Browsing by Author "Vanegas Bravo, Diego Mateo"

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    Conocimientos y prácticas en hipertensión arterial en personas que acuden al Subcentro de Salud Rural Tayuza-Morona Santigo. Cuenca-Ecuador 2014.
    (2015) Vanegas Bravo, Diego Mateo; Roldán Fernández, José Vicente
    Background: Hypertension is ranked as one of the most important public health problems in the country. Several studies point to hypertension as a disease that greater benefit of educational interventions. Objective: To assess the impact of an educational intervention on knowledge and practices in blood pressure in people attending rural health sub-center Tayuza-Morona Santiago. Methodology: The study is quasi analytic, the site chosen for the research is rural health sub-center Tayuza, among those who were hypertensive same club. A questionnaire will be developed will be used pre and post educational intervention. Results: The appropriate level of knowledge increased from 45.8% to 87.4% (p = 0.000 RR = 1.91). As good practice also existed a significant improvement, increasing from 42.18% (pretest) to 65.45% after the educational intervention. p = 0.000 RR = 1.51. Conclusions: The educational intervention on hypertension generated a significant impact within the community Tayuza.
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    Criterios QSOFA y nivel de lactato como predictores de necesidad de cuidados críticos en pacientes con sospecha de sepsis en el área de emergencia del Hospital Vicente Corral Moscoso, Cuenca-2020
    (Universidad de Cuenca, 2022-02-09) Vanegas Bravo, Diego Mateo; Aguirre Bermeo, Hernán Marcelo
    Background: Sepsis and septic shock are considered a medical emergency, which brings seriousdeleterious effects on the health of those who suffer from it. There are criteria to predict severity in an emergency room such as qSOFA and lactate levels; however, there are still controversies regarding its role as a predictor for admission to the Intensive Care Unit. Objective: to determine if the qSOFA criteria and lactate levels are good predictors of the need for Critical Care in patients with suspected Sepsis in the Emergency Department of the Vicente Corral Moscoso Hospital, Cuenca-2020. Methodology: validation of diagnostic tests, 175 participants were included, determining the capacity of the qSOFA score and lactate levels as predictors of the need for Critical Care in patients with suspected sepsis. Sensitivity, specificity, PPV, NPV and ROC curve were assessed.All bioethical procedures were applied. Results: A positive qSOFA (≥ 2) had a sensitivity of 72.8%, specificity of 34.0%, PPV of 48.8%,NPV of 59.3%. The lactate level, with a cut-off point of ≥ 2 mmol / L, obtained a sensitivity of 60.5%, specificity of 50.3%, PPV of 53.3%, NPV of 61.4%. The lactate level with a higher Youden Index (IY = 0.28) was ≥ 1.69 mg / dl with a sensitivity of 82.7%, specificity of 45.7%, PPV of 56.8%, NPV of 75.4% and AUC of 0.648. Conclusions: qSOFA and lactate levels in patients with suspected sepsis have limited value in predicting the probability of needing critical care.