Diagnóstico clínico-epidemiológico de la apendicitis aguda, Hospital General IESS Latacunga 2018

Abstract

The objective of this research is to determine clinical epidemiological characteristics that affect the complication of acute apendicitis such as: self-medication, complication during the surgery and diagnostic error at the General Hospital of IESS (Ecuadorian Social Security Institute) from Latacunga among the months from May to December of the year 2018. For the methodological approach, the cross-type design was taken; with a universe of 187 appendectomized patients. The database of the IESS-AS400 system was used for the preparation of boards and data collection. For the data analysis, the Microsoft Exel software was used. As a result, it was found that 49,19% corresponds to male gender and 50.80% correspons to female gender, according to the final diagnosis, 13.90% corresponds to the grade 4 appendicitis; 33.15% would correspond to grade 3 appendicitis, and 52.94% would correspond to grade 2 appendicitis, 8.02% self-medicated, and the other 91.97% did not do it, 3.2% of patients had diagnostic error in the first appointment, and 86.79% were well identified and diagnosed. It was concluded that the prevalence of complications of acute apendicitis is not influenced by self-medication, nor by the error of diagnosis in the primary appointment in the General Hospital of IESS from Latacunga. It is recommended that information should continue on the effects of self-medication, in frequent pathologies such as acute apendicitis. Continue reinforcing emergency services with already established care protocols, facilitating the timely and accurate diagnosis of acute appendicitis.