[Assessment of the fulfillment of paracentesis in cirrotic patients admited in two services of internal medicine in hospitals of median complexity].

Autor:	Carvajal C; Facultad de Medicina, Universidad Católica del Norte. Coquimbo, Chile., Contreras P; Facultad de Medicina, Universidad Católica del Norte. Coquimbo, Chile., Covarrubias N; Facultad de Medicina, Universidad Católica del Norte. Coquimbo, Chile., Bresky G; Departamento de Ciencias Biomédicas, Facultad de Medicina, Universidad Católica del Norte. Coquimbo, Chile., Lancelloti D; Departamento de Salud Pública, Facultad de Medicina, Universidad Católica del Norte. Coquimbo, Chile.
Jazyk:	Spanish; Castilian
Zdroj:	Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru [Rev Gastroenterol Peru] 2014 Apr; Vol. 34 (2), pp. 121-5.
Abstrakt:	Unlabelled: The Spontaneous Bacterial Peritonitis (SBP) is a severe complication of cirrhosis. The prognosis depends on the time of initiation of therapy that is required for early diagnosis. Objective: To evaluate the performance of diagnostic paracentesis (DP) in cirrhotic patients with ascites during hospitalization. Materials and Methods: An observational, analytical, prospective, study conducted during October 2009 to June 2010. Results: There were 92 income, average age was 60.3 years (SD 11.7), corresponding to 57.6% men, the most common etiology of CH was alcohol (48.9%). There were 40 PD (43.5%), of which 35% positive SBP. Of the DP, 47.5% were performed on admission and / or submission of warning signs. The average period of hospitalization was higher in those who underwent late DP. The MELD score both at admission and discharge was significantlyhigher in patients on admission punctured. Conclusion: DP was done in less than half of hospitalized cirrhotic, and its timely completion only 1 in 5 of revenues. The DP perform at the right time reduces hospital days.
Databáze:	MEDLINE
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