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Martínez, K., (2024). Factores asociados a dehiscencia intestinal en pacientes con enteroanastomosis [Tesis, Universidad Privada Antenor Orrego]. https://hdl.handle.net/20.500.12759/27991
Martínez, K., Factores asociados a dehiscencia intestinal en pacientes con enteroanastomosis [Tesis]. PE: Universidad Privada Antenor Orrego; 2024. https://hdl.handle.net/20.500.12759/27991
@misc{renati/377712,
title = "Factores asociados a dehiscencia intestinal en pacientes con enteroanastomosis",
author = "Martínez Santos, Kriss Lisselly",
publisher = "Universidad Privada Antenor Orrego",
year = "2024"
}
Título: Factores asociados a dehiscencia intestinal en pacientes con enteroanastomosis
Autor(es): Martínez Santos, Kriss Lisselly
Asesor(es): Espinoza Llerena, Roberto José Manuel
Palabras clave: dehiscencia intestinal; enteroanastomosis; factores asociados
Campo OCDE: http://purl.org/pe-repo/ocde/ford#3.02.27
Fecha de publicación: 2024
Institución: Universidad Privada Antenor Orrego
Resumen: 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
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
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
Enlace al repositorio: https://hdl.handle.net/20.500.12759/27991
Disciplina académico-profesional: Medicina Humana
Institución que otorga el grado o título: Universidad Privada Antenor Orrego. Facultad de Medicina Humana
Grado o título: Médico Cirujano
Jurado: Lozano Peralta, Katherine Yolanda; Luján Calvo, María Del Carmen; Sosa Guillén, Noemí Matilde
Fecha de registro: 2-may-2024
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