Browsing by Author "Álvarez Serrano, Marlene Elizabeth"

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Análisis del grado de satisfacción de los adultos mayores de las provincias de Azuay y Cañar
(2017) Ortiz Segarra, José Ignacio; Freire Argudo, Ulises Vicente; Álvarez Serrano, Marlene Elizabeth; Tenemaza Alvarracin, David Fernando; Cobos Torres, Angel Ignacio; Zhindón Galán, Martha Dalila; Larriva Vásquez, María Eulalia
Objective. Analysis of the perceptions about the exercise of the rights of the elderly in the provinces of Azuay and Cañar. Methodology. An analytical cross-sectional study was carried out involving 538 elderly people living in the coverage areas of the first-level health centers, belonging to the Ministry of Public Health and the Rural Social Security, through the application of a rights form, previously validated.Results. The mean age was 75.20 ± 7.22 years (65 to 100 years), the majority were women, married, with primary education and 33% illiteracy. 81% of participants consider their standard of living to be adequate. Living alone is a factor associated with the inadequate exercise of rights in a statistically significant way (OR 2.31, 95% CI 1.46-3.68). Age, marital status, occupation, education, self-identification, are also associated with inadequate exercise of rights, but not significantly.Conclusions. Eight out of ten older adults consider that the exercise of their rights is adequate, and in the group that feels dissatisfaction, solitude is a statistically significant associated factor. This situation reveals the importance of generating social networks of support between peers, with inter-institutionalsupport and especially of local community organizations, to achieve the full exercise of rights, without exclusions.
Caracterización y resistencia de escherichia Coli a los antimicrobianos en los hospitales Vicente Corral Moscoso y José Carrasco Arteaga, Cuenca, 2008-2009
(Universidad de Cuenca, 2011-11-11) Alvarado Sánchez, Sebastián Stalyn; Guzmán Rodas, Fernanda Elizabeth; Saquipay Pañi, Wilson Roberto; Galindo Banegas, Telmo Benjamín; Álvarez Serrano, Marlene Elizabeth
Objective. To characterize and determine the strength of Escherichia coli in primary cultures in Vicente Corral and Jose Carrasco hospitals of Cuenca city. Materials and method. A descriptive design information was collected 1000 primary cultures in external consultation and hospitalization of both institutions of health in period January to May 2009. Results. In the 1000 primary cultures 789 (79%) were at the Hospital Vicente Corral and 211 (21%) in the Hospital José Carrasco identified 352 (35.2%) positive cultures: Escherichia coli, in both hospitals the highest percentage of samples came from the outpatient clinic, the bacterium Escherichia coli showed increased resistance to TMP + SMX association in 50% of crops, there is resistance to other antibacterial agents: cefepime, nitrofurantoin, ceftriaxone, ceftazidime, ciprofloxacin, imepenem, gentamicin and sulbactam, ranging from 12.8% to 22.2%, respectively. Collection characterized the distribution of frequencies as: age, sex and origin of material for cultivation and antibiogram. . Conclusions. Bacterial resistance patterns are changing and differ between health houses. Bacterial behaviour seems to be determined by abuse of antibiotics. Key words: Culture media, antibiogram, bacteria, bacterial drug resistance, Escherichia coli.
Colecistitis aguda severa según criterios de Tokio y factores asociados en pacientes del Hospital Vicente Corral Moscoso, Cuenca 2017
(2019) Sánchez León, José Adrián; Fernández de Córdova Rubio, Germán Lenin; Álvarez Serrano, Marlene Elizabeth
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.
Control inadecuado de Hipertensión Arterial y Factores asociados en mayores de 40 Años. Parroquia San Sebastián 2017
(Universidad de Cuenca, 2019-04-08) Solís Sánchez, Javier Stalyn; Álvarez Serrano, Marlene Elizabeth
Background: hypertension (HT) has a high prevalence worldwide and its control has been associated with family functionality, lifestyle and compliance with treatment. Objective: to determine the inadequate control of hypertension and associated factors in individuals older than 40 years of the San Sebastian parish in 2017. Materials and methods: an observational, analytical, cross-sectional study consisting of 190 hypertensive patients, who underwent a questionnaire and their blood pressure was measured, tabulating the data obtained and performing their analysis using the statistical program SPSS. in its version 15. For the analysis, the Chi square test and the OR with their CI 95% were calculated to evaluate the association between variables. Results: 76.3% women, 36.2% between 71 to 80 years, 58.9% married, 70.5% reside urban area, 63.7% with basic education, 77.9% belong to families moderately functional, 45.3% have uncontrolled hypertension and 52.1% do not comply with the treatment, 50% have a regular lifestyle, it was associated with poor control of hypertension when treatment was not met (OR = 5.69 95% CI = 3.10-10.81, p <0.001), moderate-dysfunctional functionality 93% p <0.01, and the bad-regular lifestyle in which 72.8% was uncontrolled. however, the latter did not show statistical difference. Conclusions: non-control of hypertension was associated with non-compliance with treatment for moderate-dysfunctional family functioning and a bad-regular lifestyle
Correlación de la paratohormona con la hipocalcemia sintomática en el posoperatorio precoz de tiroidectomía total en el Hospital José Carrasco Arteaga periodo 2017 - 2018
(2019) Gutiérrez Varela, Marco Jonatan; Ortiz Sánchez, William Patricio; Álvarez Serrano, Marlene Elizabeth
Background: Hypocalcemia is a frequent complication after thyroid surgery and may be symptomatic or asymptomatic. Many factors have been related to symptomatic hypocalcemia, such as: parathyroid hormone, age, surgery time and type of surgery. Objective: To determine the correlation of parathyroid hormone with symptomatic hypocalcemia in the early postoperative period of patients with a total thyroidectomy between 2017 and 2018 at José Carrasco Arteaga Hospital. Method and materials: Analytical study of paratohormone levels after 1 hour and 6 hours post-surgery, age, surgery time, type of surgery, and pre-operatory cytology with clinical manifestations of hypocalcemia. The sample consisted of 171 patients who underwent a total thyroidectomy with or without level VI lymph node emptying of any etiology at José Carrasco Arteaga Hospital in the period 2017-2018. Results: The prevalence of symptomatic hypocalcemia was 43.8%. A significant association of the clinical manifestations of hypocalcemia was found with low levels of parathyroid hormone at 1 and 6 hours post-surgery, a surgery time longer than 120 minutes and total thyroidectomy with a level VI lymph node emptying (p <0.05). On the other hand, the group older than 50 years (p 0.711) and the malignant pathology (p 0.751) are not significantly related to the presence of hipocalcemia symptomatology. Conclusions: Paratohormone levels, operative time and type of surgery are related to symptomatic hypocalcemia. The measurement of paratohormona after 1 hour post-surgery has the same prognostic value as the one obtained 6 hours later to predict the development of the symptomatology
Efecto de un programa de educación nutricional y actividad física en trabajadores del Grupo Industrial Graiman. Cuenca 2024
(Universidad de Cuenca, 2025-08-27) Sarmiento Abril, Milena Cristina; Carrión Sarmiento, Nayeli Paulette; Álvarez Serrano, Marlene Elizabeth
Background: Worldwide, the prevalence rate of overweight and obesity is increasing, considering Latin America as the region with the highest percentage, which is why the study of nutritional status and physical activity is essential for our environment, especially in the industrial labor sector whose daily activity is directly influenced by energy consumption and quality of life. Objective: To evaluate and modify the knowledge, attitudes and practices of the workers at the Graiman industrial group in Cuenca city regarding nutrition and physical activity. Methodology: A quasi-experimental study without a control group on the knowledge, attitudes, and practices (KAPs) regarding nutrition and physical activity of the workers at the Graiman industrial group, both men and women working in Cuenca city. A pre and post intervention KAP scale on the topic under study will be applied. The sample calculation was done using the Epi Dat version 4.2 program, obtaining a sample of 120 participants, including a 20% loss. For data processing and presentation, SPSS version 29 will be used. Results: The results indicate that men were the predominant gender; approximately 7 out of 10 workers have a partner, the predominant age is 40 to 49 years, and more than half of the workers are overweight. Additionally, after the interventions on healthy eating and physical activity, a significant increase in knowledge about healthy eating was observed at 41,48%, and physical activity at 2,9%. Likewise, there was an improvement in eating and physical practices at 6,4% and 2,9%, respectively. On the other hand, a positive effect was revealed on the attitude that industrial workers acquired regarding maintaining better daily nutrition and physical activity.
Factores asociados a la no adherencia al tratamiento antidiabético, en pacientes con diabetes mellitus tipo 2 del servicio de Clínica del Hospital Vicente Corral Moscoso. Cuenca, 2019 - 2020
(Universidad de Cuenca, 2021-05-13) Orellana Cobos, Danilo Fernando; Álvarez Serrano, Marlene Elizabeth
Background: Diabetes Mellitus 2 is a prevalent cause of morbidity and mortality in our country, being required adequate therapeutic adherence to treat it. Objective: Determine the factors associated with non-adherence to antidiabetic treatment in patients with Diabetes Mellitus Type 2 in the Clinic service of the Vicente Corral Moscoso Hospital in the city of Cuenca during the period 2019-2020. Materials and methods: Analytical cross-sectional study. The sample was 204 patients, using the formula for finite universe. It was analyzed in the PSPP 1.2.0 program, using the prevalence ratio to measure the association. The bioethics committee approved the study. Results: The mean age was 68.88 ± 16.37 years. The frequency of non-adherence to the treatment was 70.6%. The associated factors were: use of 4 or more drugs (PR 3.99 IC 2.77 - 6.99), smoking (PR 2.61 IC 1.49 - 4.58), distance to the health center was more than 30 minutes (PR 2.81 IC 1.79 - 4.4), rural origin (PR 2.26 IC 1.07 - 4.77), depression (PR 2.14 IC 1.5 - 3.06), time of diagnosis more than ten years (PR 2.0 IC 1.4 - 2.87) and use of oral treatment (PR 1.7 IC 1.19 - 2.43); all statistically significant (p <0.05). Conclusions: The lack of adherence to antidiabetic treatment was associated with the concomitant use of 4 or more medications, smoking, distance to the health center more than or equal to 30 minutes, a rural origin, depression, time of diagnosis more than ten years, and the use of oral treatment.
Factores asociados a las complicaciones agudas de la diabetes en pacientes hospitalizados en el servicio de clínica del Hospital Vicente Corral Moscoso, Cuenca 2019-2020
(Universidad de Cuenca, 2021-05-12) González Rojas, Giovanny Marcelo; Álvarez Serrano, Marlene Elizabeth
Background: untreated or inadequately treated diabetic patients develop acute metabolic complications. Identifying the factors associated with the development of these complications would allow establishing effective prevention measures. Objective: to determine the factors associated with the development of acute complications of diabetes in patients of the clinic service of the Vicente Corral Moscoso Hospital. Methodology: cross-sectional analytical study, approved by the Health Bioethics Committee. The sample calculation was performed with a confidence level of 95% and an absolute precision of 3%, obtaining a sample of 378 patients. The information was obtained through the digital clinical history of the patients, to determine the relationship between associated factors and acute complications, the p-value and the Odds ratio statistic with a 95% confidence interval were used. Results: the prevalence of acute complications of diabetes found was 34.4%. A positive association was established between infections OR 2.82 95% CI (1.74-4.57) p 0.000, absence of instruction OR 3.22 95% CI (1.91-5.40) p 0.000, being an adult young OR 2.22 95% CI (1,21-4,07) p 0.000, and fasting OR 31.27 95 CI % (9.40-104.00) p 0.000), for the development of acute diabetic complications. No relationship was found with sex and place of residence. Conclusion: the prevalence of acute diabetic complications is higher than that reported in international studies. Lack of education, being a young adult, infections, and fasting; were positively correlated for the development of complications.
Factores asociados con infecciones por bacterias multiresistentes en el Hospital Vicente Corral Moscoso Cuenca, 2018-2019
(Universidad de Cuenca, 2021-05-25) Mogrovejo Loyola, Thalía Aracely; Álvarez Serrano, Marlene Elizabeth
Background: bacterial resistance is characterized by the adaptability of microorganisms to the injuries of their environment represented by antibiotics and which is currently one of the main causes of worldwide mortality. General Objective: determine the factors associated with multi-resistant bacterial infections in the “Vicente Corral Moscoso” hospital in Cuenca in the period 2018-2019. Materials and methods: paired case-control study with a sample of 147 cases and 147 controls, whose data were obtained from digital medical records, with their respective approval by the Bioethics Committee. The probability of association between the variables was calculated by means of the Odds Ratio with a confidence interval (CI) of 95% and the level of significance given by the value of p <0.05 calculated by the Mc Nemar test. Results: a sample of 294 patients with a predominance of males and an age greater than 60 years of age was registered. The most frequent bacteria isolated was E. coli, the largest number of biological samples was sputum. The factors associated with multi-resistant bacterial infections with statistically significant results were the presence of a central venous catheter with OR: 3.35 (1.71-6.75), previous hospitalization with OR: 2.43 (1.33-4.5), history of mechanical ventilation with OR: 3.16 (1.21-9.68) and previous antibiotic therapy with OR: 5.58 (2.60-12.61). Conclusions: there is a statistically significant relationship between the presence of a central venous catheter, previous hospitalization, a history of mechanical ventilation and previous antibiotic therapy with infections caused by multi-resistant bacteria.
Factores de riesgo de fibrilación auricular en pacientes de consulta externa de cardiología, hospitales Vicente Corral Moscoso y José Carrasco Arteaga de Cuenca, 2016-2017
(Universidad de Cuenca, 2018-11-11) Encalada Reyes, Elena Estefanía; Álvarez Serrano, Marlene Elizabeth; Morales Sanmartín, Jaime Rodrigo
Atrial fibrillation is an arrhythmia supra ventricular that has turned into like a public health problem, affects from 1% to 2% percent of the population and decrease about the age, until to reach to 10% in older people over 80 years old. The main risk factors that determine the presence of atrial fibrillation are: arterial hypertension, diabetes mellitus type 2, dyslipidemia, heart failure, chronic obstructive pulmonary disease, hypothyroidism, chronic renal disease, smoking and it is also one of the main causes of ventricular dysfunction. Objective. To determine the risk factors of atrial fibrillation in outpatient of cardiology at Vicente Corral Moscoso and José Carrasco Arteaga hospital in Cuenca, 2016-2017 Materials and methods. It was realized and analytical study of cases and controls and for the diagnosis of atrial fibrillation was based in the electrocardiogram with the following criteria: the absence of p wave and irregular R-R. To obtain information on every case and control, we made survey that permitted to have data about risk factors; in addition, to each patient was made and electrocardiogram and complementary exams: blood biometry, renal function, thyroid function, lipid profile. The risk factors to be determined were: smoking, heart failure, hypertension, diabetes mellitus, chronic renal failure, dyslipidemia, alteration of thyroid function and chronic obstructive pulmonary disease; furthermore, the association of atrial fibrillation with ventricular dysfunction was determined. Results The population of study was in a large percentage included women in the range of 80 to 89 years old, coming from Cuenca city, with primary education and retired occupation. The risk factors that had a significant relationship for the onset of atrial fibrillation were: 73% arterial hypertension, dyslipidemia 61.7%, chronic kidney disease 46, 1%, heart failure 30.4%, chronic obstructive pulmonary disease 21.7%, hypothyroidism 19.1%, smoking 16.5%. Furthermore, an association of 60.9% between ventricular dysfunction and AF was identified
Frecuencia de adherencia al tratamiento antihipertensivo y factores asociados en adultos mayores en el Cantón Sevilla de Oro. 2015
(Universidad de Cuenca, 2017-11-11) Bermeo Castañeda, María Balvina; Álvarez Serrano, Marlene Elizabeth
BACKGROUND: Hypertension is a public health problem whose increase in its prevalence is associated with complications and deterioration of the quality of life of the people, which can negatively influence the adherence to treatment in these patients. Objective: To determine the frequency of adherence to antihypertensive treatment and associated factors in older adults in Cantón Sevilla de Oro 2015. Materials and Methods: A quantitative analytical study was carried out on 170 elderly hypertensive patients from the Canton Sevilla de Oro, Azuay, 2015. The research techniques were the interview and the application of the Morinsky Green-Levine test; Bonilla test to evaluate the factors that influence pharmacological and non-pharmacological adherence, for comorbidity the Charslon index and the APGAR for family functionality. Quantitative variables were expressed as mean and standard deviation and qualitative variables were expressed as absolute and relative frequencies. In order to evaluate association, the statistical methods of chi square were used, taking as significant a value of p <0.05, prevalence ratio (RP), a 95% Confidence Interval and an error index of 5%. The information processing was performed in the SPSS version 22 program. Results: the frequency of adherence according to Bonilla was 30.0%. No association was found with age, sex, occupation, family type, socioeconomic factor, health system related, patient related, polypharmacy, comorbidities, and family functionality. The association of adherence with instruction (RP = 2.012 95% CI: 1.049-3.857, p <0.011) was identified, and the therapy factors (RP = 2.042, 95% CI: 1.498-2.782, p <0.000). Conclusions: The frequency of adherence was 30%, and association of adherence with instruction and therapy factors was found
Insuficiencia cardiaca secundaria a hipocalcemia asociada a hipoparatiroidismo: reporte de un caso
(2019) Orellana Cobos, Danilo Fernando
Heart failure due to hypocalcemia is a strange presentation of metabolic heart disease; it is reversible in most cases, and secondary to endocrinal alterations that cause the persistent decrease in serum calcium, such as hypoparathyroidism. A case of a 23-year-old woman who was diagnosed with severe heart failure is presented. During her hospitalization, there was evidence of symptoms associated with hypocalcemia, secondary to hypoparathyroidism, so the patient was treated with replacement of calcium immediately. To prevent the risk of sudden death, by the persistent prolongation of the Q-T interval, an implantable cardiac defibrillator was placed; however, after 6 months of treatment, despite oral calcium supplementation, there was no improvement in the ejection fraction, determining an uncertain prognosis of the disease.
Limitación Funcional y Factores Asociados en Adultos Mayores de la Zona 6 de Salud en Ecuador
(2016) Freire Argudo, Ulises Vicente; Álvarez Serrano, Marlene Elizabeth; Soliz Rivero, Gardenia; Tenemaza Alvarracín, David Fernando; Ortiz Segarra, José Ignacio
OBJECTIVE: To estimate the prevalence of functional limitation (FL) and socio-demographic factors, health problems and chronic diseases associated to senior adults population from 6th health zone.METHODS: This is an observational cross-sectional research performed from June to December of 2015 at primary care units influence area from 6th health zone of Ecuador. 714 elderly people were included and randomly selected from 33 primary health care units.RESULTS: Average age was 76±8.31 years (min: 65; max: 102 years), 63.8% of them were female. Prevalence of functional limitation in BLA (Basic Life Activities) was 17.65% and 62.61% for IAL (Instrumental Activities of Life). Associated factors with FL in BLA were: age ˃ 75 years, illiteracy, cognitive impairment, depression, social problems and fall hazard. Age ˃ 75 years, illiteracy, cognitive impairment, depression and the risk of falling were found to be associated factors to limitations in IAL.CONCLUSIONS: The functional limitation in elderly adults is associated with aging and depends of several determinants. The knowledge of these factors will contribute for early detection of dependency and to improve health attention coverage and quality
Prevalencia de colecistectomía laparoscópica difícil y factores asociados en el Hospital José Carrasco Arteaga Cuenca 2017
(2019) Quizhpi Guaman, Edwin Andrés; Mendieta Bermeo, Edgar Gustavo; Álvarez Serrano, Marlene Elizabeth
Introduction: laparoscopic cholecystectomy is currently the treatment of choice for biliary pathology, such as cholecystolithiasis and acute cholecystitis, both in elective and emergency surgery; This procedure is not exempt from complications, due to technical difficulties that may hinder the performance of this surgical procedure. Objective: to determine the prevalence of difficult laparoscopic cholecystectomy and associated factors, in the "Hospital José Carrasco Arteaga", during the year 2017. Materials and methods: cross-sectional analytical study, including patients undergoing laparoscopic cholecystectomy. With infinite universe, 95% confidence level, a total sample of 369 patients was obtained. Analysis of the statistical variables (age, gender, obesity, antecedent of abdominal surgery, degree of acute cholecystitis, cholecystolithiasis, antecedent of endoscopic retrograde cholangiopancreatography, acute biliary pancreatitis) was performed in the SPSS version 23 and EPIDAT 3.1 program. RP (95% CI) and chi square (p <0.05) were used for statistical significance. Results: the prevalence of difficult laparoscopic cholecystectomy was 8.7%. The associated factors were: advanced age (RP 3.85, IC95% 1.85-8.02, p 0.00), male gender (RP 2.39, IC95% 1.22-4.69, p 0.00), antecedent of abdominal surgery (RP 2.18, IC95% 1.04 -4.57, p 0.04) mild acute cholecystitis (RP 2.18, 95% CI 1.04-4.57, p 0.04), moderate acute cholecystitis (RP 6.58, 95% CI 3.56-12.1, p 0.00), severe acute cholecystitis ( RP 11.2, IC95% 6.73-18.7, p 0.00). Conclusions: difficult laparoscopic cholecystectomy is significantly related to all grades of acute cholecystitis, history of abdominal surgery, male gender and advanced age.
Prevalencia de complicaciones trans y post-quirúrgicas inmediatas de la colecistectomía laparoscópica y factores asociados en el servicio de emergencia. Hospital Vicente Corral Moscoso. Cuenca. 2017
(2019) Criollo Aguilar, Sofía Carolina; Reinoso Barzallo, Darío Aníbal; Álvarez Serrano, Marlene Elizabeth
Introduction: Laparoscopic cholecystectomy is the procedure of choice for symptomatic cholecystolithiasis because it reduces hospital stay and patient recovery; however, it is not exempt from complications. Objectives: To determine the prevalence of trans and immediate post surgical complications of laparoscopic cholecystectomy and associated factors, performed in the emergency service of the Hospital Vicente Corral Moscoso. Cuenca. 2017 Methodology: Analytical cross-sectional study, with patients who underwent laparoscopic cholecystectomy who met the inclusion criteria; with a sample of 164 patients by simple random probability sampling, with a 95% confidence interval. To determine if the factors are of risk, odds ratio was used. Results: 64.6% were female. 92.1% of the patients were between 20 and 64 years old, 7.9% were over 64 years old. 41.4% of patients presented normal nutritional status and 17.7% had obesity. 71.3% presented acute cholecystitis. 77.4% of patients did not present associated co-morbidity. There were no patients with ASA IV and 3.7% had ASA III. The prevalence of complications was 5.5%; 88.9% presented bleeding and 11.1% bile duct injury. Acute inflammation is associated with complications but is not a risk or protection factor. (OR 8.31, 95% CI 0.47-145.85, p = 0.04)
Prevalencia de hipertensión arterial primaria y factores asociados en pacientes mayores de 30 años atendidos en el Centro de Especialidades Médicas de la Universidad de Cuenca, Ecuador. Enero – junio 2023
(Universidad de Cuenca, 2025-08-28) Idrovo Bernal, Andrea Fernanda; Izquierdo Flores, Camilo José; Álvarez Serrano, Marlene Elizabeth
Background: High blood pressure affects more than 30% of the adult population around the world, being one of the pathologies with the most negative long-term consequences, especially when it comes to cardiovascular diseases, which is why its control and prevention is important. Objective: Identify the prevalence of primary arterial hypertension and its associated factors in patients. from the age of 18 years treated at the Medical Specialties Center of the University of Cuenca, Ecuador. January - June 2023. Methodology: Descriptive cross-sectional - analytical study, carried out at the Center for Medical Specialties of the University of Cuenca. The observational method was used based on the retrospective review of an anonymized database. The data were processed using SPSS V 26 and are presented in baseline tables, as well as contingency tables between prevalence of primary hypertension and associated factors. Results: The average age was 49.76 ± 20,084. The prevalence of primary arterial hypertension was 18.14%. The associated factors were: age ≥ 55 years (PR 8.25 95% CI 4.49-15.20), obesity (PR 2.31 95% CI 1.54-3.46), dyslipidemia (PR 2.14 95% CI 1.37-3.32) and sedentary lifestyle (PR 3.76 CI 95 % 2.09-6.76). All statistically significant (p<0.05). Conclusions: Primary arterial hypertension was associated with age, obesity, dyslipidemia and sedentary lifestyle.
Prevalencia de hipertensión, falta de adherencia al tratamiento anti hipertensivo y factores asociados, en pacientes mayores de 40 años, internados en el servicio de clínica de los Hospitales José Carrasco Arteaga y Vicente Corral Moscoso, Cuenca 2013
(2014) Chacón Abril, Karla Lorena; Orellana Cobos, Danilo Fernando; Julia Marcela, Quizhpi Lazo; Bustamante Medina, José Leonardo; Álvarez Serrano, Marlene Elizabeth
Determine the prevalence of hypertension, absence in adhesion to the anti hypertensive treatment and associated factors, in patients older than 40 years of age, who have been hospitalized in the Clinics of Jose Carrasco Arteaga and Vicente Corral Moscoco hospital, in the year of 2013. Methodology Cross sectional study, of a random sample of 516 patients from a total of 602. The sample was random, representative and weighted for each hospital and specialty, of which were randomly selected. The size was calculated on the base of a known universe, with a confidence interval of 95%, proportion of the lowest factor (related to the patient) equal to 25%, and a 2% index of error Results The mean age was 64.27 ± 15.12 years; men, 54.26%. The prevalence of hypertension was 38.4%. The prevalence of adherence was 38,4%. The association between adherence to anti-hypertensive treatment and the socioeconomic factors, provided RP: 5.21 p < 0.05, with the factors relating to the system and health equipment RP: 2.42 p < 0.05, therapy-related RP: 4.31 p < 0.05 and related to the patient RP: 15.41 p < 0.05. Conclusion The prevalence of hypertension was of 38.4%. The prevalence of adherence is 39,9%. The most important factor for non adherence is patient – related factors with RP 15,41 (IC 3,9 – 59,7), in succession of socioeconomic, concerning therapy and those relating to the health system and equipment. Key Words: HYPERTENSION, PREVALENCE, MEDICATION ADHERENCE, HOSPITAL JOSE CARRASCO ARTEAGA, HOSPITAL VICENTE CORRAL MOSCOSO.
Prevalencia de infección del sitio quirúrgico en pacientes post apendicectomía y factores asociados, en emergencia de cirugía de los Hospitales Vicente Corral Moscoso y José Carrasco Arteaga, Cuenca 2017
(2019) Morocho Quizhpi, Jenny Fabiola; Maldonado Ochoa, Luis Mario; Álvarez Serrano, Marlene Elizabeth
BACKGROUND: Surgical site infection is a leading cause of postoperative morbidity and mortality (1). The prevalence in patients after appendectomy varies from 4 to 12% (2). OBJECTIVE: To determine the prevalence of infection of the surgical site in post-appendectomy patients and associated factors, in emergency surgery of the Hospitals Vicente Corral Moscoso and José Carrasco Arteaga, Cuenca 2017. MATERIALS AND METHODS: Analytical, cross-sectional, whose universe are patients operated for acute appendicitis in the surgery department of the Hospital Vicente Corral Moscoso and José Carrasco Arteaga, in 2017; the lowest prevalence associated factor is 3,43% (laparoscopic approach), obtaining 140 sample patients. The factors analyzed were those dependent on the patient and the surgical procedure. The data was obtained through a questionnaire and follow-up for 30 days; analyzed using Excel, Epidat 3.1 and SPSS 24. RESULTS: The prevalence of surgical site infection in post-appendectomy patients is 20%, 10.7% are superficial and 64.29% were diagnosed during follow-up. The factors age, hyperthermia, hours of evolution, comorbidities, risk index, ASA, type of appendicitis, type of wound, surgical time, cavity washing and the use of drain presented significant association (p <0.05). CONCLUSION: There are many factors that intervene with surgical site infection. The prevalence obtained in this study is higher than that found in most studies
Prevalencia y factores asociados a dislipidemia en pacientes entre 18 y 64 años, Hospital Vicente Corral Moscoso, 2013
(Universidad de Cuenca, 2014-11-11) Vivanco Cruz, Javier Alejandro; Álvarez Serrano, Marlene Elizabeth; Arévalo Peláez, Carlos Eduardo
Introduction: Dyslipidemia is a major risk factor associated with cardiovascular disease. The aim of the study was to determine the prevalence of dyslipidemia and associated risk factors in patients between 18-64 years of age, treated in the Outpatient of Vicente Corral Moscoso Hospital during 2013. Materials and methods: A cross-sectional study with a sample of 471 patients was performed through a form demographics age, gender were collected ; behaviors and comorbidities such as physical activity , alcohol consumption) were asked . Bioantropométricas measures such as blood pressure, weight, height and waist circumference were taken . All patients lipid profile and blood glucose was performed . Prevalence values are presented , the association was determined by the OR, with confidence intervals at 95% , significant values of p <0.05 was considered . Results: The prevalence of mixed dyslipidemia is 17.6% , that of hypercholesterolemia is 33.5 % and hypertriglyceridemia is 40.6 %. No significant differences by gender and age was demonstrated. Statistically significant association was demonstrated with mixed dyslipidemia central obesity OR 1.75 (CI: 1069-2866, p = 0.025), with overweight / obesity OR 2.173 (CI: 1264-3738 , p = 0.004 ) with blood glucose levels greater than 100 mg / dl OR 2.212 (CI: 1368-3577 , p = 0.025 ) . Conclusions: dyslipidemia in the study population is high , similar for men and women , more common after age 45. KEY WORDS: MIXED DYSLIPIDEMIA, HYPERCHOLESTEROLEMIA, HIPERTRIGLYCERIDEMIA, ASSOCIATED FACTORS.
Prevalencia y factores asociados a la hipertensión arterial ensencial en pacientes mayores de 40 años, Hospital Vicente Corral Moscoso, 2013
(Universidad de Cuenca, 2014-11-11) Toral Valdivieso, Esteban Xavier; Álvarez Serrano, Marlene Elizabeth; Vintimilla Maldonado, Jaime Rosendo
Objective To determine the prevalence and associated factors with arterial hypertension in patients older than 40 years hospitalized in the Department of internal medicine of the Hospital Vicente Corral Moscoso, during the year 2013. Material and methods A cross-sectional study was conducted, in a sample of 460 patients, calculated on the basis of the 95% confidence level, 5% prevalence of Diabetes mellitus type 2 and 2% error of inference, with the following formula Z^2 pq/e^2. The data were collected directly and analyzed with Software SPSS version 15. Results The mean age was 66 years ± 16 SD, 54.3% were women, 62.2% lived in urban areas and median years of schooling was 6. The prevalence of hypertension was 52.4% (95% CI 47.8-57.0) in men 45.2% and women 58.4%, and the association was significant with a sedentary lifestyle, dyslipidemia and family history of hypertension (p <0.05) and there was no association with overweight, obesity and smoking (p> 0.05). Conclusions The prevalence of hypertension was 52.4% and is associated with sedentary lifestyle, dyslipidemia, type 2 diabetes mellitus and a family history of hypertension. KEY WORDS: HYPERTENSION, PATIENTS, RISK FACTORS, HOSPITAL VICENTE CORRAL MOSCOSO.