Validación del EDACS Score para la predicción del SCA y MACE en el servicio de urgencias de una clínica de Barranquilla-Colombia

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dc.contributor.advisorOrtega Ramírez, Gustavo Andrés
dc.contributor.advisorArdila Pereira, Laura Cecilia
dc.contributor.authorRomero Jiménez, Evasandrid
dc.contributor.authorLeón Cifuentes, Reiner
dc.coverage.spatialBarranquillaspa
dc.creator.emailreynerleon@hotmail.comspa
dc.creator.emailreiner-leonc@unilibre.edu.cospa
dc.creator.emailevasandrid-romeroj@unilibre.edu.cospa
dc.date.accessioned2024-07-26T21:03:25Z
dc.date.available2024-07-26T21:03:25Z
dc.date.created2024-06
dc.description.abstractIntroducción: En el mundo, incluyendo nuestra población, las enfermedades cardiovasculares siguen siendo la principal causa de muerte, la creación de escalas ha permitido realizar diagnósticos precoces que conllevan a tratamientos oportunos, por lo que queremos validar una escala clínica diagnóstica para esta enfermedad en nuestra población. Objetivo: Validar el Emergency Department assessment Chest Pain Score (EDACS) en la población de la ciudad de Barranquilla. Metodología: Se realizó un estudio de cohorte con 189 pacientes mayores a 18 años que consultaron al servicio de urgencias con dolor torácico de aparición menor a 24 horas con seguimiento durante 30 días del evento índice; los datos fueron tomados de historias clínicas de los pacientes de la Clínica General del Norte en Barranquilla, en el período 2023. Resultados: La población elegible final consistió en 189 pacientes seleccionados entre un total de 1543, quienes tenían historias clínicas completas y cumplían con todos los criterios de inclusión. En cuanto a la escala EDACS, los pacientes que presentaron MACE obtuvieron una puntuación promedio significativamente mayor (17.37 ± 5.43) en comparación con los pacientes sin MACE (14.18 ± 5.69) (p=0.0049). Se determinó que 14 es el punto de corte para la población colombiana, y la razón de probabilidades fue de 3.36, lo que sugiere que los pacientes con una puntuación EDACS de 14 o más tienen 3.36 veces más probabilidades de experimentar un MACE en comparación con aquellos con una puntuación menor a 14. Esta asociación también fue estadísticamente significativa (p=0.004), con un intervalo de confianza del 95% de 1.45 a 7.75. Conclusiones: La validación del EDACS score en nuestra población demuestra su alta sensibilidad para predecir MACE, reafirmando su utilidad clínica en el manejo del dolor torácico en el servicio de urgencias.spa
dc.description.abstractenglishBackground: In the world, including our population, cardiovascular diseases remain the leading cause of death, the creation of scales has allowed early diagnoses that lead to timely treatments, so we want to validate a clinical diagnostic scale for this disease in our population. Objective: To validate the EDACS score in our population. Methodology: A cohort study was conducted with 189 patients over 18 years of age consulting the emergency department with chest pain of onset < 24 h with follow-up for 30 days of the index event; data were taken from medical records patients at the Clínica General del Norte in Barranquilla, in the period 2023. Results: The final eligible population consisted of 189 patients out of 1543, with complete medical records and who met all inclusion criteria. On the EDACS scale, patients with MACE had a significantly higher mean score (17.37 ± 5.43) compared to patients without MACE (14.18 ± 5.69) (p=0.0049). 14 is considered the Colombian cut-off point, the odds ratio was 3.36, suggesting that patients with an EDACS score of 14 or more are 3.36 times more likely to experience a MACE compared to those with a score less than 14. This association was also statistically significant (p=0.004), with a 95% confidence interval of 1.45 to 7.75. Conclusions: The validation of the EDACS score in our population demonstrates its high sensitivity to predict MACE, reaffirming its clinical usefulness in the management of chest pain in the emergency department.spa
dc.description.sponsorshipUniversidad Libre Seccional Barranquilla -- Facultad de Ciencias de la Salud y Exactas y Naturales -- Especialización en Medicina Internaspa
dc.formatPDFspa
dc.identifier.urihttps://hdl.handle.net/10901/29574
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dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.licenseAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/spa
dc.subjectSíndrome coronario agudospa
dc.subjectDolor en el pechospa
dc.subjectMétodos diagnósticosspa
dc.subjectServicios de emergenciaspa
dc.subjectAngina inestablespa
dc.subjectEvaluación de riesgosspa
dc.subjectInfarto del miocardiospa
dc.subject.lembAngina de pechospa
dc.subject.lembInfarto del miocardio - diagnósticospa
dc.subject.lembAngina inestablespa
dc.subject.lembDolor en el pechospa
dc.subject.lembUrgencias médicasspa
dc.subject.subjectenglishAcute coronary syndromespa
dc.subject.subjectenglishChest painspa
dc.subject.subjectenglishDiagnostic methodsspa
dc.subject.subjectenglishEmergency departmentspa
dc.subject.subjectenglishUnstable anginaspa
dc.subject.subjectenglishRisk assessmentspa
dc.subject.subjectenglishMyocardial infarctionspa
dc.titleValidación del EDACS Score para la predicción del SCA y MACE en el servicio de urgencias de una clínica de Barranquilla-Colombiaspa
dc.title.alternativeValidation of the EDACS Score for the prediction of ACS and MACE in the emergency department of a clinic in Barranquilla-Colombiaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_7a1fspa
dc.type.driverinfo:eu-repo/semantics/bachelorThesisspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.type.localTesis de Especializaciónspa

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