Colecistitis aguda severa según criterios de Tokio y factores asociados en pacientes del Hospital Vicente Corral Moscoso, Cuenca 2017

Abstract

BACKGROUND: Acute cholecystitis is also a global problem, both in terms of morbidity and social, economic and quality of life impact. OBJECTIVE: To determine the prevalence of acute cholecystitis according to the Tokyo criteria and associated factors in patients of the Hospital Vicente Corral Moscoso, Cuenca 2017 METHODOLOGY: A cross-sectional, analytical study was conducted in the trauma and emergency department of the Vicente Corral Moscoso Hospital, in patients with acute cholecystitis during 2017, the sample was 150 patients, who met the inclusion criteria, the prevalence of severe acute cholecystitis according to the Tokyo criteria and the association with risk factors such as age over 65, male sex, obesity, overweight, hypertension, diabetes, vesicular plastron, pyocolecyst, vesicular hydrops, vesicular necrosis, and vesicular necrosis. O was obtained with confidence index, frequencies and percentages. RESULTS: A prevalence of severe acute cholecystitis of 24.7% was found; It is a statistically significant relationship with age, HBP, vesicular plastron, pyocolecisto, vesicular necrosis; there is a risk that patients have diabetes, male sex, obesity or vesicular perforation; However, it was not significant. There is no significant statistical difference in patients who are overweight or who present with vesicular hydrops. There was a mortality of 3%. CONCLUSIONS: Severe cholecystitis has a high prevalence and is associated with several factors such as age over 65 years, hypertension, the presence of pyocolecisto, vesicular necrosis and plastron.