Examinando por Materia "Hospitalization"

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Adverse event-related nursing care in patients hospitalized in the ICU of a private hospital 2022
(Universidad Privada Norbert Wiener, 2022-11-27) Mechan Hurtado, Milagros Marianela; Cárdenas de Fernández, María Hilda
Method: being a research whose method is hypothetical - deductive, with a quantitative approach, being applicative, observational, descriptive, correlational, non-experimental, thus the population will be made up of all the 60 professional nurses of a private hospital, because it will use the observation technique. , from data collected by an adverse events sheet and a nursing care observation guide, an adaptation of the author Guibovich (16), who validated and made the instruments reliable in Peru, which after applying the bioethical principles of research to the participants (autonomy, beneficence, non-maleficence), it will be intended to go through the University ethics committee.
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Calidad de atención de enfermería y su relación con la satisfacción del usuario hospitalizado en una clínica privada de Lima 2025
(Universidad Privada Norbert Wiener, 2025-10-21) Meza Lázaro, Mayra Margoth; Mori Castro, Jaime Alberto
Esta investigación tiene como objetivo analizar la relación de la calidad de atención de enfermería con la satisfacción del usuario hospitalizado en una clínica privada de Lima 2025. Está estructurado en metodologías, donde se desarrollaron enfoques cuantitativos, aplicados, no experimentales, correlacionales, de corte transversal. No probabilísticos, por tanto, se trabajó con El equipo de investigación consta de 114 pacientes hospitalizados en una clínica privada de Lima 2025, cuyo tamaño se determinará mediante la fórmula muestra, obteniéndose como resultados, la existencia de calidad de atención con dimensión técnico con satisfacción, hay satisfacciones altas con media calidades de atenciones en 29.8%. Existen calidades de atenciones en dimensiones humanos con satisfacciones, encontrando satisfacciones altas con media calidades de atenciones en 33.3%. Existen calidades de atenciones en dimensiones entorno con satisfacciones, encontrando satisfacciones altas con media calidades de atenciones en 32.5%. En calidades de atenciones con satisfacciones, hay satisfacciones altas con media calidades de atenciones en 42.1%.
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Calidad del cuidado de enfermería y la satisfacción del usuario externo del servicio de hospitalización de un hospital de Huaral, 2024
(Universidad Privada Norbert Wiener, 2025-05-25) Palomino Reyes, Rocío del Pilar; Benavente Sanchez, Yennys Katiusca
El objetivo del estudio es “Determinar la relación que existe entre la Calidad del cuidado de enfermería y la satisfacción del usuario externo del servicio de hospitalización de un Hospital de Huaral, 2024”. La metodología del estudio se empleará el método deductivo - hipotético, perspectiva cuantitativa, correlacional, no experimental, descriptivo y transversal. La población censal estará conformada por 357 usuarios externos hospitalizados en los servicios de un Hospital de Huaral. Se utilizarán dos instrumentos: El instrumento 1: “Cuestionario de Calidad del Cuidado de Enfermería” comprende un total de 32 ítems, distribuido en 3 dimensiones: “Apertura a la comunicación enfermera paciente”, “Cualidad del hacer de enfermería”, y “Disposición para la atención”. El instrumento 2: “Cuestionario de Satisfacción del Cuidado del Enfermero Care-Q (Caring Assessment Questionnaire)” comprende un total de 46 ítems con 6 dimensiones: “Accesibilidad”, “Confort”, “Explica y facilita”, “Mantiene relación de confianza”, “Monitorea y hace seguimiento” y “Se anticipa”. La información recolectada será procesada con el programa estadístico SPSS versión 27, aplicando análisis inferenciales y descriptivos, incluyendo la prueba de Kolmogórov-Smirnov como prueba de normalidad, además de la correlación de Spearman y prueba del Chi Cuadrado para contrastar hipótesis.
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Capacidad de afrontamiento - adaptación y su relación con el miedo a la muerte en familiares de pacientes hospitalizados en cuidados intensivos del hospital Arzobispo Loayza Lima – 2024
(Universidad Privada Norbert Wiener, 2025-06-08) Cahuana Velásquez, Rosely Haymé; Mori Castro, Jaime Alberto
El objetivo de este estudio es analizar la relación entre la capacidad de afrontamiento y adaptación y el miedo a la muerte en los familiares de pacientes internados en la unidad de cuidados intensivos del Hospital Arzobispo Loayza en Lima durante el año 2024. Metodología: Se llevará a cabo una investigación con un enfoque cuantitativo, de tipo básico y diseño no experimental, con un nivel descriptivo y correlacional. La muestra estará compuesta por 100 familiares de pacientes hospitalizados, seleccionados mediante un muestreo no probabilístico por conveniencia. La recolección de datos se realizará a través de encuestas, utilizando como herramientas la versión en español de la "Escala de Medición del Proceso de Afrontamiento y Adaptación" (ESCAP) y la "Escala de Miedo a la Muerte" (FODS). Una vez obtenidos los datos, se verificará la calidad de las respuestas antes de ingresarlas en una matriz de Excel. Posteriormente, se procesarán en el software estadístico SPSS versión 26, donde se asignarán etiquetas a las variables y sus categorías. Se calcularán los puntajes y niveles de cada variable y, mediante la prueba de Kolmogórov-Smirnov, se determinará si los datos siguen una distribución normal. Para evaluar las hipótesis del estudio, se utilizarán pruebas estadísticas como el coeficiente de correlación de Spearman o Pearson. Finalmente, los resultados se presentarán a través de tablas y figuras, acompañadas de su respectivo análisis e interpretación.
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Characterization of hematological bioanalysis in oncology patients hospitalized with Covid-19 at the National Institute of Neoplastic Diseases, January - June 2021
(Universidad Privada Norbert Wiener, 2023-12-03) Custodio Diaz, Luis Angel; Avelino Callupe, Paul Fortunato
Objective: To characterize the hematological bioanalysis in oncological patients hospitalized with COVID-19 at the National Institute of Neoplastic Diseases, January – June 2021. Material and Method: The study was quantitative, non-experimental, descriptive, retrospective, and cross-sectional, involving 263 records of oncology patients over 18 years of age. The technique used was documentary analysis, and the instrument was a data capture sheet to characterize the results by separating two groups: solid tumor patients and hematological neoplasms patients. Data Analysis: The Kolmogorov-Smirnov normality test was applied, demonstrating that most parameters were non-parametric. A descriptive analysis was performed using frequencies and central tendency measures like the median to avoid errors from outliers in non-parametric data. Excel 2019 and SPSS 21 software were used for data analysis. Results: Among the 263 patient records, the most common solid tumors and hematological neoplasms were breast cancer, prostate cancer, cervical cancer, and leukemia, with an average mortality rate of 81%. Hematological bioanalysis for both groups showed significant differences in various parameters such as RBC, Hb, WBC, platelets, and coagulation tests. Conclusion: Solid tumor patients had lower values in absolute lymphocytes, prothrombin time, D-dimer, and RNL compared to those with hematological neoplasms. These parameters can assist in monitoring COVID-19 patients with cancer.
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Conocimiento de los padres y la participación en el cuidado de su niño hospitalizado en el servicio de quemados de un instituto de Lima - 2024
(Universidad Privada Norbert Wiener, 2025-04-13) Mayo Espinoza, Milagros Margarita; Quispe Mejía, Juan Carlos
Involucrar a los padres en el cuidado y atención de su hijo hospitalizado, proporciona bienestar emocional para ellos y a sus hijos. La presente investigación tiene como objetivo establecer cómo el conocimiento de los padres se relaciona con la participación en el cuidado de su niño hospitalizado en el servicio de quemados de un Instituto de Lima – 2024. Es una investigación tipo hipotético-deductiva, cuantitativa, no experimental, transversal y correlacional. La muestra estará compuesta por 87 tutores con menores hospitalizados en el servicio de quemados de un Instituto de Lima. Los instrumentos que se utilizarán son cuestionarios, que se aplicarán a través de dos encuestas. El análisis de los datos obtenidos de las encuestas y de la observación proporcionará la existencia de la relación entre las variables planteadas.
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Coping strategies in hospitalized COVID patients from a private clinic in Lima, Lima, 2020
(Universidad Privada Norbert Wiener, 2021-07-02) Flores Quispe, Thalia Thais; Cárdenas de Fernández, María Hilda
Objective: Determine the Coping Strategies in hospitalized covid patients in a Private Clinic in Lima, 2020. Material and methods: This research has a quantitative approach since the study variable is not measured. As for the study design, it is non-experimental, because the variable was not manipulated and it only had a single variable. Results: It was found that 54% showed medium coping, 26% low coping and a lower percentage 20% high coping. Conclusions: Regarding coping strategies in covid patients, medium coping predominated, followed by low coping and, in a lower percentage, high coping. Regarding the problem-focused coping dimension, low coping is evident, followed by medium coping. Regarding the coping dimension focused on emotion, low coping predominated in its entirety. Regarding the dimension other coping styles, I highlight medium coping.
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Correlation between leukocytes and protein C, reactive in patients hospitalized for Covid-19 at Hospital San José 2020
(Universidad Privada Norbert Wiener, 2022-06-04) Rios Franco, Syntia; Huamán Cárdenas, Victor Raul
The COVID-19 pandemic has affected millions of people and caused hundreds of thousands of deaths worldwide. Pneumonia and severe hypoxemia associated with severe acute respiratory syndrome caused by coronavirus infection (SARS-CoV-2) can lead to acute respiratory distress syndrome (ARDS), which is associated with a high mortality rate. Severe acute respiratory syndrome clinical examinations found leukocytosis with the severity of infection, such as C-reactive protein. Laboratory findings show a positive relationship between the increase in C-reactive protein and leukocytes, which may relate to the severity of the inflammatory condition. Therefore, this project aims to determine the relationship between leukocytes and C-reactive protein. In this study, clinical records were used, meeting the inclusion and exclusion criteria. The method used will be a hypothetical-deductive approach with a quantitative, applied, correlational, cross-sectional, and retrospective design, utilizing SPSS tools, with results indicating a positive correlation between leukocyte levels and C-reactive protein.
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Cuidado humanizado y satisfacción del paciente en el servicio de hospitalización cirugía de un hospital de Ate, 2024
(Universidad Privada Norbert Wiener, 2025-08-11) Ramos Rueda, Maribel Yolanda; Millones Gomez, Segundo German
Objetivo: Determinar la relación del cuidado humanizado con la satisfacción del paciente en el servicio de hospitalización de cirugía de un hospital de Ate, 2024. Materiales y métodos: Fue una investigación hipotético deductivo, de enfoque cuantitativo, de diseño no experimental de corte transversal de tipo correlacional. Las variables, cuidado humanizado y satisfacción del paciente fueron analizadas en una población de 115 pacientes de hospitalización de cirugía de un hospital de Ate. Se emplearon los instrumentos “Percepción de comportamientos de cuidado humanizado de Enfermería (PCHE) 3ª versión, y el CARE Q (CARING ASSESSMENT INSTRUMENT), con una confiabilidad de alfa de Cronbach de 0,883 para el instrumento de la variable cuidado humanizado y para la variable satisfacción del paciente con un alfa de Cronbach de 0,914. Resultados: el 98,3% de los participantes consideran que el cuidado humanizado que realizan el profesional de enfermería es adecuado, así mismo el 94,8% de los pacientes presentan alta satisfacción, con la atención brindada por las enfermeras. Conclusión: Se encontró que el estadístico de p < 0,05 y la rho = 0,619 dando evidencia que la relación entre las variables es positiva considerable, lo que confirma que existe correlación significativa entre el cuidado humanizado y la satisfacción del paciente.
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Culture of patient safety and quality of care in the nurses of a Specialized Pediatric Hospital, Lima 2022
(Universidad Privada Norbert Wiener, 2022-12-11) Aguilar Huamán, Pamela Milagros; Fernández Rengifo, Werther Fernando
Introduction: The patient safety culture is one of the hospital management indicators that allows identifying the risks that nursing care can produce and favors the offer of quality nursing care. Materials and methods: Non-experimental design, correlational level, cross-sectional and quantitative approach. In relation to the population, 60 nursing professionals who work in emergency and hospitalization services were considered. Regarding the technique, the survey will be used and there will be two measurement instruments that will be applied. In relation to the instrument that measures patient safety culture, it contains 42 questions and covers five dimensions, within which are teamwork, communication, safety culture, supervision, and management and direction. Similarly, the nursing care quality instrument comprises 21 items and covers three dimensions defined as technical, operational and human, taking into consideration that the two questionnaires are valid in terms of reliability and validity. Regarding the conclusive values, the levels of good, average and bad are defined for the patient safety culture variable, and in relation to the variable quality of nursing care, its conclusive levels will be low, medium and high.
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Depression in older adult patients hospitalized in COVID-19 services in a public hospital, Lima - 2020
(Universidad Privada Norbert Wiener, 2020-10-11) Almonacid Navarro, Beatriz; Mori Castro, Jaime Alberto
The world faces a threat from the COVID-19 disease, caused by SARS-CoV-2, affecting 260,000 worldwide and claiming the lives of nearly 12,000 people when it began a month ago. The mortality rate is 2% to 3%. The severity of COVID-19 is related to immunocompromised states, age and 15% of the first wave of deaths in China was 60 years old. Data from China, the mortality rate at age 60 to 69 years is 3.6%, and reaches 18% at 80 years or older (1). According to the World Health Organization (WHO), the population is aging; it is estimated that the number of older adults will double by 2050, reaching 22% of the total population. 15% suffer from some mental disorder and 6% of disability in this group is attributed to mental health problems (2). In Latin America, the level of prevalence of depression in older adults is diverse. In Mexico, it is between 20 and 60%, in Colombia, 12%, Ecuador, 70%. A multicenter study in Colombia found 45% depression in hospitalized older adults (3). Materials and Methods: The approach will be quantitative, applied when the researcher is interested in collecting numerical data that can be analyzed by mathematical means. The design will be descriptive-cross-sectional, in which participants are measured once to provide a description of the variable. Population, sample and sampling: The population will be made up of older adults hospitalized in COVI-19 services in a public hospital located in Lima, during the months of August and September. That they have an oxygen saturation of greater than 90%.
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Determining factors of anemia in 6-month-old infants who attend the growth and development clinic at the Viña San Francisco health post, Santa Anita district, Lima 2019
(Universidad Privada Norbert Wiener, 2020-12-20) Villamar Arce, Sheila Yallily; Fernández Rengifo, Werther Fernando
Introduction: The World Health Organization (WHO) states that anemia affects around 800 million children and women in the world. In Peru, iron deficiency anemia is a serious public health problem affecting 46.6% of children. children at very early ages between 6 months and the first year of life, this situation being the same as that observed in the growth and development clinic of the Viña San Francisco health facility in the Santa Anita district, where the percentage of Anemia in 6-month-old infants reaches 39.8%, a figure that remains high in the first half of 2019 despite the health intervention strategies carried out to reduce cases of anemia in the target population. Objective: Describe the determining factors of anemia in 6-month-old infants. Method: The study has a quantitative approach, descriptive, cross-sectional and prospective, presenting a single main variable, the techniques used were documentary analysis and the interview and the instruments used were the monitoring sheet and the questionnaire applied to the mothers of 6-month-old infants with anemia, the population being the total number of infants, which was 27, constituting a census. Results: During the study period, it was identified that, of the total number of infants with anemia, 70.3% had mild anemia, 25.9% had moderate anemia and 3.7% had severe anemia, with the female sex prevailing with 59.2%. Regarding the determining factors of anemia, present: 25.9% of mothers had a history of anemia during pregnancy, it was identified that 85.1% of infants received iron supplementation at the health facility with timely initiation of the supplement and of them 51.7% consumed it in less than 2 months and 56.5% did not consume it daily, with poor adherence to prophylactic treatment. Regarding the type of feeding, 51.8% of the infants did not receive exclusive breastfeeding, its varieties being mixed, artificial breastfeeding and consumption of cow's milk. 1 infant with a history of prematurity and 2 infants with low birth weight were identified; however, none received prophylactic iron supplementation. 55.5% of infants had their complete vaccination for their age, 70.3% of infants did not have complete growth and development controls for their age. In relation to prevalent diseases, 44.4% of infants with anemia presented diarrheal disease and respiratory infections and of them 3 infants were hospitalized. It has been identified that more than 70% of mothers of infants are unaware of the consequences of anemia during pregnancy, the irreversible effects suffered by the child with anemia in their adult life and the areas of psychomotor development that are affected in the child. with anemia. Conclusions: From the results obtained, it is concluded that the majority of infants in the study had mild or slight anemia, with a predominance of the female sex. A good percentage of the infants began iron supplementation in a timely manner at the health facility. However, More than half of them did not comply with the treatment on a regular basis, identifying difficulties in adherence to treatment. Likewise, infants with a history of prematurity and low birth weight were found who did not receive supplementation despite being infants with a risk factor for anemia, it was found that half of the infants with anemia did not receive exclusive breastfeeding until 6 months, being essential for the prevention of the disease, there is non-compliance with the vaccination schedule and growth and development controls in the infants under study, conditioning the risk of suffering from prevalent diseases such as diarrhea and respiratory infections, as is the case, and at the same time losing the possibility of receiving growth controls and timely nutritional evaluation, it has also been identified that most of mothers interviewed, are unaware of the consequences of anemia in children, which could lead to non-compliance with basic nutritional care in the infant by parents from conception.
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Effectiveness of comprehensive geriatric assessment in reducing hospitalization of elderly adults in the emergency department
(Universidad Privada Norbert Wiener, 2022-12-18) Huaranga Solis, Cinthia Graciela; Ayala Quispe, Martha Lizeth; Cárdenas de Fernández, María Hilda
Objective: To establish how job satisfaction is related to the performance of nurses in the emergency service at the EsSalud Hospital, Lima 2022. Materials and methods: Quantitative study, applied type, non-experimental or observational design, cross-sectional, and correlational scope, considering a population of 160 nurses and a sample of 113 nurses. Two instruments with acceptable validity and reliability criteria will be applied. The instrument measuring job satisfaction consists of 27 items and includes seven dimensions: administrative policy, relationship with authorities, physical and material conditions, social relationships, personal development, labor and/or remuneration benefits, and task performance. Meanwhile, the questionnaire measuring job performance consists of 28 items and includes four dimensions: personal development and training, responsibility, motivation and leadership, and teamwork. Descriptive analysis will include tables according to quantity and percentage, and inferential analysis will use the Spearman’s Rho coefficient.
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Effectiveness of laparoscopic colectomy versus conventional colectomy in reducing hospital stay and complications in postoperative colon cancer patients
(Universidad Privada Norbert Wiener, 2018-12-12) Suclupe Huertas, Iris Mirian; Raymundo Ramos, Chaveli Iluminada; Pretell Aguilar, Rosa María
The summary of the present research work on laparoscopic colectomy versus conventional colostomy in reducing hospital stay and complications in post-operative patients with colon cancer is quantitative and has a meta-analysis study design, randomized controlled trial and cohort, using the grade evaluation system for identifying the level of evidence, found in the following databases: Cochrane Library, British Medical Journal, Pubmed, Wiley Online Library. Of the 10 articles systematically reviewed, 30% are meta-analyses, 50% are randomized controlled trials and 20% are cohort studies. These studies come from the countries of China (40%), followed by Japan (20%), Italy (10%), North Korea (10%), England (10%) and Belgium (10%). 90% point out that laparoscopic colectomy is more effective than conventional colectomy in reducing hospital stay and complications in post-operative patients with colon cancer, and on the other hand, 10% point out that there is no difference. The present study demonstrates that laparoscopic colectomy is more effective than conventional colectomy in terms of hospital stay, patients have less postoperative bleeding, and their risk of infection is lower.
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Effectiveness of laparoscopic hysterectomy compared to conventional hysterectomy in reducing complications and hospital stay in postoperative patients
(Universidad Privada Norbert Wiener, 2017-12-03) Lachos Ospina, Johanna Paola; Zavaleta Alvarez, Vanessa; Pretell Aguilar, Rosa Maria
Objective: To systematize the evidence on the effectiveness of laparoscopic hysterectomy compared to conventional hysterectomy in reducing complications and hospital stay in postoperative patients. Materials and Methods: A systematic review of the 10 scientific articles found in the following databases: Scielo, PubMed, Medigraphic, and Springer. These allowed us to find 10 scientific pieces of evidence. The search was restricted to full-text articles, and the selected articles were subjected to a critical reading using the GRADE system evaluation to identify their level of evidence. Among the 10 pieces of evidence, the types of research are as follows: 40% (4/10) quasi-experimental, 20% (2/10) systematic review and meta-analysis, 20% (2/10) cohort studies, 10% (1/10) descriptive, and 10% (1/10) controlled clinical trial. Results: In the final selection, 10 articles were chosen. We found that 100% (n=10/10) of the evidence suggests that laparoscopic hysterectomy is more effective than conventional hysterectomy in reducing complications and hospital stay in postoperative patients, as we observed: shorter hospital stay (50%), less postoperative pain (10%), less bleeding (10%), lower cost (5%), better aesthetics and mental health (15%), and improvement in quality of life (10%). Conclusions: The 10 scientific articles reviewed all conclude that laparoscopic hysterectomy is more effective than conventional hysterectomy in reducing complications and hospital stay in postoperative patients.
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Effectiveness of laparoscopic hysterectomy compared to conventional hysterectomy in reducing complications and hospital stay in postoperative patients
(Universidad Privada Norbert Wiener, 2017-12-03) Lachos Ospina, Johanna Paola; Zavaleta Alvarez, Vanessa; Pretell Aguilar, Rosa Maria
Objective: To systematize the evidence on the effectiveness of laparoscopic hysterectomy compared to conventional hysterectomy in reducing complications and hospital stay in postoperative patients. Materials and Methods: A systematic review of the 10 scientific articles found in the following databases: Scielo, PubMed, Medigraphic, and Springer. These allowed us to find 10 scientific pieces of evidence. The search was restricted to full-text articles, and the selected articles were subjected to a critical reading using the GRADE system evaluation to identify their level of evidence. Among the 10 pieces of evidence, the types of research are as follows: 40% (4/10) quasi-experimental, 20% (2/10) systematic review and meta-analysis, 20% (2/10) cohort studies, 10% (1/10) descriptive, and 10% (1/10) controlled clinical trial. Results: In the final selection, 10 articles were chosen. We found that 100% (n=10/10) of the evidence suggests that laparoscopic hysterectomy is more effective than conventional hysterectomy in reducing complications and hospital stay in postoperative patients, as we observed: shorter hospital stay (50%), less postoperative pain (10%), less bleeding (10%), lower cost (5%), better aesthetics and mental health (15%), and improvement in quality of life (10%). Conclusions: The 10 scientific articles reviewed all conclude that laparoscopic hysterectomy is more effective than conventional hysterectomy in reducing complications and hospital stay in postoperative patients.
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Effectiveness of multimodal care (Fast Track) in reducing hospitalization of patients undergoing abdominal surgery
(Universidad Privada Norbert Wiener, 2021-06-20) Rafael Espinoza, Elizabeth Amalia; Garrido Agurto, Melissa Abigail; Pretell Aguilar, Rosa María
Systematize the evidence about the effectiveness of multimodal rehabilitation programs (fast track) in reducing the hospital stay of patients after abdominal surgery. This consists of 10 scientific articles that were analyzed according to the Grade scale, resulting in 10 out of 10 evidence demonstrating that multimodal care is effective in reducing the hospital stay of post-abdominal surgery patients.
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Effectiveness of negative pressure therapy to decrease infection of the surgical site of hospital stay for patients in intensive care
(Universidad Privada Norbert Wiener, 2019-11-24) Lora Núñez, Gioanna Pamela; Valle Galvez, Lourdes Madeleine; Uturunco Vera, Milagros Lizbeth
Objective: To analyze the evidence regarding the efficacy of negative pressure therapy to reduce surgical site infection and hospital stay in intensive care patients. Materials and Methods: The research design is a systematic review, with a search conducted in databases: Scielo, Pubmed, Medline, Cochrane Plus, Epistemonikos. The population consisted of 22 articles, and the sample was made up of 10 articles. The articles were evaluated using the GRADE system, which assesses the quality of evidence and strength of recommendation. Results: The scientific evidence comes from countries such as England (20%), followed by the United States (10%), Australia (20%), Sweden (10%), Spain (10%), Italy (10%), Ireland (10%), and Costa Rica (10%). 80% of the articles demonstrate the efficacy of negative pressure therapy in reducing surgical site infection and hospital stay in intensive care patients, while 20% show no evidence of efficacy due to small sample studies. Conclusions: Negative pressure therapy is effective in reducing surgical site infection and hospital stay in intensive care patients.
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Effectiveness of outpatient laparoscopic cholecystectomy versus traditional inpatient laparoscopic cholecystectomy
(Universidad Privada Norbert Wiener, 2019-02-17) Ayala Vasquez, Giovanna Jessica; Rojas Llanco, Maria Janet; Uturunco Vera, Milagros Lizbeth
Material and Methods: Systematic observational and retrospective quantitative review, subjected to critical selection, using the Grade evaluation system to identify the degree of evidence, found in the following databases: Pubmed, Scielo, Cochrane, epistemonikos, Elsevier. Of the 10 articles systematically reviewed, 20% (n= 2/10) are case-control study reviews, 10% (n=1/10) are cohort study reviews, 30% (n=3/ 10) are Meta-analysis study reviews, 30% (n=3/10) are Randomized study reviews, 10% (n=1/10) are observational study reviews. The articles come from the countries of Spain (20%), followed by Brazil (10%), China (10%), United States (10%), Honduras (10%), Colombia (10%), Japan (10% ), United Kingdom (10%) and Malaysia (10%). Results: Of the evidence found, 90% (n=9/10) indicate that outpatient laparoscopic cholecystectomy is as efficient and safe with optimal satisfaction and no complications as laparoscopic cholecystectomy with hospitalization, while only 10% (n= 1/10) of elderly patients indicate that they prefer to be hospitalized.
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Efficacy of forced hot air for the management of hypothermia in the perioperative period
(Universidad Privada Norbert Wiener, 1905-07-09) Moya Malasquez, Maria Isabel; Cuba Vergara, Lissete Pamela; Rivera Lozada de Bonilla, Oriana
Objective: Determine the effectiveness of forced hot air for the management of hypothermia in the perioperative period. Methodology: Systematic review that compiles 11 investigations published between 2006 and 2016, obtained from different databases and scientific journals. Results: This review presents the characteristics and effectiveness of forced hot air and its influence as a strategy in thermal management to reduce perioperative complications and thereby ensure an adequate temperature in the patient to achieve comfort and user satisfaction. Conclusions: The reviewed articles show us that the application of the forced air warming system is one of the most effective methods in maintaining perioperative normothermia, even in comparison with other methods to prevent hypothermia in the perioperative period. Likewise, active warming from the immediate preoperative period, associated with measures such as increasing the ambient temperature and active skin warming, are related to greater effectiveness in preventing perioperative hypothermia; highlighting the importance of temperature monitoring pre-, intra- and post-operatively, and its positive effects in maintaining normothermia during this stage, such as: prevention of infection of the surgical wound, reducing post-hospitalization time. operation, patient comfort, reduce postoperative pain, avoid bleeding, among other important complications.