Browsing by Author "Ortiz Sagba, Nelson Ramiro"

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Correlación de calcio score con tomografía multidetector 64 cortes y factores de riesgo. Hospital José Carrasco Arteaga. Marzo – agosto 2016
(2017) Ortiz Sagba, Nelson Ramiro; Pineda Álvarez, Rosario Elizabeth; Morocho Malla, Manuel Ismael
Background: The technological development in multidetector tomography scanners allows the assessment of the formation of calcium plaques in the coronary arteries, their categorization and their association with risk factors. Objective: To determine the calcium score correlation with arterial hypertension, overweight and obesity, dyslipidemia (total cholesterol, LDL, HDL), diabetes mellitus type 2 and smoking. José Carrasco Arteaga Hospital. Imaging Department, March – August 2016. Methods and materials: A Cross-sectional study with 67 patients who underwent calcium score test with multidetector tomography scanner. 64 cuts with heart rate synchronization 60 ±5 bpm between March – August 2016 were analyzed. An informed consent was requested to apply a survey to gather demographic information and determine risk factors. Patients´ weight and height were measured as well as blood tests. Data was analyzed using SPSSv20 software. The calcium scoring was 0 as negative and > 0 as positive. Results: The median age was 62 years, 55.2% were men. Most patients, 50.7%, were between 45 and 64 years old. 9 (13.4%) patients were identified with arterial hypertension, 35 (52.2%) patients were overweight, and 41 (61.2%) patients with high triglycerides. Systolic blood pressure in mmHg ≥ 140 RP 1.76 (IC 95%: 1.01 – 3.08 p 0.036) was determined; the remaining variables were no significant. Conclusions: Calcium score positive is associated with Systolic blood pressure in mmHg ≥ 140
Dosis de efectividad de radiación utilizada en estudios de cráneo, cuello, tórax y abdomen con un tomógrafo multicorte de 64 canales en el Hospital José Carrasco Arteaga Cuenca, septiembre del 2014-febrero del 2015
(2015) Montenegro Córdova, Andrea Cristina; Toalón Idrovo, Henry Paúl; Ortiz Sagba, Nelson Ramiro; Freire Argudo, Marco Vinicio
Computed tomography allowing TCM has great advances in noninvasive diagnosis of various diseases. At present most of the applied radiation arises from the use of CT, followed by nuclear medicine and fluoroscopy. The aim of our research was to determine the effective dose in studies of skull, neck, thorax and abdomen with a 64-channel Multislice Tomography in Arteaga's José Carrasco Hospital in Cuenca Cato, during the period from September to February 2014 -2015. 3129 cases with a mean age of 48.58 years with the largest age group in patients 16 years and older with 90.3% were studied; the most common female sex was 50.5%. 4 types of tomographic methods were studied, being the most frequent with 68.1% skull and neck less frequent with 1%. The maximum effective dose used was 21,98mSv in the group of 16 years or more and the minimum 0,38mSv in studies of the skull of the same group. The effective dose in all CT without contrast in the group aged 16 and over did not exceed baseline levels. The value of the effective dose in all CT with contrast in the group aged 16 years and over exceeded baseline levels. Because no reference levels effective dose for pediatric groups found, the DLP was studied found higher levels in the first age group. The results obtained in this research will be disseminated in the Journal of the Faculty of Medicine of the University of Cuenca and study serve as a basis for future comparisons.
Dosis de radiación, tiempo fluoroscópico de procedimientos intervencionistas en hemodinámica del Hospital "José Carrasco Arteaga" Cuenca, enero-diciembre 2012
(2013-11-11) Castillo Matute, Ana Lisseth; Castro López, Ana María; Ortiz Sagba, Nelson Ramiro; Auquilla Díaz, Nancy Eulalia
The main objective of the research was to analyzed the radiation dosage, fluoroscopic time in hemodynamic procedures performed at the “Jose Carrasco Arteaga” hospital located in the Cuenca, during the period of January – December 2012. The retrospective and descriptive methodology was used. The research was performed in a total of 300 patients’ records that were treated in the hemodynamic department. It was determined that 93% of the patients received a radiation dosage lower than 1mSv and only 7% was greater than 1mSv. The most frequent hemodynamic procedure was the Coronariography with 31% and the combined Coronariography / angioplasty with stent corresponded to 8%. The largest time range for fluoroscopy was 1-20 minutes with 91% of the patients. The 2% of the range corresponded to 40-60 minutes, meanwhile 57% of the patients it was found a range of 1-20 minutes. Only 4% of the range was greater than 80 minutes. It was found that most patients treated was in an age range of 61 to 80 years old (at 51%), whereas only 5% corresponded to a range greater than 80 years old. The most frequency of patients treated belongs to males with 65%. Key Words: FLUOROSCOPIC TIME, RADIATION DOSAGE, HEMODYNAMIC PROCEDURES.
Prevalencia de discopatía degenerativa lumbar diagnosticadas por resonancia magnética en pacientes del Hospital José Carrasco Arteaga, Cuenca. Enero - diciembre 2011
(2012-11-11) Abad Apuango, Clara Patricia; Aguilar Riera, Sandra Elizabeth; Guzmán Chinlle, Elvia Marina; Ortiz Sagba, Nelson Ramiro; Auquilla Díaz, Nancy Eulalia
Objective: The objective is to determine the prevalence of the degenerative lumbar disease, diagnosed by magnetic resonance in patients of the Hospital “José Carrasco Arteaga”. January - December, 2011. Methods and Material: It was realized a retrospective transversal study, to patients who went to the hospital “José Carrasco Arteaga”, to realized the lumbar spine Magnetic Resonance exam in during the period between January to December of 2011. It was worked with a universe of 864 patients, the pattern was propositional and it was referred to whole universe. Results: According to the analysis of the data, according to the radiological report, it was observed that 789 patients ,who represents 91,3 %, shows a Lumbar Degenerative disc disease, being 51,2% men and 48,8% women. The 5.8% was reported as a normal research. The average age was 50 years old. In relation to the BMI, of the 422 female patients, states that 51,5% has a normal BMI, 40,6% overweight. Of the 442 of male patients, states that 46, 6% has a normal BMI, 47, 5% has overweight. According to the patients with pathology, it was possible to observe according to herniated material, amount 77% presents protrusion. The most common location on a vertebra was Posterior with 74.52%. The lumbar space more affected was L4-L5 y L5-S1, with 28,9% Conclusion: At the end of this research we can determine the prevalence of Lumbar Degenerative disc disease, which is high, and its diagnosis was possible thanks to the examination of magnetic resonance imaging. KEYWORDS: DEGENERATIVE DISC DISEASE, MAGNETIC RESONANCE IMAGING, INTERVERTEBRAL DISC, RADIOLOGICAL REPORT. DeCS: LOW BACK PAIN- RADIOGRAPHY; SPINAL DISEASES- RADIOGRAPHY; INTERVERTEBRAL DISC DISPLACEMENT - RADIOGRAPHY ; MAGNETIC RESONANCE IMAGING-UTILIZATION; LOW BACK PAIN-DIAGNOSIS; HOSPITAL DEL INSTITUTO ECUATORIANO DE SEGURIDAD SOCIAL; CUENCA-ECUADOR
Prevalencia de discopatias degenerativas de la columna cervical diagnosticadas por resonancia magnética, en el Hospital José Carrasco Arteaga – IESS - Cuenca. Abril - septiembre 2013
(2014-11-11) Neira Fernández, Tania Priscila; Sarmiento Sarmiento, Ninfa Silvana; Ortiz Sagba, Nelson Ramiro; Gómez Ayora, Andrea Ximena
Objective: The objective is to determine the prevalence of the Degenerative Cervical Spine Disease, diagnostic by magnetic resonance in patients of the Hospital “José Carrasco Arteaga”. Cuenca, April – September 2013. Methods and material: It was realized a descriptive transversal study, in the patients who went to the Hospital “José Carrasco Arteaga“, during the period between April – September of 2013, to realized to the Cervical Spine Resonance Magnetic exam. The sample size was of 300 patients. The processing and analysis of the results was performed in the SPSS statistical software v20, and the tablets were made in Excel software. Results: According to the analysis, according to the radiological report, it was observed that 228 patients who represents to 76% of the 300 patients that realized the exam, it was presented Degenerative Cervical Spine Disease, of they the 65% were women and the 35% men. Whose average age was between 52 years old. The 24% of exam was reported is a normal research. According to the patients who presented the pathology, it watched that the 74,2% presented protrusión discal, with most common location since the disc intervertebral C4 to C7. Of they the patients with activities relationship to the office resulted was the most affected with the 27,6%, continuos of the mistress of house and the retired with the 24,6%. Conclusion: Whit this investigation, of this research the prevalence of the Degenerative Cervical Spine Disease, diagnostic by magnetic resonance, which is high a 76% of affected, according the radiological reports of Hospital José Carrasco Arteaga. KEY WORDS: PREVALENCE, INTERVERTEBRAL DISC DEGENERATION/DIAGNOSTIC, MAGNETIC RESONANCE IMAGING, INSTITUTE OF SOCIAL SECURITY ECUATORIANO JOSE CARRASCO ARTEAGA. CUENCA-ECUADOR.
Prevalencia de traumatismo cervical diagnosticado por radiología digital, en pacientes politraumatizados del Departamento de Imagenología, Hospital Vicente Corral Moscoso, Cuenca Enero - junio 2012
(2013-11-11) Nugra Loja, Tania Lorena; Méndez Martínez, Vania Esmeralda; Ortiz Sagba, Nelson Ramiro; Auquilla Díaz, Nancy Eulalia
The main objective of this research was to determine the prevalence of cervical trauma; diagnosed by digital radiology in diagnostic applications of multiple trauma patients in the Hospital Imaging Department "Vicente Corral Moscoso" during the period from January to June 2012. The method used was descriptive, retrospective, the universe studied was 150 applications, the same that were of patients with diagnosis of multiple trauma, so that performed them digital radiographs of the cervical spine during January to June 2012, the 44% were female and the 56 % male. According to the method of study, we can indicate that the 61.0% had injuries at the cervical level, and the 39.0% were studies that reported no change in the normal morphology of the cervical spine. The most common age of applications in studies is in the rangeof10-40years old, with the lateral radiograph of the cervical spine requested study that occupies97% of the examinations carried out, compared to other tests with minimum percent ages and unrepresentative of only1-2%. Within the cervical spine in juries were male, shows a frequency of33 cases. Among females seen frequency of28 cases, the percent age shown in representative cervical corrections in the case of females by 56% and in males36.36%, we can also see a percentage of92% corresponding to soft tissue hematoma. The most common site of cervical lesions was a percentage of47.50%in all segments of the cervical spine with a frequency of29 cases.