Citas bibligráficas
Cucho, M., (2019). Factores predictores de necrosis intestinal en pacientes con obstrucción intestinal [Tesis, Universidad Privada Antenor Orrego - UPAO]. https://hdl.handle.net/20.500.12759/5022
Cucho, M., Factores predictores de necrosis intestinal en pacientes con obstrucción intestinal [Tesis]. : Universidad Privada Antenor Orrego - UPAO; 2019. https://hdl.handle.net/20.500.12759/5022
@misc{renati/380623,
title = "Factores predictores de necrosis intestinal en pacientes con obstrucción intestinal",
author = "Cucho Hidalgo, Marye Nigaj Alessandra",
publisher = "Universidad Privada Antenor Orrego - UPAO",
year = "2019"
}
Introduction: Intestinal necrosis is one of the most unfavorable complications of intestinal obstruction, its timely identification can improve the survival of the affected patient. Objective: to analyze the predictive factors of intestinal necrosis in patients with intestinal obstruction. Method: Cross sectional study where 168 medical records (90 with necrosis and 78 without necrosis) of patients with intestinal obstruction treated in the department of general surgery of the Teaching Regional Hospital of Trujillo between 2015 and 2018 were reviewed. The Odds Ratio was calculated (OR) for the bivariate analysis and the multivariate analysis was performed by logistic regression to establish the predictive factors independently. Results: Fever, ascites, leukocytosis, neutrophil/lymphocyte ratio and intestinal thickness showed association in the bivariate analysis (p <0.05). After adjusting for the confounding variables, only ascites (ORa 6.12), neutrophil/lymphocyte ratio greater than 8 (ORa: 7.23) and intestinal thickness increase (ORa: 10.79) were maintained as independent factors. Conclusion: Ascites, neutrophil/lymphocyte ratio greater than 8 and increased intestinal thickness are the predictive factors of intestinal necrosis in patients with intestinal obstruction.
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