Enfermedades dermatológicas De pacientes hospitalizados en cuidados intensivos Hospital de la samaritana
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Peña Hoyos, Angela Andrea
Director
Castellanos Lorduy, Héctor José (Thesis advisor)
Peñaranda Contreras, Elkin Omar (Thesis advisor)
Tipo de contenido
Trabajo de grado - Pregrado
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EspañolFecha de publicación
2016
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Introducción: Estudios previos han calculado que alrededor del 10.4% de los pacientes críticos presentan una enfermedad dermatológica que requiere tratamiento El objetivo de este trabajo es caracterizar las enfermedades dermatológicas presentes en los pacientes hospitalizados en la unidad de cuidados intensivos del Hospital Universitario de la Samaritana. Métodos: Se realizó un estudio descriptivo, prospectivo. Se revisaron todos los pacientes hospitalizados en la unidad de cuidados intensivos de adultos en un periodo de 7 meses (Abr 01 - Oct 31 de 2015) y se incluyeron los pacientes que presentaron enfermedades dermatológicas. Se analizaron las variables demográficas, diagnóstico dermatológico, comorbilidad, estancia hospitalaria, mortalidad y puntaje APACHE II a su ingreso a la unidad. Resultados: El 36% de los pacientes de la UCI presentó por lo menos una enfermedad dermatológica, de las cuales el 82.1 % no fueron inter-consultadas al servicio de Dermatología. Las enfermedades infecciosas cutáneas fueron el diagnóstico más frecuente (50.6%), seguidas de las reacciones inflamatorias a medicamentos y sustancias externas (23.6%). La estancia hospitalaria promedio fue mayor en los pacientes con enfermedad dermatológica (18.4 días) que en el grupo general de la UCI (10.4 días). Conclusión: Este estudio encontró que las enfermedades dermatológicas son un evento más frecuente que lo reportado en estudios previos, por lo cual la piel debe ser revisada en la evolución diaria del paciente crítico, interpretando los hallazgos dermatológicos a la luz de los medicamentos y comorbilidades, ya que la morfología de las lesiones y su curso natural pueden estar alterados haciendo el diagnóstico más difícil
Abstract. Dermatological diseases in hospitalized patients in the intensive care unit of the Hospital de La Samaritana Introduction: Previous studies had estimated about 10.4% of critical care patients have a skin disease that requires treatment. The objective of this work is to describe the dermatological diseases in those patients hospitalized in the intensive care unit of the Hospital Universitario de La Samaritana in Bogotá. Methods: A descriptive, prospective study was conducted. All patients hospitalized in the adult intensive care unit over a period of seven months (April to October 2015) who had skin diseases were included. Demographic variables, dermatologic diagnosis, comorbidity, length of stay, mortality and APACHE II on admission were analyzed. Results: Thirty six percent of ICU patients presented at least one skin disease, of which 82.1% were not consulted to dermatology service. Infectious skin diseases were the more frequent diagnosis (50.6%), followed by reactive diseases (23.6%). The average length of stay was higher in patients with skin diseases (18.4 days) than patients in the ICU general group (10.4 days). Conclusion: This study found that skin diseases are more frequent event than reported in previous studies, so the skin should be reviewed in the daily evolution of critically ill patients, interpreting the dermatological findings according to medications and comorbidities, because the morphology of the lesions and their natural course may be altered making the diagnosis more difficult
Abstract. Dermatological diseases in hospitalized patients in the intensive care unit of the Hospital de La Samaritana Introduction: Previous studies had estimated about 10.4% of critical care patients have a skin disease that requires treatment. The objective of this work is to describe the dermatological diseases in those patients hospitalized in the intensive care unit of the Hospital Universitario de La Samaritana in Bogotá. Methods: A descriptive, prospective study was conducted. All patients hospitalized in the adult intensive care unit over a period of seven months (April to October 2015) who had skin diseases were included. Demographic variables, dermatologic diagnosis, comorbidity, length of stay, mortality and APACHE II on admission were analyzed. Results: Thirty six percent of ICU patients presented at least one skin disease, of which 82.1% were not consulted to dermatology service. Infectious skin diseases were the more frequent diagnosis (50.6%), followed by reactive diseases (23.6%). The average length of stay was higher in patients with skin diseases (18.4 days) than patients in the ICU general group (10.4 days). Conclusion: This study found that skin diseases are more frequent event than reported in previous studies, so the skin should be reviewed in the daily evolution of critically ill patients, interpreting the dermatological findings according to medications and comorbidities, because the morphology of the lesions and their natural course may be altered making the diagnosis more difficult