dc.contributor.advisor | Velásquez Cuentas, Lucio | |
dc.contributor.author | Moscoso Quispe, Keirscen Soledad | |
dc.date.accessioned | 2023-08-18T17:22:36Z | |
dc.date.available | 2023-08-18T17:22:36Z | |
dc.date.issued | 2023-08-09 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12557/5621 | |
dc.description.abstract | Antecedentes: La neumonía intrahospitalaria es una de las principales infecciones
nosocomiales, se asocia a incremento en las tasas de morbimortalidad, además del aumento de
costes sanitarios, siendo un gran problema de salud pública, por ello la importancia de investigar
los factores de riesgo asociados a esta patología para poder prevenirlos. Objetivo: Identificar
los factores de riesgo asociado a la neumonía intrahospitalaria en pacientes del servicio de
medicina interna del Hospital Nacional Adolfo Guevara Velasco del Cusco, 2021. Materiales
y Método: El estudio es observacional analítico de casos y controles de corte retrospectivo. La
muestra fue conformada por 186 pacientes (93 casos y 93 controles). Considerándose caso a
todo paciente con diagnóstico de neumonía intrahospitalaria y control a todo paciente sin
neumonía intrahospitalaria. Se excluyó a todo paciente que no cumpliera con los criterios de
inclusión. Para evaluar la asociación se utilizó el OR y la significancia estadística a través de
los valores de p y el IC al 95%. Se revisó las historias clínicas de los pacientes hospitalizados
que cumplieron con los criterios de selección. Resultados: Los factores de riesgo asociado a
NIH fueron el antecedente de ECV (p=< .001, OR=7.89, IC95% [4.1-15.2]), antecedente de
COVID 19 resuelto (p < .001, OR=3.34 IC95% [1.8-6.2]), estancia hospitalaria prolongada (P
=001, OR=0.166, IC 95% [0.0814-0.339]) , reingreso hospitalario (p=0 .001, OR=3.58, IC 95%
[1.62-7.89]). Conclusiones: Los factores de riesgo fueron el antecedente de ECV, antecedente
de COVID 19 resuelto, estancia hospitalaria prolongada, reingreso hospitalario. | es_PE |
dc.description.abstract | Background: Intrahospital pneumonia is one of the main nosocomial infections, it is
associated with an increase in morbidity and mortality rates, in addition to the increase
in health costs, being a great public health problem, therefore the importance of
investigating the risk factors associated with this pathology in order to prevent them.
Objective: To identify the risk factors associated with intrahospital pneumonia in
patients of the internal medicine service of the Adolfo Guevara Velasco National
Hospital in Cusco, 2021. Materials and Methods: The study is an analytical
observational case-control retrospective study. The sample consisted of 186 patients (93
cases and 93 controls). All patients with a diagnosis of hospital-acquired pneumonia
were considered a case, and all patients without hospital-acquired pneumonia were
considered a control. Any patient who did not meet the inclusion criteria was excluded.
To evaluate the association, the OR and the statistical significance were used through
the p values and the 95% CI. The medical records of hospitalized patients who met the
selection criteria were reviewed. Results: The risk factors associated with intrahospital
pneumonia were a antecedent of stroke (p=< .001, OR=7.89, IC95% [4.1-15.2]), a
antecedent of resolved COVID 19 (p < .001, OR=3.34 IC95% [1.8-6.2]), prolonged
hospital stay (P =001, OR=0.166, 95% CI [0.0814-0.339]), hospital readmission
(p=0.001, OR=3.58, 95% CI [1.62-7.89] ). Conclusions: The risk factors were a
antecedent of stroke, a antecedent of resolved COVID 19, prolonged hospital stay,
hospital readmission. | en_US |
dc.format | application/pdf | es_PE |
dc.language.iso | spa | es_PE |
dc.publisher | Universidad Andina del Cusco | es_PE |
dc.rights | info:eu-repo/semantics/openAccess | es_PE |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | es_PE |
dc.subject | Neumonía nosocomial | es_PE |
dc.subject | Factores de riesgo | es_PE |
dc.subject | Comorbilidad | es_PE |
dc.subject | Medicina interna | es_PE |
dc.title | Factores de riesgo asociados a neumonía intrahospitalaria en pacientes del servicio de medicina interna del Hospital Nacional Adolfo Guevara Velasco del Cusco, 2021 | es_PE |
dc.type | info:eu-repo/semantics/bachelorThesis | es_PE |
thesis.degree.name | Médico Cirujano | es_PE |
thesis.degree.grantor | Universidad Andina del Cusco. Facultad de Ciencias de la Salud | es_PE |
thesis.degree.discipline | Medicina Humana | es_PE |
dc.publisher.country | PE | es_PE |
dc.subject.ocde | https://purl.org/pe-repo/ocde/ford#3.00.00 | es_PE |
renati.advisor.dni | 23834099 | |
renati.advisor.orcid | https://orcid.org/0000-0002-6911-9689 | es_PE |
renati.author.dni | 72978380 | |
renati.discipline | 912016 | es_PE |
renati.juror | Ramírez Vargas, Renan | |
renati.juror | Palma Zapata, Roger Ubaldo | |
renati.juror | Rivas Achahui, Cristabel Nilda | |
renati.juror | Araujo Arrosquipa, Lelis Augusto | |
renati.level | https://purl.org/pe-repo/renati/level#tituloProfesional | es_PE |
renati.type | https://purl.org/pe-repo/renati/type#tesis | es_PE |
dc.description.lineadeinvestigacion | Enfermedades prevalentes | es_PE |