Grado de severidad de la colecistitis aguda según la escala de Parkland y factores asociados en pacientes mayores de 18 años en el Hospital Vicente Corral Moscoso. Cuenca 2020

Abstract

Background: Cholecystitis is considered one of the most common causes of abdominal pain; represents about 3-10% of patients with abdominal pain. Objective: To determine the degree of severity of acute cholecystitis according to the Parkland Scale and associated factors in patients over 18 years of age who attend the emergency service of the Vicente Corral Moscoso Hospital. Cuenca 2020. Methodological design: Quantitative, analytical and cross-sectional study, with a sample of 200 patients. The data were obtained from the clinical history to apply the Parkland scale to classify the severity of cholecystitis. The characterization was carried out using descriptive statistics; the association between variables through the prevalence ratio and statistical significance according to the value of p <0.05 and the 95% confidence interval. The SPSS v25 programs were used. Results: 49.0% are 35–64 years old with an average of 39.0 ± 14.9 years; 62.5% are women; 56.0% are overweight and 16.5% are obese. 49.5% have Parkland Grade III. 57.0% had symptoms of up to 3 days. Parkland's degrees of severity were found to be significantly associated with surgical time greater than 72 min (GI p = 0.018; GII p = 0.037; GIII p = 0.014; GIV p = 0.005; GV p <0.001), obesity (GII p = 0.041; GV p = 0.029), symptom onset time less than 3 days (GIII p = 0.048; GIV p = 0.041; GV p = 0.016), leukocytosis (GV p = 0.005), female sex (GV p = 0.015) and conversion of surgery (GV p <0.001). Conclusions: The Parkland scale for cholecystitis is applicable to patients at Hospital Vicente Corral Moscoso.