Prevalencia y factores de riesgo de la colecistitis aguda en el Hospital Homero Castanier en el año 2014

Abstract

BACKGROUND: Acute cholecystitis is one of the main disorders of the bile duct in the country and is strongly associated with cholelithiasis. From 90 to 95% of cases of acute cholecystitis are caused by gallstones, which in 2013 was the second cause of national morbidity. Morbidity in the province of Cañar is also significant, showing a value of 36.98 per 10,000 population (1).GENERAL OBJECTIVE: Determine the prevalence of acute cholecystitis and associated risk factors in Homero Castanier Crespo Hospital during 2014.METHODOLOGY: A descriptive, retrospective cross-sectional study, where we worked with the universe of patients in whose medical records existed diagnosis of acute cholecystitis, and were treated at the Homero Castanier Crespo Hospital during 2014. Data were collected in form (questionnaire) and were tabulated in SPSS (version 21). For statistical analysis of the data, were handled: percentages, simple frequencies and averages; for association was used Chi squared with its confidence interval 95%. The results are considered statistically significant at p <0.05.RESULTS: The prevalence of acute cholecystitis was 24.9% of the total cholecystectomy patients in Homero Castanier Crespo Hospital. Acute cholecystitis represented an 88.33%. The age group in which more frequently presented the pathology was adult (45%) and females (66.7%) and the population of the urban area (76.7%). Dyslipidemic patients are 70.0% of cases of acute cholecystitis. Statistically significant association between BMI and diagnosis of acute cholecystitis/acalculous with p of 0.040 was found. No statistically significant association with other risk factors analyzed was found. CONCLUSIONS: There is statistically significant association between BMI and diagnosis of acute cholecystitis / acalculous