Validez de la guía de Tokio para colecistitis aguda litiásica en el departamento de emergencia de cirugía del Hospital Vicente Corral Moscoso de Cuenca 2014

Abstract

OBJECTIVE: the objective was to determine the validity of Tokyo guidelines 2013 for the diagnosis of acute cholecystitis in the emergency department of "Vicente Corral Moscoso" Hospital in Cuenca 2014. METHODS: a validation study was performed in a diagnostic test from January to December 2014, data of 171 patients were collected with the following variables: age, sex, residence, information of the clinical, laboratory and ultrasound parameters of the Tokyo guidelines as well as the pathology report. The data were tabulated and analyzed using SPSS version 15.00. Quantitative variables were expressed using mean and standard deviation for qualitative variables frequencies and percentages plus the chi-square or Fisher exact test was used. For the diagnostic test for acute cholecystitis was performed using Bayesian analysis guide Tokyo and histopathology analyzing Gold standard: sensitivity, specificity, positive predictive value, negative and positive rate, negative likelihood. RESULTS: Of 171 patients, acute cholecystitis showed more females 119 (70%) with a mean age of 38 ± 14 and 102 residents in urban areas (60%). Tokyo guide had a sensitivity and specificity of 93.3% and 97.9% respectively. A 97.22% positive predictive value and negative predictive of 94.95%. CONCLUSIONS: acute biliary disease occurs more often in women and is prevalent in the young adult population. In our study we observed that the Tokyo guide had a high sensitivity and specificity