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Agitación posanestésica en pacientes con ansiedad preoperatoria

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dc.contributor.advisorIsaza Restrepo, Andrés
dc.creatorJimenez Ruiz, Jose Luis
dc.creatorRodriguez Franco, Helbert Fernando
dc.creator.degreeEspecialista en Epidemiología (en Convenio con el CES)spa
dc.creator.degreetypePart timespa
dc.date.accessioned2019-05-10T21:08:08Z
dc.date.available2019-05-10T21:08:08Z
dc.date.created2019-03-03
dc.date.issued2019
dc.descriptionINTRODUCCION: Los estudios en población pediátrica sugieren una asociación entre la ansiedad pre-operatoria y el delirio de emergencia o agitación posanestésica. Esta asociación no ha sido establecida en adultos. OBJETIVO: Establecer si existe asociación entre la ansiedad preoperatoria, la dependencia de alcohol y la agitación posanestésica entre los pacientes adultos sometidos a anestesia general en una institución de salud de tercer nivel de la ciudad de Bogotá, Colombia. METODOLOGIA: Estudio de cohorte prospectiva. Criterios de inclusión: pacientes mayores de 18 años ASA I y ASA II que asistieron a un hospital de tercer nivel a cirugía programada, cuyo procedimiento se realizó bajo anestesia general. La ansiedad se midió con la escala de Ámsterdam APAIS. El desenlace se midió con la Escala de Richmond. RESULTADOS: En total se estudiaron 132 pacientes. La incidencia de ansiedad preoperatoria fue de 38.9% cuando el punto de corte del APAIS fue 11. La frecuencia de los pacientes con abuso de alcohol (CAGE ≥2) fue del 24.2% y el 16.7% declararon haber consumido alguna sustancia psicoactiva en algún momento de la vida. De la emergencia de la anestesia se encontró que el 9% de los pacientes tuvieron agitación posanestésica, 11% emergencia hipoactiva y el resto normal. No se encontró asociación entre la ansiedad preoperatoria, la dependencia de alcohol y la agitación posanestésica en los pacientes adultos sometidos a anestesia general. Se encontró una asociación entre el ser hombre OR 5.8, el consumo de sustancias psicoactivas OR 3.7 y el uso de diclofenaco OR 11.3 con la agitación posanestésica. CONCLUSIONES: No se encontró asociación entre la ansiedad preoperatoria, la dependencia de alcohol y la agitación posanestésica en los pacientes adultos sometidos a anestesia general.spa
dc.description.abstractINTRODUCTION: Pediatric researches show an association between preoperative anxiety and emergency delirium or post-anesthetic agitation. This association has not been established in adults. OBJECTIVE: Establish an association between preoperative anxiety, alcohol dependence and post-anesthetic agitation in an adult patients undergoing general anesthesia in a third-level health institution in Bogotá, Colombia. MATERIALS AND METHODS: Prospective cohort study. Inclusion criteria: patients older than 18 years ASA I and ASA II who attended a third level hospital for scheduled surgery, whose procedure was performed under general anesthesia. Anxiety was measured with the Amsterdam APAIS scale. The outcome was measured with the Richmond Scale. RESULTS: 132 patients were studied. The incidence of preoperative anxiety was 38.9% when the cut-off point of APAIS was 11. The frequency of patients with alcohol abuse (CAGE ≥2) was 24.2% and 16.7% reported having used some psychoactive substance at some time of the life. From the emergence of anesthesia, it was found that 9% of patients had post-anesthetic agitation, 11% had hypoactive emergency and the rest normal. It wasn’t found an association between preoperative anxiety, alcohol dependence and post-anesthetic agitation in adult patients undergoing general anesthesia. An association with the post anesthetic agitation was found between gender male OR 5.8, psychoactive substance consumption OR 3.7 and use of diclofenac OR 11.3. CONCLUSIONS: It wasn’t found an association between preoperative anxiety, alcohol dependence and post-anesthetic agitation in adult patients undergoing general anesthesia.spa
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dc.identifier.doihttps://doi.org/10.48713/10336_19643
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/19643
dc.language.isospa
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.subjectEscala de ansiedadspa
dc.subjectPeríodo perioperatoriospa
dc.subjectDelirio de emergenciaspa
dc.subjectDolorspa
dc.subjectAlcoholismospa
dc.subject.ddcIncidencia & prevención de la enfermedadspa
dc.subject.keywordTest anxiety scalespa
dc.subject.keywordPerioperative periodspa
dc.subject.keywordEmergence deliriumspa
dc.subject.keywordPainspa
dc.subject.keywordAlcoholismspa
dc.subject.lembEscala de ansiedadspa
dc.subject.lembDolorspa
dc.subject.lembAlcoholismospa
dc.subject.lembCirugíaspa
dc.titleAgitación posanestésica en pacientes con ansiedad preoperatoriaspa
dc.typebachelorThesiseng
dc.type.documentTrabajo de gradospa
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
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