Citas bibligráficas
Garcia, A., (2021). Correlación diagnóstica de gradiente de albúmina Suero-Ascitis (GAS-A) y concentración de proteínas en líquido ascítico y suero para el diagnóstico diferencial de ascitis en pacientes hospitalizados en el servicio de Medicina. Hospital II-2 Tarapoto. Enero 2018 a diciembre 2020 [Universidad Nacional de San Martín. Fondo Editorial]. http://hdl.handle.net/11458/4081
Garcia, A., Correlación diagnóstica de gradiente de albúmina Suero-Ascitis (GAS-A) y concentración de proteínas en líquido ascítico y suero para el diagnóstico diferencial de ascitis en pacientes hospitalizados en el servicio de Medicina. Hospital II-2 Tarapoto. Enero 2018 a diciembre 2020 []. PE: Universidad Nacional de San Martín. Fondo Editorial; 2021. http://hdl.handle.net/11458/4081
@misc{renati/1059727,
title = "Correlación diagnóstica de gradiente de albúmina Suero-Ascitis (GAS-A) y concentración de proteínas en líquido ascítico y suero para el diagnóstico diferencial de ascitis en pacientes hospitalizados en el servicio de Medicina. Hospital II-2 Tarapoto. Enero 2018 a diciembre 2020",
author = "Garcia Torres, Andres",
publisher = "Universidad Nacional de San Martín. Fondo Editorial",
year = "2021"
}
Objective: To evaluate the correlation of Serum-Ascites Albumin Gradient, Ascites Albumin Concentration, Total Protein in Ascitic Fluid and Ascites/Serum Protein Index. Materials and Methods: An observational, cross-sectional, retrospective study of the validity of diagnostic tests was performed in 72 patients hospitalized at Hospital II-2 Tarapoto, from January 2018 to December 2020, carriers of ascites of different etiologies; albumin and total proteins were analyzed in both blood serum and ascitic fluid. The diagnostic accuracy, sensitivity, specificity, PPV and NPV of the serum-ascites albumin gradient (SAAG), total protein in ascitic fluid (TAPF), albumin in ascitic fluid (AAC) and ascites protein/serum ratio (IPA/S) were obtained for the diagnosis of ascites due to portal hypertension or non- PHT. To determine ascites due to PHT according to the diagnostic tests, the values taken into account were: SAAG≥1.1, TAPF <0.5. Results: The average age was 59.01 ± 15.73 years; 45 (62.50%) men and 27 (37.50%) women. There were 49 (68.06%) patients with ascites due to PHT due to liver cirrhosis and 23 (31.94%) of ascites due to NO PHT. The sensitivity, specificity and diagnostic efficacy for SAAG was 88.76%, 92.53% and 88.87% respectively, for TAPF it was 81.05%, 98.78% and 90.08% respectively, for AAC it was 96.55%, 94.67% and 95.67 % respectively and for the IPA / S it was 88.76%, 92.53% and 88.87% respectively. Conclusion: The diagnostic accuracy of AAC and TAPF is superior to that of SAAG to discriminate between ascites due to PHT or NO PHT, so they could be used in clinical practice in isolation, or together to achieve a more accurate diagnostic approach.
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