| Journal: | Revista médica del Instituto Mexicano del Seguro Social |
| Database: | PERIÓDICA |
| System number: | 000416497 |
| ISSN: | 0443-5117 |
| Authors: | Rodríguez Hernández, Heriberto1 Rodríguez Morán, Martha1 González, José Luis2 Jáquez Quintana, Joel Omar3 Rodríguez Acosta, Elva Dalia3 Sosa Tinoco, Eduardo3 Guerrero Romero, Fernando1 |
| Institutions: | 1Instituto Mexicano del Seguro Social, Unidad de Investigación Médica, Durango. México 2Instituto Mexicano del Seguro Social, Hospital Regional 1, Durango. México 3Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Unidad de Vigilancia Epidemiológica, México, Distrito Federal. México |
| Year: | 2009 |
| Season: | Mar-Abr |
| Volumen: | 47 |
| Number: | 2 |
| Pages: | 179-184 |
| Country: | México |
| Language: | Español |
| Document type: | Estadística o encuesta |
| Approach: | Analítico |
| Spanish abstract | Objetivo: determinar factores de riesgo asociados a ocurrencia y mortalidad de hemorragia del tubo digestivo alto por úlcera péptica. Métodos: estudio transversal comparativo de 345 pacientes con úlcera péptica entre 20 y 60 años de edad, asignados a dos grupos: con o sin hemorragia de tubo digestivo alto. La asociación entre factores de riesgo y ocurrencia de hemorragia de tubo digestivo alto y muerte se estimó con un modelo de regresión logística ajustado por edad y sexo. Resultados: tabaquismo (OR = 2.6, IC 95 % = 1.2- 8.7), consumo de alcohol (OR = 4.8, IC 95 % = 1.4-10.5) y antecedente de hemorragia de tubo digestivo alto (OR = 1.8, IC 95 % = 1.1 -9.7) se asociaron a ocurrencia de hemorragia de tubo digestivo alto, y enfermedad pulmonar obstructiva crónica (OR = 1.9, IC 95 % = 1.2-11.4) e hipertensión arterial (OR = 1.4, IC 95 % = 1.1- 7.5) a muerte por hemorragia de tubo digestivo alto. Conclusiones: en pacientes con úlcera péptica menores de 60 años, antecedente de hemorragia de tubo digestivo alto, tabaquismo y consumo de alcohol se asocian a hemorragia de tubo digestivo alto; la enfermedad pulmonar obstructiva crónica y la hipertensión arterial, a mortalidad |
| English abstract | Objective: to determine the associated risk factors with upper gastrointestinal bleeding (UGIB) and mortality in subjects with peptic ulcer. Methods: a total of 345 subjects with peptic ulcer, < 60 years of age, were enrolled in a cross-sectional study. Subjects were allocated into one of two groups in accordance with the presence of UGIB. A logistic regression model, adjusted by age and sex, was used to compute the relationship between the risk factors and both UGIB and mortality. Results: smoking (OR = 2.6, CI 95 % = 1.2-8.7), alcohol consumption (OR = 4.8, CI 95 % = 1.4-10.5), and previous history of UGIB (OR = 1.8, CI 95 % = 1.1-9.7) were strongly and independently associated with UGIB; chronic obstructive pulmonary disease (OR = 1.9, CI 95 % = 1.2-11.4), and high blood pressure (OR = 1.4, CI 95 % = 1.1- 7.5) were associated with mortality in UGIB. Conclusions: the associated risk factors with UGIB in patients with peptic ulcer were: age lower than 60 years; smoking; history of UGIB; and alcohol consumption. The chronic obstructive pulmonary disease and high blood pressure were associated with mortality in UGIB |
| Disciplines: | Medicina |
| Keyword: | Gastroenterología, Salud pública, Hemorragia digestiva alta, Factores de riesgo, Mortalidad, Helicobacter pylori, Ulcera péptica, Enfermedad pulmonar obstructiva crónica (EPOC), Hipertensión arterial |
| Keyword: | Gastroenterology, Public health, Upper digestive hemorrhage, Risk factors, Mortality, Helicobacter pylori, Peptic ulcer, Chronic obstructive pulmonary disease (COPD), Arterial hypertension |
| Full text: | Texto completo (Ver PDF) |
