Incidencia de trombosis venosa profunda en pacientes de 50 - 90 años en el Hospital General del Norte de Guayaquil IESS los Ceibos durante el periodo del 2018-2020.

Abstract

Introduction: The incidence of deep vein thrombosis (DVT) in Ecuador is close to 76%, being a very important cause of comorbidity in hospitalized patients, with certain risk factors, the main ones being obesity, inadequate patient management and disruption of one of the pathophysiological bases of the disease: Virchow's triad. Objective: To establish the incidence of DVT in patients aged 50 - 90 years at the Hospital General del Norte de Guayaquil Los Ceibos during the period 2018-2020. Methodology: The review of virtual medical records in the AS400, a system implemented by IESS for the data registration of all patients admitted to emergencies and outpatients, is used. Results: The percentage of confirmed cases was 75.28% (n = 67), which presents a cumulative incidence of 0.0067 for the 67 new cases reported. 44% of the deaths were within the group of 70-80 years (p = 15), without there being a substantial increase in cases at that age. Conclusion: The incidence of DVT in most cases of ecuadorian patients represents some type of relevant clinical history. Linear correlations were found between higher D-dimer elevation with mortality (0.33) and the prevalence of at least one of Virchow's triad criteria (0.26). In addition to certain viability to use the D-dimer in subsequent studies, due to its linear correlation with the DVT (0.29).