Browsing by Author "Escalante Canto, Paúl"

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Beneficios de la hidrocortisona agregada al tratamiento estándar de neumonías en niños de 1 a 5 años, ingresados al Hospital Vicente Corral Moscoso, Cuenca 2014-2015
(Universidad de Cuenca, 2016-11-11) Espinoza Cisneros, Michel Viviana; Escalante Canto, Paúl; Arévalo Peláez, Carlos Eduardo
Introduction: community-acquired pneumonia remains as the most common cause of death from infection and the eighth leading cause of death in the United States. The available literature has not shown a clear benefit of the use of corticosteroids in the pneumonia. Objective: To determine the benefits of hydrocortisone venous route added to the standard treatment of pneumonias in children from 1 to 5years, admitted to the Hospital Vicente Corral Moscoso. Cuenca 2014-2015. Material and methods: we conducted a clinical trial randomized single-blind. They were divided into two treatment groups. The group of 70 children received hydrocortisone more standard treatment and group B 70 children receiving standard treatment to determine the benefits was evaluated the temperature, the respiratory rate, oxygen saturation and the days of hospitalization. Data were analyzed using student's t test and chi-square test. Differences were considered statistically significant at values of p<0.05. Results: Both groups were comparable according to sex and weight. There were no statistically significant differences in relation to temperature, although clinical differences, the frequency of children with thermal rise was lower in the group that received hydrocortisone. It became evident that the hydrocortisone improves respiration rate and oxygen saturation. The frequency of children with a normal breathing rate and saturation values of oxygen greater than 90 was greater in the group that received hydrocortisone. There were no significant differences in the observed frequency of side effects between the treatment groups. Conclusions: The hydrocortisone improves the respiratory rate, oxygen saturation and decreases hospital stay in children with pneumonia
Características clínicas y epidemiológicas del traumatismo craneoencefálico en pacientes pediátricos en el Hospital Vicente Corral Moscoso. Enero 2020 a marzo 2021
(Universidad de Cuenca, 2022-02-18) Sarmiento Carvallo, Ricardo Sebastián; Escalante Canto, Paúl
Background: Cranioencephalic trauma is a prevalent pathology in pediatrics, it is the main cause of traumatic death and serious sequelae. Objective: To determine the Clinical and Epidemiological Characteristics of the Pediatric Patient with Head Trauma at the Vicente Corral Moscoso Hospital from January 2020 to March 2021. Methodology: This research is descriptive, quantitative, the universe consisted of all the patients who were admitted to the Department of Pediatrics with a diagnosis of head trauma, after they met the inclusion criteria prior to obtaining informed consent. The information of interest was collected in a form prepared by the author through a survey. The data were tabulated and analyzed in the SPSS version 15.0 program, the variables are presented in frequencies and percentages. Results: There was a predominance of schoolchildren (30.5%), male (62.6%), urban origin (66.1%), typical middle socioeconomic condition (47.1%); Falling from his own height of less than one meter was the most frequent (50%); mild TBI (83.3%) and epidural hematoma (16.7%) predominated. The most frequent symptomatology was vomiting (41.4%); the home was the most frequent accident site (73%). 84.5% received clinical treatment, hematoma drainage was performed in 8.6%, the most observed associated injuries were extremities (4.6%), according to the Marshall scale type I diffuse brain injury predominated with 74, one%. All patients were discharged alive. Conclusions: mild head trauma predominated, with epidural hematoma being the most frequent injury.
Curvas de crecimiento intrauterino en recién nacidos del Hospital Vicente Corral Moscoso 2016-2017
(2019-11-11) Lapo Córdova, Nathaly Stephany; Escalante Canto, Paúl; Marcano Sanz, Luis Enrique
Objective: To elaborate intrauterine growth curves with the anthropometric values of newborns from 24 to 42 weeks of gestation born in the obstetric center of the Hospital Vicente Corral Moscoso in 2016-2017. Methodology: A descriptive and cross-sectional study was realized, which included all newborns born in the Hospital Vicente Corral Moscoso, with gestational ages between 24 and 42 weeks, born in 2016-2017, and who met the inclusion criteria. The data taken from CLAP and medical records were processed in SPSS and were obtained: average, medians, standard deviations; and graphs of the curves of weight, length and cephalic perimeter at birth were made. Results: A total of 5598 newborns, 3003 men (53.6%) and 2595 women (46.4%) were included. The most frequent gestational age was week 40 of gestation 1089 (19.4%). A single curve was made for each variable without distinction of sex. In term infants (37 to 41 weeks), the average birth weight was 3138.32 + 336.4 grams, for length was 49.6 cm + 1.5 cm and for cephalic perimeter was 34.5 + 1 cm. Conclusions: The weight, length and cephalic perimeter of term infants was adequate for gestational age, although lower than in developed countries such as Europeans, United States of America and regions of lower altitude (coast); which highlights the importance of own curves that reflect the reality of Ecuador in general and Azuay in particular.
Eficacia de racecadotrilo en el tratamiento de la enfermedad diarreica aguda en niños de 3 a 36 meses en el servicio de emergencia del Hospital Vicente Corral Moscoso. Ensayo clínico controlado ciego. 2014
(2016) Morales García, Johnny Xavier; Escalante Canto, Paúl; Ojeda Orellana, Marco Rivelino
Objectives: to determine the efficacy of combined treatment with ORS and Racecadotril against the use of ORS and placebo in children 3 to 36m with acute diarrhea in the Vicente Corral Moscoso Hospital emergency service. Methodology: blind controlled clinical trial in children aged 3-36 months of emergency service HVCM, with acute diarrhea without dehydration or mild to moderate dehydration, which do not require hospitalization, without prior antibiotic or antidiarrheal treatment, whose parents or legal representatives signed informed consent. 79 patients were enrolled, 45 in the racecadotril group and 34 ORS plus placebo group. Results: the groups were comparable clinically, patients in the ORS's plus racecadotril showed a significant difference in the number of diarrhea per day from 48 hours 2.7 (SD: ± 1.5) and placebo group plus ORS 4.1 (SD: ± 2.6) p: 0.012; at 72 hours racecadotril group 2,2 (ds: ± 1.7), placebo 3.3 (SD: ± 2.5) p: 0.027; not significant difference was found in the first 24 hours p: 0.27. No significant differences were found in medical revisit or hospitalizations. Conclusions: racecadotril is effective in reducing the number of diarrhea after 48 hours in the initial treatment of children with AG accompanying ORS therapy in our midst
Frecuencia y características clínico epidemiológicas de los pacientes menores de 5 años automedicados que acuden al servicio de emergencias del Hospital Vicente Corral Moscoso, Cuenca 2021
(Universidad de Cuenca, 2023-05-03) Peñaloza Ganán, Edison Mario; Escalante Canto, Paúl; Bermeo Guartambel, Ximena Margoth
Background: Self-medication is the act of consuming medicines and home remedies without consulting a doctor, this can cause adverse effects or complications of the disease. Objective: Identify the frequency and clinical-epidemiological characteristics of self-medicated patients under 5 years of age who attend the emergency service of the Vicente Corral Moscoso Hospital. Cuenca 2021. Methods: Descriptive study, infinite universe made up of patients under 5 years of age who attended the pediatric emergency service of the Vicente Corral Moscoso Hospital during 2021. The sample was 295 patients, it was calculated considering an infinite universe, based on 95% confidence, 20% lower prevalence and 5% precision. Data collection was carried out by reviewing medical records and applying a survey designed by the author. The information was analyzed applying descriptive statistics. the variables are presented in frequencies and percentages. Results: The prevalence of self-medication was 21.4%, with a predominance of: Men (58.7%), preschoolers (49.2%), the most prevalent caregivers were mothers (88.9%), The most common symptom was fever (41.3%) The most used medication was NSAIDs analgesics (33.3%), the most common origin of the medication was the recommendation of a friend (34.9%). None of the caregivers knew of possible adverse effects of self-medication. Conclusion: One in every 5 children under 5 years of age who went to the emergency service of the Vicente Corral Moscoso Hospital during 2021 was self-medicated.
Perfil clínico epidemiológico de los pacientes de 1 mes a 15 años ingresados en la Unidad de Cuidados Intermedios Pediátricos del Hospital Vicente Corral Moscoso, Cuenca. 2021
(Universidad de Cuenca, 2023-04-13) Cantos Zaldumbide, Erika Fernanda; Escalante Canto, Paúl
Background: the epidemiological profile of pediatric patients has undergone a change throughout the world, from the decrease in the mortality rate to the increase in new morbid conditions that require hospital care at different levels. Objective: to determine the clinical epidemiological profile of patients from 1 month to 15 years admitted to the Pediatric Intermediate Care Unit of the Vicente Corral Moscoso Hospital, Cuenca. 2021. Methods: descriptive observational study. For data collection, the database of patients admitted to the Pediatric Intermediate Care Unit of Hospital Vicente Corral during 2021 who met inclusion criteria was reviewed. The author developed a form for data collection. These were tabulated in the SPSS v.20.0 program and presented in tables. Data analysis was based on applying descriptive statistics. Results: of the 100 patients analyzed, 58% were male, 36% were adolescents, and 57% were from urban residence. The most frequent causes of general admission were general illness (36%) and traumatic causes (23%). According to systems, neurological pathologies (21%) were the most frequent. 53% of the patients came from the emergency service. 65% received antibiotic therapy, 63% required oxygen therapy, and 99% had cardiorespiratory monitoring. 73% had the address for discharge. Conclusions: most Intermediate Care patients were admitted with a complex pathology, required cardiorespiratory monitoring and were discharged home.
Perfil epidemiológico clínico del paciente hospitalizado por neumonía grave adquirida en la comunidad en el servicio de cuidados intensivos pediátricos del Hospital Vicente Corral Moscoso, Cuenca 2017
(Universidad de Cuenca, 2019-11-11) Lazo Quevedo, María Verónica; Escalante Canto, Paúl; Marcano Sanz, Luis Enrique
Objective: To determine the epidemiological-clinical profile of severe pneumonia acquired in the community in the Pediatric Intensive Care Service of the Vicente Corral Moscoso Hospital during the year 2017. Materials and methods: Descriptive study conducted in patients diagnosed with severe pneumonia acquired in the community in the Pediatric Intensive Care Unit of the Vicente Corral Moscoso Hospital. The data were collected in a form and tabulated in the SPSS version 22 program. Quantitative variables were analyzed with means, standard deviations, maximum values, minimums, median; numbers and percentages for qualitative variables. Results: 31 patients with a median age of 15 months were studied. Male sex and rural origin predominated. The most frequent symptoms were tachypnea and cough; 38.7% presented malnutrition. Chromosome and cardiac comorbidities were the most common. The mean hospital stay in intensive care was 9.02 days. The most used antibiotics were the second generation cephalosporins. The predominant complication was the pleural effusion. The main isolated germs were gram positive. 9.7% of patients died. Conclusion: the epidemiological profile agrees with the results of the literature. Despite the observed complications, a high survival was presented.
Prevalencia de trastornos conductuales y factores asociados en los niños/as hospitalizados en el servicio de pediatría Hospital Vicente Corral Moscoso Cuenca 2014
(2016) Patiño Rocha, César Francisco; Escalante Canto, Paúl; Cordero Gulá, Luis Pablo
Objective: This study determined the prevalence of behavioral disorders and associated factors in children HVCM pediatric service, during 2014. Methodology: Analytical Transversal, identifying associated factors stratified random sample (15% frequently, 95% confidence design effect of 1, accuracy of 4% N = 307). Data collected with CDQ cas scale for caregivers, family APGAR test. The data were tabulated and analyzed in the SPSS.15. Results: 307 patients, 56% male and 44% female. Most frequent age 6 years (28.3%), 7 years (20%) with an average of 7.77. To 80.8% Rx imaging examinations (64.9%) 19% Ultrasound was performed. As hospital days 1 to 3 days (53.7%), 4 to 7 days (44.6%), average of 3.65 days. 67.4% have a caregiver to Mother. As for the assessment of behavior: 40% Normal, Limit 22% and Abnormal 37.5%. As for the type of family Nuclear family 64%. 33.8% of families are dysfunctional families (1 in 3 families) The imaging studies has 2.8 times more likely to behavioral disorders and statistically significant Chi Square 13.35. Children hospitalized over 3 days (68.3%) have 1.9 times the risk of behavioral disorders and chi square statistical significance of 7.71. Dysfunctional families are 5.3 times more risk of developing behavioral disorders with statistical significance and chi square 34.82. In relation to age, sex, type of caregiver, family type is not statistically significant
Utilización de la procalcitonina como indicador para el diagnóstico de sepsis temprana en neonatos que pesen menos de dos mil gramos ingresados en la unidad de neonatología del Hospital Vicente Corral Moscoso Cuenca, julio 2007- diciembre 2007: valoración de la procalcitonina semicuantitativa en el diagnóstico de sepsis temprana
(Universidad de Cuenca, 2008-11-11) Abril Idrovo, Geovanny René; Chimbo Naranjo, John Mauricio; Escalante Canto, Paúl; Palacios Espinoza, Elvira del Carmen; Pinos Abad, Guido Marcelo
Variables predictivas de diámetro y longitud de inserción de tubo endotraqueal en niños de 1 a 120 meses ingresados en el área de terapia intensiva del Hospital Vicente Corral Moscoso en el período mayo 2018- octubre 2019
(Universidad de Cuenca, 2020-03-06) Rubio Ramírez, Adriana Evelyn; Escalante Canto, Paúl
BACKGROUND: The main cause of morbidity and mortality in pediatrics includes the compromise of the airway and ventilation, proper intubation will save the patient's life, being therefore transcendent to consider age, height, weight and sex. OBJECTIVE: To determine the predictive variables of diameter and length of endotracheal tube insertion in children aged 1 to 120 months admitted to the Intensive Care area of Vicente Corral Moscoso Hospital. METHODS: Correlational study, with a sample of 102 intubated patients, determined the size of the tube used and the depth of insertion using x-rays; For qualitative variables descriptive statistics were used, for the quantitative Kolmogorov-Smirnov test, in the bivariate analysis the Mann Whitney U and Spearman correlation was used. Subsequently, the multivariate linear regression analysis was executed, the final equation was modeled and Pearson coefficients were obtained, finally ANOVA analysis was performed. RESULTS: The frequency of intubation was 30.6%, the most frequent reason was respiratory pathology. The diameter of the tube can be predicted individually using age, weight and height, and by combining age and weight the prediction increases to 64.9%. To estimate the depth of the tube, weight (63.4%), age and height are useful, and combining age and weight increases the accuracy to 65.2%. There is no correlation between diameter, insertion length and sex. CONCLUSIONS: The diameter and length of the endotracheal tube correlate with each patient's own variables such as age and weight.
Varicela Hemorrágica
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2014-04) Salinas Pozo, María Victoria; Escalante Canto, Paúl; Saeteros, Xavier
For the few reports in the literature, this case is done with clinical and epidemiological diagnostic of the hemorrhagic chickenpox which was treated with antiviral, immunoglobulins and antibiotics (for over infection), with positive evolution. Chickenpox is a virus primary infection VZV (varicella- zoster) that generates a febrile illness accompanied by a generalized rash. Epidemic form occurs mainly in children aged from 2 to 10 years, it is transmitted by drops that come from the nasopharynx, with a benign course. If there is immune deficiency, the clinical form of hemorrhagic varicella can occur with an unfavorable outcome.