Prevalencia de las complicaciones post quirúrgicas por apendicitis aguda con relación al score de la escala de Alvarado en operados en el Hospital General Milagro en pacientes mayores a 18 años en el periodo enero a junio del 2017.

Abstract

Objective: The objective of the study is to establish the relationship between the score obtained in the Alvarado Scale with the presence of postappendectomy complications, identify the main complications of the sample in the study, quantify the incidence of post-appendectomy complications and determine the average of the Alvarado score in patients who have not developed / developed complications after the operation. Methodology: A descriptive, cross-sectional, retrospective, study performed in a group of patients from 18 to 85 years of age diagnosed and posterior surgery for acute appendicitis during the period of January 2017 to June 2017. The data was obtained through the hospital registry by ICD 10 coding, which included K35, K350, K35.1, K35.9 and the subsequent review of clinical records to verify the score on the Alvarado scale and exclusion of those who did not have it. The data were processed in IBM SPSS Statistics version 25 where frequency, central tendency, ratio, Odds Ratio measurements were analyzed. In addition, the Chi interdependence test was applied considering a significant association with a value of p <0.05. Information export was made to the Microsoft Excel 2016 program for the design of tables and graphs. Results: The relationship between the score obtained from the Alvarado Score and the presence of complications obtained that presented complications with the score of 6, 10 (25.0%); score of 7, 23 (12.9%); score of 8, 12 (15.8%); score of 9, 8 (34.8% and to be able to establish a statistical relationship Chi 2 of 0.65 and a Likelihood Ratio of 0.76 were obtained. Conclusions: It is undeniable the need to implement the Alvarado Scale as in the care protocols of our country as well as the need to generate future investigations that corroborate the hypothesis of our study.