Browsing by Author "Delgado Pauta, Jorge Antonio"

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Estudio descriptivo: detección del dolor músculo - esquelético y enfermedades reumáticas aplicando el COPCORD en la población indígena de Saraguro - Ecuador
(2018) Pelaez Ballestas, Ingris
DESCRIPTIVE RESEARCH: PAIN MUSCLE – ESQUELECTIC DETECCTION AND COPCORD APLICATION REUMATICS COPCORD REUMATICS ILLNESS IN INDIGENA POPULATION OF THE SARAGURO - ECUADOR BACKGROUND: The COPCORD instrument allows the identification of musculoskeletal pain and rheumatic diseases such as osteoarthritis, rheumatoid arthritis, low back pain. The aim of this research is to validate and cross-culturally adapt the COPCORD instrument in the indigenous population as a screening test for the detection of these diseases. METHODS: It is a descriptive study, the universe of 210 indigenous people over 18 years residing in Saraguro - Loja, Ecuador. During the period from December 1, 2016 to January 30, 2017. The COPCORD was adjusted to the Spanish language, a transcultural adaptation and validation was made to the context of the indigenous group. The information was entered into the statistical program of Stata Version 11, analyzed: Cronbach's alpha, correlation matrixes with the Spearman test. The variables were correlated with the diagnosis established by the rheumatologist. RESULTS: The average age was 46.1 years, 64.7 % of the female gender, the screening test to detect a rheumatic disease has sensitivity of 92.3 % and specificity of 57.9 %. The internal consistency of the questionnaire presented a dimensionality in the biomechanical load and functional capacity sections; and multidimensionality in the path of musculoskeletal pain and comorbidities. Significant correlations of the COPCORD were observed compared with the rheumatologist's evaluation. CONCLUSIONS: By carrying out the cross-cultural validation and adaptation of the COPCORD questionnaire, its usefulness could be demonstrated as a screening test for the detection of musculoskeletal pain and rheumatic diseases in the population of Saraguro.of approach including the laparoscopic approach
Frecuencia de complicaciones respiratorias postquirúrgicas en pacientes sometidos cirugía abdominal mayor de emergencia. Hospital Vicente Corral Moscoso. 2015- 2016
(2018) Reyes Carpio, Angel Eduardo; Sarmiento Tenemaza, Miriam Paola; Delgado Pauta, Jorge Antonio; Sacoto Molina, Adrián Marcelo
Background: numerous studies have shown that respiratory complications are frequent complications in the postoperative period, increase the risk of patient morbidity and mortality, hospital stay and costs for the health system, so they should be avoided for adequate patient recovery. Objective: to determine the frequency of postoperative respiratory complications in patients undergoing major emergency abdominal surgery at the Vicente Corral Moscoso Hospital 2015-2016. Material and methods: retrospective descriptive quantitative research was carried out at Vicente Corral Moscoso Hospital. We reviewed data from all the medical records of patients undergoing major emergency abdominal surgery between 2015-2016. We included men and women aged 18 the information was recorded on a form, for the analysis of the data was used descriptive statistics exposing number of cases, percentages, mean, median, results are displayed in frequency tables. Results: a frequency of 3.2% was obtained, the most prevalent complication was hypoxemia with 1.6%, in the 78-87 year age group, in the exploratory laparotomy surgery and in a surgical time greater than 60 minutes. Conclusions: the presence of postoperative respiratory complications at the Vicente Corral Moscoso Hospital is low, compared to international studies that present higher percentages, however according to our research it is more prevalent at a patient's older age, longer surgical time, and greater incision
Frecuencia del derrame pleural en los pacientes del área de clínica del Hospital Vicente Corral Moscoso.Cuenca. Enero 2012 - Diciembre 2014
(2016) Guzmán Villacís, Paola Bernarda; Rodríguez León, Diego Fernando; Ordoñez Vintimilla, José Ricardo; Delgado Pauta, Jorge Antonio
Objective: To determine the frequency of pleural effusion in patients admitted to the clinic area of Vicente Corral Moscoso Hospital in Cuenca, from January 2012 through December 2014. Background: Pleural effusion is a disease of great biopsychosocial impact associated to several factors such as age, sex, concomitant diseases, diagnosis and therapeutic measures, which all determine the evolution and prognosis of the patient. Methodology: The research was quantitative and descriptive. Data collection was done using a structured form, previously validated, and tabulated using Microsoft Excel. Results: Of the 5685 patients admitted to the clinic during the study period, 3.76% (214) presented pleural effusion, with a predominance to the right side (61.68%), and with exudate being the most frequent type (74.77%). Of all patients exhibiting pleural effusion, women constituted 64.49%, 44.39% were over 69 years of age, and 73.36% were from the Sierra region. Dyspnea was present in 37.38% of the 214 cases. The pathological study was associated with pneumonia in 28.50% of cases.A thoracentesis was performed in 48.60% of cases as a diagnostic-therapeutic method; the standard chest X-ray was the image study chosen in 92% of cases; and 100% blood chemistry was requested. Antibiotic treatment was administered for 85.05% of patients; Amoxicillin + clavulanic acid was the most prescribed medication (31.31%). Finally, 76.17% of the cases were discharged favorably. Conclusions: Of the total patients admitted to the clinic area, 3.76% presented pleural effusion, with predominance to the right side (61.68%), and with exudate being the most common type of pleural effusion (74.77%)
Frecuencia del shock hipovolémico de tipo hemorrágico en el servicio de emergencia del Hospital Vicente Corral Moscoso en el año 2016
(2017) Heras Cañarte, Octavio Carlos; Delgado Pauta, Jorge Antonio
Background: hypovolemic shock is a complication that occurs in patients with acute hemorrhage. This type of shock is the secound most frequent type, with a percentage of 16%, so it’s important to know its main causes, it clinical signs and to establish an adequate treatment to get a greater survival of patients. General Objective: to determinate the frequency of haemorrhagic hipovolemic shock and its main etiologies in patients over 18 years old who were attend in emergency service of Vicente Corral Moscoso Hospital in the 2016. Methodology: a restrospective cross-sectional descriptive study was used with the data from the clinical history of patients diagnosed with hypovolemic hemorrhagic shock at the emergency service of the Vicente Corral Moscoso Hospital during 2016, after wich a database was created an analyzed and interpreted thorugh the programs SPSS 15.0 and Office Excel 2013 to finally present the data using tables and graphs. Results: the present study had 257 patients, showing that the main hypovolemic shock cause was obstetric haemorrhage (44,4%), followed by clinical bleeding (30,3%) and finally the surgical bleeding (25,3%). The most affected sex was female (61,5%), and the most affected age group was 18 to 24 years old (27,6%). The gynaeco-obstetrical most frequent cause was incomplete abortion (42,7%), the clinical most frequent cause was the non-variceal upper gastrointestinal bleeding (69%), and the surgical most frequent cause were the abdominal and chest penetrating trauma (16,9% each)
Frecuencia y características de la infección del sitio quirúrgico en pacientes de cirugía. H.V.C.M. 2017.
(2018) Freire Narváez, María José; Montero Calva, Adriana Maricela; Delgado Pauta, Jorge Antonio
Introduction: Surgical site infections (SSI) are a frequent cause of morbidity and mortality in postsurgical patients, prolonging the stay and increasing hospital costs, so the present study was conducted to determine the frequency and characteristics of SSI in patients hospitalized in the surgery area of the Hospital Vicente Corral Moscoso (HVCM). Materials and Methods: A descriptive, analytical, prospective cross-sectional study was conducted in 285 patients hospitalized from May to July 2017; the results were determined by creating a database in the statistical program SPSS version 23, using absolute frequency, percentage, chi-square and risk estimation, which were represented in tables and graphs. Results: The frequency of the SSI was 7.4%, with a predominance of: male sex (9.6%), deep type injuries (60%), life extremes; A statistically significant association was found between the presence of SSI and the specialty of neurosurgery (OR = 3.94, 95% CI: 1.20-19.8, p <0.05) and traumatology (OR = 4.13, IC95 %: 1.1-10.03, p <0.05). Staphylococcus aureus was the germ most that occurred most frequently in SSI. Conclusions: SSI was significantly associated with the type of intervention, so regulations should be implemented to reduce its incidence and consequences in patients hospitalized in the area of surgery.
Prevalence of disability in patients with musculoskeletal pain and rheumatic diseases in a population from Cuenca, Ecuador
(2017) Delgado Pauta, Jorge Antonio
Objective: The aim of this study was to determine the prevalence of disability in patients with musculoskeletal pain and rheumatic diseases in Cuenca, Ecuador. Methods: We performed a cross-sectional analytical study with randomized sampling in 4877 subjects, from urban and rural areas. COPCORD (Community Oriented Program for Control of Rheumatic Diseases)- validated questionnaire was administered house-to-house to identify subjects with nontraumatic musculoskeletal pain and rheumatic diseases. The subjects were assessed by rheumatologists for diagnostic accuracy, and the Health Assessment Questionnaire Disability Index was administered to assess functional capacity. A logistic regression analysis was conducted to determine the association of rheumatic diseases with functional disability. Results: Functional disability was found in 221 subjects (73.1% women), with mean age 62 (SD, 18.2)years, residing in rural areas (201 [66.5%]), with education of 6.9 (SD, 5.3)years, and of low income (77 [47.2%]). The value of HAQ-DI was a mean of 0.2 (0-2.9). The real prevalence of physical disability was 9.5%. Moderate and severe disability predominated in activities such as kneeling (4.9% and 3.3%), squatting (4.8% and 2.7%), and leaning to pick up objects (3.7% and 0.9%), respectively. Rheumatic diseases associated with physical disabilities were knee osteoarthritis (95 [31.4%]) and hand osteoarthritis (69 [22.8%]), mechanical low-back pain (43 [14.2%]), fibromyalgia (27 [9.5%]), and rheumatoid arthritis (11 [3.6%]; P < 0.001). Conclusions: Physical disability was associated with older age, female sex, rural residence, lower education, and lower income. Moderate and severe disability predominated in the dimensions of kneeling, squatting, and picking up objects. Rheumatic diseases associated with disabilitywere hand and knee osteoarthritis, back pain, fibromyalgia, and rheumatoid arthritis. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.
Prevalence of musculoskeletal disorders and rheumatic diseases in Cuenca, Ecuador: a WHO-ILAR COPCORD study
(2016) Guevara Pacheco, Sergio Vicente; Feican Alvarado, Elsa Astrid; Sanín, Luz Helena; Vintimilla Ugalde, Jaime Fernando; Vintimilla Moscoso, Oscar Fernando; Delgado Pauta, Jorge Antonio; Lliguisaca Segarra, Maria Angelita; Dutan Erraez, Holger Gonzalo; Guevara Mosquera, Sergio Daniel; Ochoa Robles, Maria Veronica; Cardiel, Mario H; Pelaez Ballestas, Ingris
The aim of this study was to determine the prevalence of musculoskeletal pain and rheumatic diseases in subjects over 18 years of age from the canton of Cuenca, Ecuador. Cross-sectional analytical community-based study was conducted in subjects over 18 years of age using the validated Community-Oriented Program for the Control of Rheumatic Diseases (COPCORD) questionnaire. Random sampling was used. The questionnaire was administered by standardized health workers. Subjects were visited house by house. Subjects positive for musculoskeletal (MSK) pain in the last 7 days and at some point in life were assessed by rheumatologists to confirm the diagnosis. A total of 4877 subjects participated, with an average age of 42.8 (SD 18.8) years of age; 59.7 % were women; 69.7 % lived in urban areas. 32.5 % reported MSK pain in the last 7 days and 45.7 % at some point in life. The prevalence of knee osteoarthritis was 7.4 %, hand osteoarthritis 5.3 %, low back pain 9.3 %, rheumatoid arthritis 0.8 %, fibromyalgia 2 %, gout 0.4 %, and lupus 0.06 %. Subjects from rural areas reported experiencing more MSK pain in the last 7 days and at some point in life, lower income, poorer health-care coverage, and increased physical activity involving repetitive tasks such as lifting weights or cooking with firewood. MSK pain prevalence was high. Osteoarthritis and low back pain were the most common diseases. Age, sex, physical activity, repetitive tasks, living in a rural area, and lack of health-care coverage were found to be associated with MSK pain. © 2016, Springer-Verlag Berlin Heidelberg.
Prevalence of rheumatic diseases and quality of life in the Saraguro indigenous people, Ecuador: a cross-sectional community-based study
(2020) Guevara Pacheco, Sergio Vicente; Feican Alvarado, Elsa Astrid; Pelaez Ballestas, Ingris; Valdiviezo Vicuña, Wilson Aquiles; Montaleza Neira, Maria Augusta; Molina Alvarado, Gladis Margarita; Ortega Mendoza, Nelly Rosa; Delgado Pauta, Jorge Antonio; Chimbo Pullaguari, Lidia Eugenia; Hernández, María Victoria; Sanin Aguirre, Luz Helena; Cervera, Ricard
Rheumatic diseases are more prevalent and aggressive in indigenous population groups, providing medical attention for which poses a challenge for the rheumatologist. OBJECTIVE: To estimate the prevalence of musculoskeletal (MSK) disorders and rheumatic diseases in the Saraguro indigenous people in Ecuador, as well as to identify the main factors associated with the health status of this population. METHODS: This observational, cross-sectional study focused on the community was conducted using the COPCORD (Community-Oriented Program for Control of Rheumatic Diseases) methodology. The required data were obtained using the following instruments: (1) a screening for MSK disorders and rheumatic diseases; (2) a sociodemographic questionnaire; (3) a functional capacity Health Assessment Questionnaire Disability Index questionnaire; and (4) the quality of life EQ-5D-3L (EuroQoL) questionnaire. The rheumatologists working with the indigenous community were responsible for examining and treating study participants suffering from MSK disorders. RESULTS: The study sample comprised 2687 individuals, with mean age of 44 (SD, 19.9) years, 1690 (62.9%) of whom were women; Kichwa speakers comprised 32.4% (872), and 1244 (46.3%) reported MSK pain. The most prevalent conditions were as follows: low back pain (9.3%), hand osteoarthritis (OA, 7.2%), knee OA (6.5%), rheumatic regional pain syndrome (5.8%), fibromyalgia (1.8%), and rheumatoid arthritis (1.3%). Lower education level, unemployment, cooking with firewood, and rheumatic diseases were associated with a lower quality of life. CONCLUSIONS: Musculoskeletal disorders, rheumatic diseases, and rheumatoid arthritis were found to be highly prevalent in the studied population. Rheumatoid arthritis and hand OA had the most significant impact on the quality of life.
Quality of the academic research of a postgraduate degree in surgery from a public university in Ecuador
(2022) Mora Bravo, Franklin Geovany
Introduction: The lack of solidity of educational research (ER) in a high percentage and the loss of integrity in the methodology have been reported. The objective of the present study was to determine the quality of the ERs of postgraduate surgery at a public university in Ecuador. We hypothesize that the acceptable theses are equal to 70%. Methods: The present study reviewed the thesis of surgery at the University of Cuenca from January 2010 to November 2019. The probabilistic sample selection was 48 cases. A 51-question EI quality test was used. The values of each variable were homologated as a percentage. A single sample T-test was performed, and bivariate correlations were determined using the Spearman coefficient. Significant values were R> 0.5 and P <0.01. The hypothesis test was performed with Chi square. Results: Of 48 randomized theses, the lowest average was in the “Hypothesis” sections (41.6% [35.3-47.8]), and the highest was in the “Results” sections (93.5% [91.4-95.7]). The relevance was 97.9% (93.7-102.1). 35 theses (72.9%) were rated as “Acceptable”. The Hypothesis and References sections were rated as “Not acceptable” in 70.8% and 79.2%, respectively. The “results” section obtained the rating of “Excellent” in 93.8%. The hypothesis was accepted, and the group had an acceptable quality equal to 70%”, Chi2 = 0.2208, P = 0.64. Conclusion: The quality of educational research is equal to the 70% raised in the hypothesis, which highlights a minimum sufficiency rating for the educational research studied in this work.
Valoración del Test de Alvarado en el diagnóstico dudoso de la apendicitis aguda. Hospital Vicente Corral Moscoso y José Carrasco Arteaga. Cuenca, octubre del 2002 a abril 2003
(2003) Delgado Pauta, Jorge Antonio; Zaldúa Reyes, Jorgito Antonio; Figueroa Morales, Francisco Efraín; Maldonado Sánchez, Luis Rogelio