Determinación de factores de riesgo para apendicitis aguda complicada en el Hospital Vicente Corral Moscoso. 2018

Abstract

Background: complicated acute appendicitis (CAA) is defined as a stage of infection that may suffer a delay in the presentation, diagnosis or treatment of the pathology, the resolution of the picture is like a common procedure and basic knowledge in the area of General Surgery. Objective: to determine the risk factors for complicated acute appendicitis in the Vicente Corral Moscoso hospital during the period January to December 2018. Material and methods: A cross-sectional study was carried out to identify the prevalence of CAA and risk factors. The variables analyzed were: age, sex, time of evolution, ethnic identification, self-medication, comorbidities, family history, fever, leukocytosis. Data were collected using a form and were tabulated with the SPSS v 22. program. Qualitative variables will be analyzed with frequency and percentage and quantitative variables with average, standard deviation, minimum and maximum values; The factors associated with the CAA are analyzed with OR, 95% CI, Chi2 and binary logistic regression. Results: 280 records of patients who met the inclusion criteria were analyzed, the majority were women (51.8%), the mean age was 32.46 years SD ± 13.74. Among the factors associated with CAA with statistical significance are: self-medication (OR 6.85; 95% CI 2.82-16.63. P <0.05), thermal increase (OR 21.24; 95% CI 6.26 -72.02. P <0.05) and evolution time greater than 24 hours (OR 330.55; 95% CI 44.43-2458.76. P <0.05). Conclusions: the prevalence of complicated acute appendicitis is high in our environment and is associated with factors such as the time of evolution greater than 24 hours, self-medication and thermal rise