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Santa, C., (2017). Indice de severidad de neumonia como predictor de mortalidad en neumonia adquirida en la comunidad [Tesis, Universidad Privada Antenor Orrego]. https://hdl.handle.net/20.500.12759/2669
Santa, C., Indice de severidad de neumonia como predictor de mortalidad en neumonia adquirida en la comunidad [Tesis]. PE: Universidad Privada Antenor Orrego; 2017. https://hdl.handle.net/20.500.12759/2669
@misc{renati/1350124,
title = "Indice de severidad de neumonia como predictor de mortalidad en neumonia adquirida en la comunidad",
author = "Santa Cruz Lozano, Cyndi Katherine",
publisher = "Universidad Privada Antenor Orrego",
year = "2017"
}
Title: Indice de severidad de neumonia como predictor de mortalidad en neumonia adquirida en la comunidad
Authors(s): Santa Cruz Lozano, Cyndi Katherine
Advisor(s): Aliaga Diaz, Roger M.
OCDE field: https://purl.org/pe-repo/ocde/ford#3.02.27
Issue Date: 2017
Institution: Universidad Privada Antenor Orrego
Abstract: Introducción: La Neumonía adquirida en la comunidad (NAC) es una patología de
importancia por su morbimortalidad en la población en general, por lo cual la identificación
precoz y determinación de la severidad de la enfermedad son de vital importancia en el
manejo del paciente con NAC.
Objetivo: Existen escasos estudios que determinen la validez del índice de severidad de
neumonía (PSI) en el Perú, por lo que se intenta determinar la predicción de la mortalidad
en NAC.
Material y métodos: Se realizó un estudio retrospectivo de casos y controles, se revisó
historias clínicas en el periodo enero a diciembre 2016, en el Hospital Base Víctor Lazarte
Echegaray. Se incluyeron 93 pacientes adultos, divididos en 31 pacientes para el grupo de
casos y 62 pacientes para el grupo de control, todos los pacientes tuvieron el diagnóstico de
(NAC) y cumplieron los criterios de selección.
Resultados: La edad promedio de los participantes fue de 76,1 años. El grupo de casos tuvo
una edad promedio de 82,1 años y 73,1 años el grupo control. El sexo masculino fue el
predominante entre los pacientes que fallecieron por NAC (55%). Las comorbilidades
observadas más frecuentes fue la Insuficiencia renal (48% para ambos grupos), accidente
cerebrovascular (26% en los casos y 27% en controles) y la Insuficiencia cardiaca (10% en
el grupo de casos y 24% en los controles); ninguna de las comorbilidades incremento
significativamente la mortalidad. No hubo diferencias significativas (p = 0,106) entre
fallecidos y sobrevivientes al utilizar el Índice de severidad de neumonía. El 58,1% de los
pacientes en la categoría IV del PSI fallecieron, a diferencia del 35,5% en la categoría V. La
relación de posibilidades (Odds Ratio) fue de 2,91 para la mortalidad por NAC en la
categoría IV, a diferencia de la categoría V que tuvo una relación de posibilidades inferior a
1 (OR= 0.48 IC 95%: 0,20 – 1,18).
Conclusión: El índice de severidad de neumonía “PSI”, no fue útil para evaluar el riesgo de mortalidad por NAC.
Introduction: Community-acquired pneumonia (CAP) is a pathology of importance due to its morbidity and mortality in the general population. Therefore, early identification and determination of the severity of the disease are of vital importance in the management of the patient with CAP. Objective: There are few studies that determine the validity of the pneumonia severity index (PSI) in Peru, so it is attempted to determine the prediction of mortality in CAP. Material and methods: This is a retrospective case-control study. Clinical records were reviewed between January and December 2016 at the Base Hospital Víctor Lazarte Echegaray, Trujillo. We included 93 adult patients, divided into 31 patients for the group of cases and 62 patients for the control group, all patients were diagnosed with CAP and met the selection criteria. Results: The average age of participants was 76.1 years. The group of cases had a mean age of 82.1 years and 73.1 years the control group. Males were the predominant among patients who died of CAP (55%). The most frequent comorbidities observed were renal insufficiency (48% for both groups), cerebrovascular accident (26% in cases and 27% in controls) and heart failure (10% in the group of cases and 24% in the controls), none of the comorbidities significantly increased mortality. There were no significant differences (p = 0.106) between deceased and survivors when using the pneumonia severity index. 58.1% of patients in category IV of the PSI died, unlike the 35.5% in category V. The odds ratio (odds ratio) was 2.91 for mortality by NAC in category IV, unlike category V that had a ratio of possibilities less than 1 (OR = 0.48 95% CI: 0.20 - 1.18). Conclusion: The severity index of pneumonia ““PSI““ was not useful to evaluate the risk of mortality by CAP.
Introduction: Community-acquired pneumonia (CAP) is a pathology of importance due to its morbidity and mortality in the general population. Therefore, early identification and determination of the severity of the disease are of vital importance in the management of the patient with CAP. Objective: There are few studies that determine the validity of the pneumonia severity index (PSI) in Peru, so it is attempted to determine the prediction of mortality in CAP. Material and methods: This is a retrospective case-control study. Clinical records were reviewed between January and December 2016 at the Base Hospital Víctor Lazarte Echegaray, Trujillo. We included 93 adult patients, divided into 31 patients for the group of cases and 62 patients for the control group, all patients were diagnosed with CAP and met the selection criteria. Results: The average age of participants was 76.1 years. The group of cases had a mean age of 82.1 years and 73.1 years the control group. Males were the predominant among patients who died of CAP (55%). The most frequent comorbidities observed were renal insufficiency (48% for both groups), cerebrovascular accident (26% in cases and 27% in controls) and heart failure (10% in the group of cases and 24% in the controls), none of the comorbidities significantly increased mortality. There were no significant differences (p = 0.106) between deceased and survivors when using the pneumonia severity index. 58.1% of patients in category IV of the PSI died, unlike the 35.5% in category V. The odds ratio (odds ratio) was 2.91 for mortality by NAC in category IV, unlike category V that had a ratio of possibilities less than 1 (OR = 0.48 95% CI: 0.20 - 1.18). Conclusion: The severity index of pneumonia ““PSI““ was not useful to evaluate the risk of mortality by CAP.
Link to repository: https://hdl.handle.net/20.500.12759/2669
Discipline: Medicina Humana
Grade or title grantor: Universidad Privada Antenor Orrego. Facultad de Medicina Humana
Grade or title: Médico Cirujano
Register date: 22-May-2017
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