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Apendicitis aguda perforada en adultos; aproximación a las inequidades sociales en salud, Bogotá 2012

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dc.contributor.advisorAlvarado, Ricardo
dc.contributor.advisorDávila, Fabián
dc.creatorLinares Ramírez, Juan David
dc.creatorRicaurte Aragón, Alberto Enrique
dc.creator.degreeEspecialista en Cirugía General
dc.date.accessioned2013-09-11T01:08:50Z
dc.date.available2013-09-11T01:08:50Z
dc.date.created2013-08-21
dc.date.issued2013
dc.descriptionLa perforación del apéndice es una complicación temprana de la apendicitis aguda, demoras en el diagnóstico o tratamiento incrementan la tasa de perforación. Se desconoce si la perforación dl apéndice es un reflejo de inequidades sociales. Se pretendió determinar la asociación de la apendicitis aguda perforada en adultos y la equidad en acceso a salud. Estudio tipo cohorte retrospectivo documental, de historias clínicas de pacientes con apendicitis aguda; el análisis se realizó con Stata 11.1 y Epi-info. Los resultados se presentaron en tablas y figuras. Se incluyeron 540 casos (292 hombre y 248 mujeres), el grupo de edad que aporto más datos fue el de 18 a 49 años (391 pacientes); el tiempo medio de síntomas a consulta fue de 37,45 horas, y de 5,3 horas para el paso a cirugía desde el ingreso, fueron solicitadas 76 ecografías y 53 tomografías, 50 interconsultas a urología y 10 a ginecología hasta el diagnostico. El grupo de mayores de 49 años, el estrato socioeconómico tres y la tomografía fueron factores de riesgo independientes para perforación del apéndice. El análisis multivariado mostró asociación lineal entre el estrato socioeconómico y tiempo de síntomas al ingreso, tiempo para paso a cirugía, solicitud de ayudas diagnósticas e interconsultas, con buena significación estadística. La apendicitis aguda perforada en adultos, podría ser un indicador de inequidad en salud. Se requiere de estudios multi-céntricos, con mayor tiempo de evaluación y muestra para demostrar si el apéndice perforado es un trazador de inequidades en salud en Colombia.spa
dc.description.abstractPerforation of the appendix is an early complication of acute appendicitis; delays in diagnosis or treatment increase the perforation rate. It is unknown whether appendiceal perforation is a reflection of social inequities. It was intended to determine the association of perforated acute appendicitis in adults and equity in access to health care. Documentary retrospective cohort study type of clinical records of patients with acute appendicitis was done; the analysis was performed using Stata 11.1 and Epi-info. The results are presented in tables and figures. 540 patients (292 men and 248 women)were included, the age group that most provided was that of 18-49 years (391 patients), the median time to consultation was 37.45 hours, and 5, 3 hours for passage surgery from admission; 76 echography’s, 53 CT scans, 50 interconsultations to urology and 10 to gynecology were done for diagnosis. The 18-49 age groups and the CT request were independent risk factors for perforation of the appendix. Multivariate analysis showed linear association between time of admission symptoms, socioeconomic status, time to surgery and diagnostic aid request and consultations, with good statistical significance. The perforated acute appendicitis in adults may be an indicator of health inequity. It requires multi-center studies, with longer assessment and sample size to show whether perforated appendix is a tracer of health inequalities in Colombia.eng
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dc.format.tipoDocumentospa
dc.identifier.doihttps://doi.org/10.48713/10336_4688
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/4688
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Medicinaspa
dc.publisher.programEspecialización en Cirugía Generalspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto completo)spa
dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
dc.rights.licenciaEL 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. PARÁGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectAppendicitis/complicationsspa
dc.subjectAppendicitis/economicsspa
dc.subjectAppendicitis/organization and administrationspa
dc.subjectOutcome Assessment (Health Care) spa
dc.subject.decsDESIGUALDADES EN LA SALUD - BOGOTÁ (COLOMBIA)spa
dc.subject.decsINEQUIDAD SOCIAL - BOGOTÁ (COLOMBIA)spa
dc.subject.keywordAppendicitis/complicationseng
dc.subject.keywordAppendicitis/economicseng
dc.subject.keywordAppendicitis/organization and administrationeng
dc.subject.keywordQuality Assurancepor
dc.subject.lembApendicitis::Complicacionesspa
dc.subject.lembApendicitisspa
dc.subject.lembApendicitisspa
dc.titleApendicitis aguda perforada en adultos; aproximación a las inequidades sociales en salud, Bogotá 2012spa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
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