Citas bibligráficas
Huayanay, J., (2017). Efectividad diagnostica del examen clínico en el evento cerebrovascular hemorrágico en el servicio de emergencia del hospital Víctor Lazarte Echegaray [Tesis, Universidad Privada Antenor Orrego]. https://hdl.handle.net/20.500.12759/2631
Huayanay, J., Efectividad diagnostica del examen clínico en el evento cerebrovascular hemorrágico en el servicio de emergencia del hospital Víctor Lazarte Echegaray [Tesis]. PE: Universidad Privada Antenor Orrego; 2017. https://hdl.handle.net/20.500.12759/2631
@misc{renati/1350390,
title = "Efectividad diagnostica del examen clínico en el evento cerebrovascular hemorrágico en el servicio de emergencia del hospital Víctor Lazarte Echegaray",
author = "Huayanay Viera, Johssy Aquila",
publisher = "Universidad Privada Antenor Orrego",
year = "2017"
}
The cerebrovascular event (EVC) is the rapid development of a focal neurological deficit caused by the lack of blood supply to the corresponding cerebral area, once established the symptoms persist for 24 hours or more. The rapid and accurate identification of hemorrhagic EVC and its diagnosis is vital to reduce irreversible brain damage, prevent recurrence and thus achieve a better functional recovery of the patient. The diagnostic process includes the following sections: clinical history, general exploration, neurological and complementary explorations, and the therapeutic decisions regarding the management of the cerebral vascular event require an accurate diagnosis of the type of cerebral vascular event. Simple skull tomography remains the gold standard for establishing the definitive diagnosis of hemorrhagic EVC. The present study of diagnostic, prospective and observational tests, whose objective was to determine the diagnostic effectiveness of the clinical examination in the hemorrhagic cerebrovascular event in the emergency service of Victor Lazarte Echegaray Hospital, had the participation of 62 patients with clinical diagnosis suggestive of hemorrhagic EVC, Of which 31 patients had ICH (50%) and 12 HSA patients (19.35%) with clinical and tomographic diagnosis. It was shown that there is a statistical correlation between the symptoms and signs of the study population, with the findings obtained on the non-contrast tomography as a standard diagnostic test. The clinical diagnosis for hemorrhagic EVC had a sensitivity of 89.58%, specificity of 78.57% positive predictive value 93.48%, negative predictive value of 68.75%.
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