_PE |
dc.subject | enteroanastomosis | es_PE |
dc.subject | factores asociados | es_PE |
dc.title | Factores asociados a dehiscencia intestinal en pacientes con enteroanastomosis | es_PE |
dc.type | info:eu-repo/semantics/bachelorThesis | es_PE |
thesis.degree.level | Título Profesional | es_PE |
thesis.degree.grantor | Universidad Privada Antenor Orrego. Facultad de Medicina Humana | es_PE |
thesis.degree.name | Médico Cirujano | es_PE |
thesis.degree.discipline | Medicina Humana | es_PE |
dc.subject.ocde | https://purl.org/pe-repo/ocde/ford#3.02.27 | es_PE |
renati.advisor.orcid | https://orcid.org/0000-0003-2137-8005 | es_PE |
renati.author.dni | 47234118 | |
renati.advisor.dni | 41433382 | |
renati.type | https://purl.org/pe-repo/renati/type#tesis | es_PE |
renati.level | https://purl.org/pe-repo/renati/level#tituloProfesional | es_PE |
renati.discipline | 912016 | es_PE |
renati.juror | Lozano Peralta, Katherine Yolanda | |
renati.juror | Luján Calvo, María Del Carmen | |
renati.juror | Sosa Guillén, Noemí Matilde | |
dc.publisher.country | PE | es_PE |