Aneurisma de aorta abdominal. Prevalencia y factores de riesgo asociados en una población de pacientes ingresados en Medicina Interna / Abdominal aortic aneurysm. Prevalence and associated risk factors in a population of patients hospitalised in Internal Medicine
Rev. clín. esp. (Ed. impr.)
; 218(9): 455-460, dic. 2018. tab
Artigo
em Espanhol
| IBECS
| ID: ibc-176260
Biblioteca responsável:
ES1.1
Localização: BNCS
RESUMEN
Objetivos:
Determinar la prevalencia de aneurisma de aorta abdominal (AAA), no diagnosticado previamente, en pacientes ingresados en un Servicio de Medicina Interna, así como los factores de riesgo asociados. Pacientes ymétodos:
Estudio observacional, transversal, unicéntrico, aleatorizado de 241 pacientes ingresados en Medicina Interna, mayores de 50 años, sin diagnóstico previo de AAA. Se practicó una ecografía clínica. La variable dependiente fue la presencia o no de aneurisma. Las variables independientes fueron edad, sexo, factores de riesgo cardiovascular, enfermedad cardiovascular, función renal, índice tobillo-brazo (ITB), antecedente familiar de primer grado de AAA o de cardiopatía isquémica precoz. Se realizó un análisis bivariante y multivariante.Resultados:
La prevalencia del AAA fue del 2,9% (IC 95% 0,8-5). Los casos fueron confirmados mediante ecografía o TAC por el Servicio de Radiología. Todos fueron varones con antecedente de tabaquismo y con edad ≥ 65 años. En el análisis bivariante se asociaron ser varón (OR = 9,39), el tabaquismo (OR = 13,08), cardiopatía isquémica (OR = 5,6; IC 95% 1,21-25,91; p < 0,05) e ITB inferior a 0,9 (OR = 12,50; IC 95% = 2,34-66,77; p < 0,05). En el análisis multivariante la variable asociada independientemente fue un ITB < 0,9 (OR 10,758; IC 95% 1,968-58,815; p = 0,006).Conclusiones:
La prevalencia de AAA no diagnosticado en pacientes mayores de 50 años ingresados en Medicina Interna fue del 2,9%. Los datos llevarían a recomendar el cribado de AAA en esta población de pacientes varones, con antecedente de tabaquismo y con un ITB inferior a 0,9. La ecografía clínica posibilitaría este cribado de forma fiableABSTRACT
Objectives:
To determine the prevalence of previously undiagnosed abdominal aortic aneurysm (AAA) in patients hospitalised in a department of internal medicine, as well as the associated risk factors. Patients andmethods:
An observational, cross-sectional, single-centre, randomised study was conducted on 241 patients hospitalised in Internal Medicine. The patients were older than 50 years, had no previous diagnosis of AAA and underwent clinical ultrasonography. The dependent variable was the presence or absence of an aneurysm. The independent variables were age, sex, cardiovascular risk factors, cardiovascular disease, renal function, ankle brachial index (ABI), family history (first degree) of AAA or of early ischaemic heart disease. A bivariate and multivariate analysis was conducted in the statistical analysis.Results:
The prevalence of AAA was 2.9% (95% CI 0.8-5). The cases were confirmed through ultrasonography or computed tomography by the Department of Radiology. All patients were men with a history of smoking and with an age≥65 years. The bivariate analysis found an association between being male (OR, 9.39), smoking (OR, 13.08), ischaemic heart disease (OR, 5.6; 95% CI 1.21-25.91; P<.05) and ABI<0.9 (OR, 12.50; 95% CI 2.34-66.77; P<.05). In the multivariate analysis, the independently associated variable was an ABI<0.9 (OR, 10.758; 95% CI 1.968-58.815; P=.006).Conclusions:
The prevalence of undiagnosed AAA in patients older than 50 years hospitalised in internal medicine was 2.9%. The data lead us to recommend AAA screening for this population of male patients with a history of smoking and an ABI<0.9. Clinical ultrasonography enables this screening in a reliable manner
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Coleções:
Bases de dados nacionais
/
Espanha
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
Base de dados:
IBECS
Assunto principal:
Diagnóstico por Imagem
/
Aneurisma da Aorta Abdominal
Tipo de estudo:
Ensaio clínico controlado
/
Estudo diagnóstico
/
Estudo de etiologia
/
Estudo observacional
/
Estudo de prevalência
/
Estudo prognóstico
/
Fatores de risco
/
Estudo de rastreamento
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. clín. esp. (Ed. impr.)
Ano de publicação:
2018
Tipo de documento:
Artigo
Instituição/País de afiliação:
Hospital Universitario de La Ribera/España