Premedicación y retraso en el diagnóstico y posterior tratamiento de la apendictis aguda. Hospital Luis Vernaza. Mayo 2017 a mayo 2018.

Abstract

Introduction: Appendicitis is one of the first causes of development of acute abdomen, which translates into a frequent reason to attend the consultation of emergency services in different hospitals, given the clinical and surgical emergency that this represents. In certain cases the use of various drugs favors in masking this disease, prolonging the time of the clinical picture. Objective: To determine the association between premedication and delay in diagnosis and subsequent treatment in patients with acute appendicitis in the Luis Vernaza Hospital emergency. Materials and methods: This is an analytical, observational and retrospective design project, carried out at the Luis Vernaza Hospital, during the period from May 2017 to May 2018, in patients with acute appendicitis. Results: A total of 364 patients were studied, where the mean age was 29.9 years, with a maximum age of 85 and a minimum age of 18 years. The sample consisted of 54.1% men and 45.9% women. The patients were divided into 2 groups, 69 patients belonged to the group of premedicates and 295 patients to the non-medicated group. The hospital stay was greater in those who were medicated in about 6 to more than 10 days while in those who did not premedicated it was 1 to 3 days. Conclusion: An increase in the number of hours of out-of-hospital disease is shown in those who were premedicated, as opposed to those who did not. The hour until surgical treatment was less than 12 hours in both groups.