EVOLUCIÓN POSTQUIRÚRGICA DEL PACIENTE GERIÁTRICO CON DIAGNÓSTICO DE ABDOMEN AGUDO NO TRAUMÁTICO INTERVENIDO POR EMERGENCIA DEL HOSPITAL TEODORO MALDONADO CARBO. PERIODO 2014 - 2015

Abstract

Introduction: abdominal acute in geriatric patients is difficult to treat, since the absence of signs and symptoms typical of aging and existing previous diseases increases the number of complications and their mortality. In the HTMC, a study has not been conducted tending to know the postoperative evolution of the non-traumatic acute abdomen in geriatric patients, and by simple observation complications and mortality are above the international average. Objective: To evaluate the postoperative evolution in geriatric patients with acute non-traumatic abdomen diagnosed with HTMC emergency. Period 2014 - 2015. Materials and method: Information was obtained from 278 patients through clinical expedient of the statistical department prior to the completion of a data collection sheet. Results: 30.2% had 3 risk factors, with DM being the most frequent with 57.9%, 52,9% had a clinical expedient lasting > 96 hours and 75.5% had complications. The acute obstructive abdomen is the most frequent with 49.6%, with incarcerated hernia being the most prevalent diagnosis. Conclusion: The risk factor most associated with mortality is DM2. Having 3 or more risk factors is associated with longer hospital stay and higher mortality. The most frequent type of acute abdomen with a higher mortality rate is the obstructive one. The most frequent diagnosis is incarcerated hernias and the most common complication associated with mortality is intra-abdominal sepsis.