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Title: Factores de riesgo para el desarrollo de fístula anorrectal
Advisor(s): Uriol Valverde, Ronald Eugenio
Issue Date: 2016
Institution: Universidad Nacional de Trujillo
Abstract: OBJETIVO: Determinar si el sexo masculino, la adultez temprana, el sobrepeso, la Diabetes Mellitus y la ocupación de chofer son factores de riesgo asociados a la aparición de fístula anorrectal. METODOLOGÍA: Estudio tipo analítico de casos y controles. MATERIAL Y MÉTODO: Población conformada por pacientes con diagnóstico de fístula anorrectal atendidos en el servicio de cirugía del Hospital Belén de Trujillo en el periodo Enero 2010 - Julio 2016. Se revisó 168 historias clínicas (56 casos y 112 controles), conformando luego la base de datos. Para medir el nivel de asociación se utilizó Odss ratio (OR) y para comprobar su significancia, la prueba chi cuadrado. Identificados los factores de riesgo, el análisis multivariado de regresión logística identificó el comportamiento aislado de cada variable. RESULTADOS: Se encontró como factor de riesgo al género masculino (OR: 7.287, IC: 3.374-15.738, p<0.00) y la adultez temprana (OR: 2.41, IC: 1.039-5.587, p<0.04). El sobrepeso, Diabetes y ocupación de chofer no resultaron significativos (p>0.05). CONCLUSIONES: El género masculino y la adultez temprana son factores de riesgo para el desarrollo de fístula anorrectal. El sobrepeso, Diabetes y la ocupación de chofer no demostraron asociación
Note: TITLE: “Risk factors for the development of anorectal fistula” OBJECTIVES: To determine whether male sex, early adulthood, overweight, diabetes mellitus and driver occupation are risk factors associated with the occurrence of anorectal fistula. METHODOLOGY: Analytical case-control study. MATERIAL AND METHODS: Population was conformed of patients diagnosed with anorectal fistula treated in the surgical service at the Belén Hospital of Trujillo in the period January 2010 to July 2016. We reviewed 168 medical records (56 cases and 112 controls), and then formed the database. To measure the association level we used Odss ratio (OR) and to verify its significance, the chi-square test. Once the risk factors were identified, the multivariate analysis of logistic regression identified the isolated behavior of each variable. RESULTS: Male gender (OR: 7,287, CI: 3,374-15,738, p<0,00) and early adulthood (OR: 2.41, CI: 1.039-5.587, p<0,04) were found as risk factors. The presence of overweight, Diabetes mellitus and driver occupation were not statistically significant (p> 0.05) and therefore were not associated with the development of anorectal fistula. CONCLUSIONS: Male gender and early adulthood are risk factors for the development of anorectal fistula. Overweight or obesity, Diabetes mellitus and driver occupation were not associated with the onset of this pathology
Discipline: Medicina
Grade or title grantor: Universidad Nacional de Trujillo.Facultad de Medicina
Grade or title: Medico Cijurano
Register date: 7-Jul-2017



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