Bibliographic citations
Lazarte, (2024). Comparación del lactato deshidrogenasa con el apgar quirúrgico en la predicción de complicaciones de cirugía abdominal 2018-2022 [Tesis, Universidad Privada Antenor Orrego]. https://hdl.handle.net/20.500.12759/33311
Lazarte, Comparación del lactato deshidrogenasa con el apgar quirúrgico en la predicción de complicaciones de cirugía abdominal 2018-2022 [Tesis]. PE: Universidad Privada Antenor Orrego; 2024. https://hdl.handle.net/20.500.12759/33311
@misc{renati/372765,
title = "Comparación del lactato deshidrogenasa con el apgar quirúrgico en la predicción de complicaciones de cirugía abdominal 2018-2022",
author = "Lazarte Choquehuanca Oliver Alexander",
publisher = "Universidad Privada Antenor Orrego",
year = "2024"
}
To compare blood lactate dehydrogenase (LDH) levels with the surgical Apgar score in predicting the severity of abdominal surgery complications, with the aim of establishing a predictor in these patients. Materials and methods: A cross-sectional analytical study was carried out including 107 patients undergoing abdominal surgery who met the established selection criteria. The collection was carried out based on a review of medical records during the period of 2018 and 2022. Results: An analysis was performed to determine statistically significant variables (p<0.05) using Pearson's Chi square test. Those that were associated with postsurgical complications (abdominal surgery) are: sex (p= 0.003), perioperative risk (p= 0.001), use of vasoactive agents (P= 0.005), hospitalization time (p= 0.001) and operative time (p= 0.001). When evaluating complications according to the LDH variable, it was found that of the 50.5% of patients with LDH > 460, 35.5% had level I and 15% level II postsurgical complications; while of the 49.5% of patients with LDH ≤ 460, 43.9% presented level I postsurgical complications and 5.6% presented level II. When evaluating the surgical Apgar score, 62.6% of the patients had a score > 6, of which 52.3% presented level I postsurgical complications and 10.3% presented level II. Instead of 37.4% of patients with surgical apgar 4 - 6, 27.1% presented level I postsurgical complications and 10.3% presented level II. When statistically comparing the results of LDH vs. Surgical Apgar, significance was found only in the LDH value with a value of (p < 0.05). Conclusions: Lactate dehydrogenase (LDH) better predicts the level of severity of postoperative complications compared to surgical Apgar
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