Maestrías

Permanent URI for this communityhttps://dspace-test.ucuenca.edu.ec/handle/123456789/109

Browse

Browsing Maestrías by Author "Aguirre Bermeo, Hernán Marcelo"

Filter results by typing the first few letters
Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    Mortalidad y su relación con el estado nutricional en pacientes críticos en la Unidad de Cuidados Intensivos del Hospital Vicente Corral Moscoso de octubre 2021 a enero del 2022, Cuenca Ecuador
    (Universidad de Cuenca, 2024-01-02) Hurtado Matute, Johanna Alexandra; Aguirre Bermeo, Hernán Marcelo
    Background: Malnutrition in critically ill patients has gained importance; studies have shown that obesity and malnutrition are independent risk factors for mortality, leading to a longer stay in intensive care and time on mechanical ventilation. In our country there is no data on malnutrition in critically ill patients or any relationship with mortality. Objective: Determine mortality and its relationship with nutritional status in patients in the Intensive Care Unit of the Vicente Corral Moscoso Hospital from October 2021 to January 2022. Methodology: Analytical, prospective observational study, clinical records were reviewed collecting sociodemographic data, biochemical and anthropometric parameters, arm and calf circumference. Measures of central tendency and dispersion were calculated, Chi2 to measure association, relative risk, 95% confidence interval and p value (< 0.05) for statistical significance. Results: 81 patients, 46% aged between 20 and 44 years, 67% male, 85.2% with enteral nutrition,21% died. 43% of adults were overweight, 52% of older adults had a normal BMI, 46.9% had a moderate risk of malnutrition according to CONUT. Albumin values were lower at discharge, in deceased patients (2.39 mg/dl) and in living patients (2.83 mg/dl) (P= 0.019). Those malnourished according to calf circumference had higher mortality (P=0.030) with a RR 3.68 95% CI (1.08-12.5). Conclusions: There is a high percentage of overweight with a higher risk of death, there was no relationship between anthropometric or biochemical variables at admission, at discharge there was a relationship between mortality with albumin levels and malnutrition according to calf circumference.
  • Thumbnail Image
    Item
    Prevalencia y caracterización clínico - epidemiológica y médico legal de los intentos autolíticos en el Hospital Vicente Corral Moscoso. Cuenca, 2018-2020
    (Universidad de Cuenca, 2022-12-06) Pesántez Bravo, María Augusta; Aguirre Bermeo, Hernán Marcelo
    Background: Suicide attempts are part of suicidal behavior and people who manifest it can end up consummating this act. In Ecuador, there are few studies on this rate, which is why it becomes a social and public health problem that must be prioritized in our country. General objective: to determine the prevalence and clinical-epidemiological and medico-legal characterization of suicide attempts at the Vicente Corral Moscoso Hospital. Basin, 2018-2020 Materials and methods: Quantitative, cross-sectional, retrospective and descriptive study. The medical records that correspond to suicide attempts at the Vicente Corral Moscoso Hospital, year 2018-2020, are included. The variables that were studied were: sociodemographic, clinical-epidemiological and medico-legal characteristics. The information was collected from the hospital statistics service to be later analyzed and expressed in frequency tables and percentages for qualitative and quantitative variables, means and standard deviation. Results: The prevalence of suicide attempts produced in 3 years at the Vicente Corral Moscoso Hospital was 0.69% more common in women and in the range of 20 to 39 years, the majority due to dru0067 intoxication with consumption of 1.1% of the cases. A comparison was made with the prevalence during the pandemic, showing an increase of 0.99%. Conclusions: The prevalence of attempted suicide in the sample studied is below the general average, with similar clinical characteristics in Latin America. However, it was shown that, in the COVID 19 pandemic, its prevalence increased, with a low frequency of consummation.