ABSTRACT
Introducción: El dolor en el posquirúrgico inmediato ha sido subvalorado y manejado inadecuadamente. Objetivos: Evaluar la percepción del dolor a las 4h del postoperatorio de pacientes del Hospital Universitario San Jorge de Pereira (Colombia). Materiales y métodos: Estudio de corte transversal en pacientes mayores de 18 años entre el 2 de septiembre y el 28 de octubre de 2011. Se valoró la intensidad del dolor postoperatorio mediante escala visual analógica a las 4h del procedimiento. Se consideraron variables sociodemográficas, clínicas y farmacológicas. El análisis se hizo con SPSS 20.0 para Windows. Resultados: Se evaluaron 213 pacientes en postoperatorio, 114 (53,6%) mujeres y 99 (46,4%) hombres, con edad promedio de 47,1 ± 20,0 años. El 51,4% de los pacientes no tenía controlado el dolor a las 4h. Las variables edad, residencia urbana, tipo de cirugía, incumplimiento de la dosis y monoterapia analgésica se asociaron de manera estadísticamente significativa con la falta de control. Discusión: El inadecuado control del dolor obliga a replantear su manejo idealmente con guías de práctica clínica y con el empleo de medicamentos analgésicos a las dosis e intervalos adecuados.
Introduction: Immediate postoperative pain has been underestimated and managed inadequately. Objectives: To assess perceived pain 4 h after surgery in patients at the San Jorge University Hospital in the city of Pereira. Materials and methods: Cross-sectional study in patients over 18 years of age was conducted between September 2 nd and October 28th, 2011. Postoperative pain intensity was assessed using the Visual Analog Scale, 4 h after completing the procedure. Social, demographic clinical and pharmacological variables were considered. The analysis was done using the SPSS 20.0 for Windows. Results: Of the 213 postoperative patients studied, 114 (53.6%) were women and 99 (46.4%) were men, with a mean age of 47.1 ± 20.0 years. At 4 h, 51.4% of patients did not have pain control. There was a statistically significant association between lack of control and age, living in the urban area, type of surgery, non-adherence to the dose, and monotherapy analgesia. Discussion: Inadequate pain control requires revisiting its management, ideally on the basis of clinical practice guidelines and using analgesic drugs at adequate doses and intervals.
Subject(s)
HumansABSTRACT
Se buscó establecer el impacto de la prehipertensión como causa de eventos cardiovasculares en pacientes del Hospital Universitario San Jorge de Pereira. Se incluyeron pacientes no identificados previamente como hipertensos o que recibieran tratamiento para tal condición y que clasificaran con cifras tensionales sistólicas entre 120 y 139 mmHg y diastólicas entre 80 y 89 mmHg. Del total de prehipertensos se determinó que el 43.4% ingresaron con eventos cardiovasculares, siendo las más prevalentes el evento cerebrovascular y el infarto agudo de miocardio. Se refuerza la indicación de definir la prehipertensión como factor de riesgo a identificar y tratar haciendo énfasis especial en cambios terapéuticos en estilo de vida
An research has been developed with the subject to evaluate the impact of side effects of prehypertension as cardiovascular events on patients of the university hospital San Jorge in the city of Pereira, they include patients non previously identified as hypertensive or who been receiving treatment for that condition and classify with systolic blood pressure between 120 and 139 mmHg and diastolic between 80 and 89 mmHg. From the research where found that 43.4% was ingress with cardiovascular events been more significant stroke and acute coronary syndrome. Those results enhance the indication of defining prehypertension as risk factor to identify and emphasize on therapeutically changes on life style. Within research limitations were found that the time factor was a limitation to increase the samples, which could be important for future research