Frecuencia de comorbilidades asociados con abdomen agudo quirúrgico en adultos mayores. Hospital Vicente Corral Moscoso. Cuenca 2020

Abstract

Antecedent: worldwide, the acute surgical abdomen constitutes approximately 20% of the care registered for older adults in emergencies and is related to comorbidities that they acquire and that are probably related to the recovery or prognosis of said acute abdomen. Objective: to determine the frequency of comorbidities with Acute Surgical Abdomen in older adults. Vicente Corral Moscoso Hospital. Cuenca 2020. Materials and methods: the universe made up of all patients over 65 years of age who are admitted for surgical resolution. Descriptive study. The characterization of the population will be carried out through descriptive statistics, through frequencies and percentages, for statistical significance through the 95% confidence interval and p-value 0.05. SPSS version 21 and Excel programs will be used. Results: there are 105 men and 113 women with ages between 65 and 96 years (M = 75.3; SD = 7.6). The inflammatory type was the predominant in 71.2%, the vascular the least common 0.9%. Of the total of operated, 25.6% had cardiological comorbidities, 18.6% metabolic, 38.9% previous surgeries, but there was no statistical association. Acute obstructive abdomen is related to previous surgeries, and cardiological or metabolic comorbidities with more days of hospitalization with a p 0.004 Conclusions: international studies identify similarities in comorbidities that were cardiological determining arterial hypertension, and diabetes in terms of metabolic, the main type of acute abdomen is inflammatory, as in our research.