Evaluación de la trombosis venosa profunda según la escala de WELLS en pacientes de 60-70 años en Hospital General del Norte de Guayaquil IESS los Ceibos durante el periodo 2020- 2021.

Abstract

Introduction: Deep vein thrombosis (DVT) is a pathology that affects the venous system of the lower limbs, it occurs due to the formation of a clot in the deep veins, which can cause a pulmonary embolism. This pathology can cause disability and most frequently affects patients between 60 and 80 years of age, with a predominance of males. Its clinic is usually presented by pigmentation, ulcers and decreased mobility of the affected members. Its diagnosis goes hand in hand with anamnesis, physical examination together with laboratory and imaging tests. Along with this, there is the Wells scale that allows estimating the probability that the patient will develop DVT. His treatment consists of anticoagulation therapy. Objectives: To evaluate deep vein thrombosis according to the Wells scale in patients aged 60-70 years at Hospital General del Norte de Guayaquil IESS Los Ceibos during the period 2020-2021. Methodology: Observational, retrospective, longitudinal cohort study involving patients with deep vein thrombosis who consulted the service of Results: In the age variable, we found a greater number of patients between the ages of 66 and 70 years, representing 55% of the sample. For the sex variable, it was observed that the female gender represents 70% of the sample. And in the personal pathological history a significantly high percentage was evidenced, being this 94% of the sample. Of the Wells criteria, those that obtained a significant percentage were: alternative diagnosis is more likely than DVT (67%), and localized pain at palpation in the deep venous system (65%). Conclusions: According to the results of our study, female patients aged between 66 and 70 years who have a personal pathological history have a high probability of developing DVT.