Browsing by Author "Morocho Araujo, Adriana Mizhel"

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Complicaciones durante la estancia hospitalaria en los pacientes con evento cerebrovascular en el departamento de clínica del Hospital Vicente Corral Moscoso de la ciudad de Cuenca en los años 2005 al 2009
(2012) Martínez Mejía, María Andrea; Morocho Araujo, Adriana Mizhel; Narváez Correa, Isabel Victoria; Díaz Heredia, Favian Eduardo
Objective: To establish the complications during hospital stay in patients with stroke in the Department of Clinical Vicente Corral Moscoso Hospital in Cuenca in 2005 and 2009. Methods and Materials: This descriptive study was retrospective, longitudinal study. The research was conducted based on the medical records of hospitalized patients with stroke in the department of clinical Vicente Corral Moscoso Hospital, located at Av and Av the Arupos April 12, the Canton Cuenca province Azuay, the republic of Ecuador. For the survey data was used previously developed and validated form was completed by the participants of the investigation according to medical records of each patient. Results: 79.74% of patients with stroke who were hospitalized in the HVCM are patients over 56 years. Complications occurred more frequently in those aged 66-75 years with 26.09%. With regard to sex, 77 were female and 76 were men, there were more complications in women with a 52.17% .. The main comorbidity was HT with 78.43%. The main cause of admission was hemorrhagic CVD with 56.21%. The urological complications were 27.83% with metabolic and also with 27.83%. Of urological were the main urinary tract infections with 75%. The electrolyte disturbances were the main metabolic complications with 71.88%. In sequence respiratory complications occurred in 21.74% of patients. Other complications that occurred in a lower percentage were, digestive complications, neurological, psychiatric, dermatological, hematological, musculoskeletal pain, progressive deterioration of the patient's death. KEYWORDS: STROKE, COMPLICATIONS, HOSPITALIZATION, VICENTE CORRAL MOSCOSO HOSPITAL.
Validación de la radiografía estándar de tórax en el diagnóstico de nódulos pulmonares en pacientes oncológicos adultos, Hospital José Carrasco Arteaga. Cuenca, 2019-2020
(Universidad de Cuenca, 2021-05-21) Morocho Araujo, Adriana Mizhel; Llivisaca Tacuri, José Enrique; Beltrán Carreño, José Patricio
Background: The lungs are one of the organs most affected by metastatic nodules. Radiography is a rapid nodular detection method in cancer patients. Objective: To determine the validity of the standard chest radiograph in the diagnosis of pulmonary nodules in adult cancer patients at the “José Carrasco Arteaga” hospital in the year 2019-2020. Methodology: Diagnostic test validation study with 477 patients, taking tomography as the reference test. Results: 65% of the patients were female. The mean age was 60 years ± 14.006. In radiography 14.3% were visualized and in tomography 42.3% nodules. The nodules had well-defined borders in 77.9% on radiography and 83.7% on tomography. The predominant density of the nodules was soft tissues with 82.4% and 61.9%, for radiography and tomography respectively. The upper lobes were the most frequent site of presentation, 50% for radiography and 52% for tomography. Radiography had a sensitivity of 30.69%, specificity of 97.82%, PPV 91.18%, NPV 65.77%, and diagnostic accuracy 69.39% for the detection of pulmonary nodules. Conclusion: The predominant population was female. The mean age of presentation was 60 years ± 14.006. The predominant characteristics of the nodules in the two methods were soft tissue density, well-defined borders and located in the upper lobes. Radiography shows a sensitivity of 30.69% and a specificity of 97.82% for the detection of pulmonary nodules.