dc.contributor.advisor | Castro Canoa, Jenny Amparo |
dc.contributor.advisor | Lineros Montañez, Alberto |
dc.creator | Bojacá Torres, Carlos |
dc.date.accessioned | 2014-03-27T21:22:45Z |
dc.date.available | 2014-03-27T21:22:45Z |
dc.date.created | 2014-01-22 |
dc.date.issued | 2014 |
dc.identifier.uri | http://repository.urosario.edu.co/handle/10336/5019 |
dc.description | Introducción: El síncope es un motivo frecuente de consulta en Urgencias, definir el estudio y el destino de estos pacientes es motivo de controversia. Se han diseñado varias escalas para estratificación del riesgo en pacientes con esta entidad. En este estudio se comparan las características operativas de 4 escalas para la decisión de hospitalizar pacientes con síncope que consultan a un servicio de urgencias de una institución de III y IV Nivel Métodos. Estudio analítico transversal, en el que se aplicaron las 4 escalas de riesgo a pacientes que consultaron por síncope al servicio de Urgencias durante un período de 6 meses y que fueron hospitalizados en la institución donde se realizó. Se evaluaron los resultados aplicando el programa Epidat 3.1 para sensibilidad y especificidad, índice de Youden. Resultados. Se incluyeron en total 91 pacientes. La sensibilidad de las escalas San Francisco, OESIL, EGSYS y la institucional para el requerimiento de hospitalización fue de 79%, 87%. 63% y 95% respectivamente y la especificidad fue de 52%, 40%, 64% y 14%. EL riesgo de mortalidad no fue adecuadamente detectado por la escala de San Francisco.. Conclusiones. Ninguna de las escalas aplicadas a los pacientes hospitalizados que consultaron por síncope a urgencias superó el juicio clínico para definir la hospitalización. Sin embargo, la escala OESIL y la institucional pueden ayudar a corroborar la decisión clínica de hospitalizar en esta población. |
dc.description.abstract | Introduction: Syncope is a common complaint in the emergency
department, defining the proper studies and destination of these patients
is still a matter of debate. There have been various tools designed to
help establish which of these patients are at risk of having an adverse
outcome, and therefore require admission. In this study ther are
compared the operative characteristics of 4 scales for the
decisión to hospitalize patients with syncope that they consult to
a emergency department of an III/IV level hospital
Methods: Analytic cross study, in which 4 risk scales were applied to
patients consulting with a chief complaint of syncope in the emergency
department, and were admitted during a 6 month period in a single
institution. The results were evaluated with Epidat 3.1 to calculate
sensitivity and specificity, Youden index.
Results: 91 patients were included in total. The sensibility of the scales
San Francisco, OESIL, EGSYS and the institutional one for the
requirement of hospitalization was 79 %, 87 %. 63 % and 95 %
respectively and the specificity was 52 %, 40 %, 64 % and 14 %. THE
risk of mortality was not detected adequately by the scale of San
Francisco.
Conclusions: None of the scales applied to the hospitalized patients
who consulted for sìncope to urgencies overcame the clinical judgment
to define the hospitalization. Nevertheless, the scale OESIL and the
institutional one can help to corroborate the clinical decision to
hospitalize in this population. |
dc.format.mimetype | application/pdf |
dc.language.iso | spa |
dc.rights.uri | http://creativecommons.org/publicdomain/zero/1.0/ |
dc.source | reponame:Repositorio Institucional EdocUR |
dc.source | instname:Universidad del Rosario |
dc.subject | Escalas de riesgo |
dc.subject | Sìncope |
dc.subject | Decisiones en Urgencias |
dc.title | Comparación de cuatro escalas de riesgo en pacientes que consultaron por síncope al servicio de urgencias |
dc.type | masterThesis |
dc.publisher | Universidad del Rosario |
dc.creator.degree | Especialista en Medicina de Emergencias |
dc.publisher.program | Especialización en Medicina de Emergencias |
dc.publisher.department | Facultad de Medicina |
dc.subject.keyword | Risk Scales |
dc.subject.keyword | Syncope |
dc.subject.keyword | Emergency department decision |
dc.rights.accesRights | info:eu-repo/semantics/openAccess |
dc.subject.decs | Medicina de urgencias - Toma de decisiones |
dc.subject.decs | Síncope - Diagnóstico |
dc.type.spa | Trabajo de grado |
dc.rights.acceso | Abierto (Texto completo) |
dc.type.hasVersion | info:eu-repo/semantics/acceptedVersion |
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dc.format.tipo | Documento |
dc.rights.cc | CC0 1.0 Universal |
dc.rights.licencia | EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. |