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Tipo de material : bachelorThesis
Título : Incidencia de infarto agudo de miocardio en pacientes con diabetes y su asociación con mortalidad y complicaciones cardiopulmonares en Puerto Rico
Autor : Altamirano Caicedo, Nataly Rominca
Carrión Montoya, María Gabriela
Tutor : Ortiz Prado, Esteban
Palabras clave : DIABETES;INFARTO AGUDO;CARDIOPULMONAR;ENFERMEDAD;SAN JUAN-PUERTO RICO
Fecha de publicación : 2018
Editorial : Quito: Universidad de las Américas, 2018
Citación : Altamirano Caicedo, N. R.; Carrión Montoya, M. G. (2018). Incidencia de infarto agudo de miocardio en pacientes con diabetes y su asociación con mortalidad y complicaciones cardiopulmonares en Puerto Rico (Tesis de pregrado). Universidad de las Américas, Quito.
Resumen : Antecedentes: Los pacientes con diabetes mellitus DM tienen un mayor riesgo de infarto agudo de miocardio IAM. Un control adecuado de la DM puede reducir la mortalidad intrahospitalaria y las complicaciones cardiopulmonares después de un IAM...
Descripción : Background: Diabetes mellitus (DM) patients are at an increased risk of acute myocardial infarction (AMI). Adequate DM control may reduce in-hospital mortality and cardio-pulmonary complications after an AMI. Methods: A secondary data analysis of the Puerto Rican Cardiovascular Surveillance System during 2007, 2009, and 2011 was conducted. The study included men and women living in Puerto Rico who were hospitalized due to an incidental AMI and had information on HbA1c measurement (nequal220). Patients were divided according to their HbA1c levels into two groups (i) 7 percent (controlled); and (ii) 7 percent (uncontrolled). Mortality and complications were defined according to ICD-9 codes. Univariate and multivariate logistic regression models were used to test for associations between HbA1c and mortality and cardio-pulmonary outcomes. The model was adjusted for gender, obesity (BMI >30kg/m2), hyperlipidemia, hypertension, chronic obstructive pulmonary disease, smoking, insurance and age. Results: This revealed no statistically significant association between the controlled and the uncontrolled DM patients and mortality, respectively cardiopulmonary complications (unadjusted OR 2.1; 95 percent CI: 0.7-6.4; adjusted OR 2.4; 95 percent CI: 0.5-10.5). The uncontrolled DM group was statistically significantly younger than those with controlled DM (mean age 65.2 vs. 71.1 years; p-value 0.002). There was no statistically significant difference in the prevalence of uncontrolled DM between patients with complications (80 percent) and those without complication (66 percent; pequalvalue 0.203). AMI patients with uncontrolled DM have a non-statistically significant increased risk of mortality and cardiopulmonary complications compared to patients with controlled DM. Conclusion: This needs further evaluation in a larger study population and DM patients with an AMI should have HbA1c measured to estimate their risk of complications.
URI : http://dspace.udla.edu.ec/handle/33000/10250
Aparece en las colecciones: Medicina

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