Browsing by Author "Mora Orellana, Estrella Janeth"

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Frecuencia de crisis convulsivas en pacientes con trauma craneo encefalico ingresados en el Hospital Vicente Corral Moscoso, Cuenca 2013 - 2014
(2014) Mora Orellana, Estrella Janeth; Cajamarca Bermeo, Luis Raúl; Estévez Abad, René Fernando; García Alvear, Jorge Luis
Objective: To determinate the frequency of epileptic crisis in patients with TEC, who come to Vicente Corral Moscoso Hospital in the period 2012-2013 Method and Materials: This prospective, descriptive, study was conducted on patients who were attended or referred to the Regional Hospital “Vicente Corral Moscoso” of Cuenca for 3 months, based on the following judgment: patients after traumatic brain injury (TBI) with pathologies such as subdural hemorrhage, and intraparenchymal,subdural and epidural hematoma. The variables studied were: patient age, clinical presentation, type of injury, consciousness, the extension of injury visible with CT and report the same. It has been monitored the patients for 6 months for the occurrence and recurrence of seizures To survey the data, we used a Form filled by those who perform the thesis, once collected, the data were entered in Microsoft Excel version 2007 software, version 12.0.4518.1014, the data were summarized in tables and graphs for presentation and descriptive analysis Results: Patients with TBI who presented or were referred to the Hospital Vicente Corral Moscoso had a prevalence of 32% of posttraumatic seizures, 40% between 11 and 20 years, more common in males 25.81%. The most frequent lesion visible on TAC was epidural hematoma with 45% and a prevalence of post-TBI seizures of 16.13%. In this work, all cases with severe TBI had seizures post-TBI, whereas moderate and mild TBI showed only 9.8%. The immediate crisis was the most frequent with 29%. The 45.16% of patients have no symptoms after CT without major disability the 25.81%, and only 6.45% have severe disability according to the Rankin scale. Keywords: SEIZURES, BRAIN TRAUMA, BRAIN INJURY, HEAD TRAUMA, VICENTE CORRAL MOSCOSO HOSPITAL
Validez del índice de mortalidad pediátrica - PIM2 - en el paciente crítico. Hospital José Carrasco Arteaga, Cuenca junio 2018 – mayo 2019. Estudio de test diagnóstico
(Universidad de Cuenca, 2020-02-20) Mora Orellana, Estrella Janeth; Mora Robles, Lupe Nataly
Introduction The Pediatric Index of Mortality (PIM2) is a scale that predicts the risk of death in children with information collected in the first hour of admission to the Intensive Care Unit. Objective Determine the validity of the pediatric mortality index, PIM2, in the critical patient admitted to the José Carrasco Arteaga Hospital, in the period June 2018 - May 2019. Method Observational study of diagnostic test validation. In 138 patients admitted to the Pediatric Intensive Care Unit in period June 2018 to May 2019, PIM2 scale was applied according to the established theoretical guidelines. With the data obtained, the appropriate cut-off point for the best sensitivity and specificity, was identified, and the predictive capacity of PIM2 was established through Hosmer-Lemeshow test and the Standardized Mortality Ratio. Results Mortality was 13,04%. The sensitivity of PIM2 was 88,9 (95% CI 71,59-100,00); specificity 64,17 (95% CI 55,17 – 73,16); PPV 27,12 (95% CI 14,93-39,91); NPV 97,47 (95% CI 93,37-100,00); positive probability coefficient 2,48 (95% CI 1,86-3,31); negative probability coefficient 0,17 (95% CI 0,05-0,64). The cut-off point that best approximated the sensitivity and ideal specificity was 15,57. The Hosmer Lemeshow test, no found significant differences between observed / expected in modeling of PIM2 (p 0,59). The Standardized Mortality Ratio was 100,03 (95% CI 53,82 – 146,24; p 0,59). Conclusions The predictive capacity of the PIM2, in the sample and service studied, was adequate.