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Caracterización de la población con Fibromialgia en un Hospital de alta Complejidad, Bogotá D.C. Colombia 2018 – 2019

dc.contributor.advisorDaza Vergara, José Alejandro
dc.contributor.advisorIsaza Narváez, Ana Milena
dc.creatorArce Gutierrez, Juliana Elvira
dc.creatorGuevara Ruiz, Juan Camilo
dc.creator.degreeEspecialista en Medicina del Dolor y Cuidado Paliativospa
dc.creator.degreetypeFull timespa
dc.date.accessioned2020-08-04T16:25:49Z
dc.date.available2020-08-04T16:25:49Z
dc.date.created2020-06-30
dc.descriptionAntecedentes: La fibromialgia presenta una alta prevalencia en la población general, varía según los criterios diagnósticos utilizados debido a su etiología multidimensional y fisiopatología compleja. Como trastorno de la regulación del dolor, es necesario conocer las características sociodemográficas y comorbilidades que inciden en esta enfermedad para construir intervenciones integrales y preservar la funcionalidad de los pacientes. Metodología: Estudio observacional descriptivo de corte transversal, ejecutando una búsqueda en 6689 historias clínicas, correspondientes a 1001 pacientes de la consulta externa del servicio de dolor y cuidados paliativos de Méderi (2018 – 2019). 116 tuvieron diagnóstico de fibromialgia y cumplieron con los criterios de inclusión. Resultados: De los 116 pacientes con diagnóstico de fibromialgia el 94% son mujeres, 84,4% con 50 años o más, 67,2% tenían comorbilidad reumatológica y 56% comorbilidad psiquiátrica, con consumo de 3 o más medicamentos en un 81%, uso de medicamentos opioides en el 75%; 83,3% recibieron manejo no farmacológico. Los criterios diagnósticos para fibromialgia se aplicaron en el 43,1% de los pacientes. Se evidenció que el 10,3% contaban con incapacidad temporal y el 7,8% tenían pensión por invalidez. Conclusión: La fibromialgia constituye una patología relevante en la consulta de las clínicas de dolor, requiriendo de múltiples intervenciones para su manejo y cuyo impacto es difícil de medir y podría representar una carga significativa de morbilidad para los pacientes, en el desempeño de su rol laboral y económica al sistema de salud.spa
dc.description.abstractBackground: Fibromyalgia has a high prevalence in the general population, it varies according to the diagnostic criteria used due to its multidimensional etiology and complex pathophysiology. As a disorder of pain regulation, it is necessary to know the sociodemographic characteristics and comorbidities that affect this disease to build comprehensive interventions and preserve the functionality of patients. Methodology: Observational descriptive cross-sectional study, executing a search in 6689 medical records, corresponding to 1001 patients from the outpatient department of the pain and palliative care service in Méderi (2018 - 2019). 116 had a diagnosis of fibromyalgia and met the inclusion criteria. Results: Of the 116 patients diagnosed with fibromyalgia, 94% are women, 84.4% with 50 years or more, 67.2% had rheumatic comorbidity and 56% had psychiatric comorbidity, with consumption of 3 or more medications in 81% , use of opioid medications in 75%; 83.3% received non-pharmacological management. The diagnostic criteria for fibromyalgia were applied in 43.1% of the patients. It was evident that 10.3% had temporary disability and 7.8% had a disability pension. Conclusion: Fibromyalgia is a relevant pathology in the pain medicine clinic, requiring multiple interventions for its management and whose impact is difficult to measure and could represent a significant burden of morbidity for patients, in the performance of their job role and the economic impact to the health system.spa
dc.description.embargo2021-04-04 01:01:01: Script de automatizacion de embargos. info:eu-repo/date/embargoEnd/2021-04-03
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.48713/10336_25836
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/25836
dc.language.isospaspa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentEscuela de Medicina y Ciencias de la Saludspa
dc.publisher.programEspecialización en Medicina del Dolor y Cuidado Paliativospa
dc.rightsAtribución-SinDerivadas 2.5 Colombiaspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
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dc.rights.urihttp://creativecommons.org/licenses/by-nd/2.5/co/
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectFibromialgiaspa
dc.subjectDolor crónico generalizadospa
dc.subjectComorbilidadspa
dc.subject.ddcIncidencia & prevención de la enfermedadspa
dc.subject.keywordFibromyalgiaspa
dc.subject.keywordChronic generalized painspa
dc.subject.keywordComorbidityspa
dc.titleCaracterización de la población con Fibromialgia en un Hospital de alta Complejidad, Bogotá D.C. Colombia 2018 – 2019spa
dc.title.TranslatedTitleCharacterization of the population with Fibromyalgia in a High Complexity Hospital, Bogotá D.C. Colombia 2018 - 2019eng
dc.typemasterThesiseng
dc.type.documentDescriptivo observacional retrospectivospa
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
local.department.reportEscuela de Medicina y Ciencias de la Saludspa
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