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Comparación de cuatro escalas de riesgo en pacientes que consultaron por síncope al servicio de urgencias

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dc.contributor.advisorCastro Canoa, Jenny Amparo
dc.contributor.advisorLineros Montañez, Alberto
dc.creatorBojacá Torres, Carlos
dc.creator.degreeEspecialista en Medicina de Emergencias
dc.date.accessioned2014-03-27T21:22:45Z
dc.date.available2014-03-27T21:22:45Z
dc.date.created2014-01-22
dc.date.issued2014
dc.descriptionIntroducción: 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.spa
dc.description.abstractIntroduction: 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.eng
dc.format.mimetypeapplication/pdf
dc.format.tipoDocumentospa
dc.identifier.doihttps://doi.org/10.48713/10336_5019
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/5019
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Medicinaspa
dc.publisher.programEspecialización en Medicina de Emergenciasspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto completo)spa
dc.rights.ccCC0 1.0 Universalspa
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.spa
dc.rights.urihttp://creativecommons.org/publicdomain/zero/1.0/
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectSìncopespa
dc.subjectDecisiones en Urgenciasspa
dc.subject.decsMedicina de urgencias - Toma de decisionesspa
dc.subject.decsSíncope - Diagnósticospa
dc.subject.keywordRisk Scaleseng
dc.subject.keywordEmergency department decisioneng
dc.titleComparación de cuatro escalas de riesgo en pacientes que consultaron por síncope al servicio de urgenciasspa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
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