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Factores asociados a la percepción de dolor pre y postoperatorio en pacientes llevados a Varicectomía de miembros inferiores en una institución en Bogotá

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dc.contributor.advisorBayona, Gabriel
dc.creatorCastaño Arbeláez, Angélica María
dc.creatorBayona Berdugo, Natalia
dc.creatorLeón Torres, Kelly Joane
dc.creator.degreeEspecialista en Epidemiología (en Convenio con el CES)spa
dc.creator.degreetypeFull timespa
dc.date.accessioned2019-10-11T16:36:43Z
dc.date.available2019-10-11T16:36:43Z
dc.date.created2019-10-08
dc.descriptionIntroducción: La insuficiencia venosa crónica tiene alta incidencia en adultos, especialmente mujeres, el dolor es un síntoma característico, incluso después de cirugía. Se requiere identificar factores asociados al dolor en pacientes con insuficiencia venosa crónica previo y posterior al manejo con varicectomía. Métodos: Estudio observacional retrospectivo que evalúa la escala visual análoga de dolor de los pacientes con insuficiencia venosa crónica antes y después de intervención en un hospital de Bogotá. Las puntuaciones se analizaron basado en la diferencia entre los factores clínicos, sociodemográficos y quirúrgicos. Se utilizaron la prueba de Kruskal Wallis y el coeficiente de correlación de Spearman para el análisis. Resultados : Se incluyeron 307 pacientes con clasificación CEAP II y III. El 66% fueron mujeres y la edad promedio fue 47 años. Consultar por linfangitis se asoció a mayor dolor preoperatorio (p<0.001) y a mayor frecuencia de complicaciones y reintervenciones (p= 0.005, p<0.001) postquirúrgicas. Los mayores puntajes de dolor postoperatorio y mayor diferencia consultaron por antecedentes de trombosis (p=0.001), la cirugía y el tratamiento previo se asociaron a menor dolor postoperatorio (p<0.05), la mejoría en el dolor fue poca en los reintervenidos(p=0.007). Las mujeres tienen mayor probabilidad de aumentar el dolor (p=0.05) y aquellos con comorbilidades a disminuirlo (p=0.012). Conclusiones: Son escasos los elementos objetivos para determinar el grado de dolor asociado a la insuficiencia venosa crónica, la cirugía podría ser una opción en aquellos con mayor dolor, sin embargo, se requieren más estudio.spa
dc.description.abstractIntroduction Chronic venous insufficiency has a high incidence in adults, especially women, pain is a characteristic symptom, even after surgery. It is necessary to identify factors associated with pain in patients with chronic venous insufficiency before and after management with varicectomy. Methods Retrospective observational study that evaluates the analogous visual pain scale of patients with chronic venous insufficiency before and after intervention in a Bogota hospital. The scores were analyzed based on the difference between clinical, sociodemographic and surgical factors. The Kruskal Wallis test and the Spearman correlation coefficient were used for the analysis. Results 307 patients with CEAP II and III classification were included, 66% were women and the average age was 47 years. Consultation for lymphangitis was associated with greater preoperative pain (p<0.001) and greater frequency of complications and reoperation (p=0.005, p<0.001) post-surgery. The highest postoperative pain scores and the greatest difference were consulted due to a history of thrombosis (p=0.001), surgery and previous treatment were associated with a lower postoperative pain (p<0.05), the improvement in pain was low in the reoperated patients (p=0.007). Women are likely to increase pain (p=0.05) and those with comorbidities to reduce pain (p=0.012). Conclusions There are few objective elements to determine the degree of pain associated with chronic venous insufficiency, surgery could be an option in those with greater pain, however, more studies are required.spa
dc.description.embargo2021-10-12 01:01:01: Script de automatizacion de embargos. info:eu-repo/date/embargoEnd/2021-10-11
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dc.identifier.doihttps://doi.org/10.48713/10336_20430
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/20430
dc.language.isospaspa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de medicinaspa
dc.rightsAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectProcedimientos Quirúrgicos Vascularesspa
dc.subjectEnfermedades Vasculares Periféricasspa
dc.subjectDolorspa
dc.subjectInsuficiencia venosaspa
dc.subjectEnfermedades vascularesspa
dc.subject.ddcCiencias médicas, Medicinaspa
dc.subject.keywordPainspa
dc.subject.keywordVenous insufficiencyspa
dc.subject.keywordVascular diseasesspa
dc.subject.keywordVascular surgical proceduresspa
dc.subject.keywordPeripheral vascular diseasesspa
dc.subject.lembMedicinaspa
dc.subject.lembEpidemiologíaspa
dc.titleFactores asociados a la percepción de dolor pre y postoperatorio en pacientes llevados a Varicectomía de miembros inferiores en una institución en Bogotáspa
dc.typebachelorThesiseng
dc.type.documentTrabajo de gradospa
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
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