Calidad de vida relacionada a la salud y desenlaces funcionales a 30, 60 y 90 días de pacientes supervivientes a sepsis en terapia intensiva de dos instituciones de la red pública de Barranquilla enero – abril 2021

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dc.contributor.advisorFernández Chica, Dinno
dc.contributor.advisorNavarro Baene, Gina
dc.contributor.authorDíaz Alcendra, Oscar Javier
dc.contributor.authorGarcía Ballesteros, Emerson Javier
dc.coverage.spatialBarranquillaspa
dc.creator.emailoscarj-diaza@unilibre.edu.cospa
dc.creator.emailemersonj-garciab@unilibre.edu.cospa
dc.date.accessioned2022-12-05T20:01:05Z
dc.date.available2022-12-05T20:01:05Z
dc.date.created2022
dc.description.abstractObjetivo: Determinar la calidad de vida relacionada a la salud (CVRS) y los desenlaces funcionales a 30, 60 y 90, días de pacientes supervivientes a sepsis no COVID en terapia intensiva, de dos instituciones de la red pública de Barranquilla, en el período de enero a abril del 2021. Métodos: Estudio longitudinal, y retrospectivo, en el que se incluyeron pacientes supervivientes a sepsis con seguimiento a 30, 60 y 90 días para evaluar la CVRS y los desenlaces funcionales Resultados: La muestra estuvo representada por 78 pacientes. Durante los 30 primeros días ocurrió la mayor tasa de re-hospitalizaciones (23%). El 50% de los pacientes presentó valores de 2 o superior en el índice de Charlson, llegando a valores cercanos a 6 para el 75% de la muestra. La CVRS se encontró disminuida en la dimensión física a 30 días (35,92 ± 9,48) a los 60 días (39,35 ± 7,25) y a 90 días (40,50 ± 6,59). Para la dimensión mental, la media del puntaje de SF-12 fue de 46,70 ± 11,75 a los 30 días, 43,82 ± 8,24 a los 60 días y 42,27 ± 7,68 a los 90 días. Con una variación significativa entre los puntajes SF-12 y los tiempos evaluados, tanto para la valoración física (p<0,05) como mental (p<0,05). El porcentaje de Independencia se encontró disminuido a los 30 días (69,07± 21,95), 60 dias (76,20 ± 19,11) y 90 días (79,11 ± 18,87) p= <0,05. Conclusión: En los pacientes supervivientes a hospitalización por sepsis, la calidad de vida relacionada a la salud y la independencia funcional estuvieron considerablemente disminuidas en el tiempo de seguimiento. La independencia funcional se relacionó directamente con el componente físico de la calidad de vida.spa
dc.description.abstractenglishObjective: To determine the health-related quality of life (HRQoL) and functional outcomes at 30, 60 and 90 days in patients surviving non-COVID sepsis in intensive care, in two institutions of the public network of Barranquilla, in the period from January to April 2021. Methods: Longitudinal, retrospective study including sepsis survivors with 30, 60 and 90-day follow-up to assess HRQoL and functional outcomes. Results: The sample consisted of 78 patients. The highest rate of rehospitalization occurred during the first 30 days (23%). Fifty percent of the patients presented values of 2 or higher in the Charlson index, reaching values close to 6 for 75% of the sample. HRQOL was found to be decreased in the physical dimension at 30 days (35.92 ± 9.48) at 60 days (39.35 ± 7.25) and at 90 days (40.50 ± 6.59). For the mental dimension, the mean SF-12 score was 46.70 ± 11.75 at 30 days, 43.82 ± 8.24 at 60 days and 42.27 ± 7.68 at 90 days. With significant variation between SF-12 scores and times evaluated, both for physical (p<0.05) and mental (p<0.05) assessment. The percentage of Independence was found to be decreased at 30 days (69.07± 21.95), 60 days (76.20 ± 19.11) and 90 days (79.11 ± 18.87) p= <0.05. Conclusion: In patients surviving hospitalization for sepsis, health-related quality of life and functional independence were significantly decreased at follow-up time. Functional independence was directly related to the physical component of quality of life.spa
dc.description.sponsorshipUniversidad Libre Seccional Barranquilla -- Facultad de Ciencias de la Salud -- Especialización en Medicina Internaspa
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dc.identifier.urihttps://hdl.handle.net/10901/23837
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dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.licenseAtribución-NoComercial-SinDerivadas 2.5 Colombia*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.subjectCalidad de vidaspa
dc.subjectSepsisspa
dc.subjectFuncionalidadspa
dc.subjectRe-hospitalizaciónspa
dc.subjectMorbilidadesspa
dc.subject.lembCalidad de vidaspa
dc.subject.lembSepsisspa
dc.subject.lembInfeccionesspa
dc.subject.subjectenglishQuality of lifespa
dc.subject.subjectenglishSepsisspa
dc.subject.subjectenglishFunctionalityspa
dc.subject.subjectenglishRe-hospitalizationspa
dc.subject.subjectenglishMorbiditiesspa
dc.titleCalidad de vida relacionada a la salud y desenlaces funcionales a 30, 60 y 90 días de pacientes supervivientes a sepsis en terapia intensiva de dos instituciones de la red pública de Barranquilla enero – abril 2021spa
dc.type.driverinfo:eu-repo/semantics/bachelorThesisspa
dc.type.localTesis de Especializaciónspa

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