Validez diagnóstica de la escala de Alvarado en pacientes con dolor abdominal sugestivo de apendicitis, en un hospital de tercer nivel, del sur de Bogotá

Acute abdominal pain is one of the symptoms which a patient attends the emergency room of any hospital worldwide, representing a 5 to 10% of those consultations; this represents for the emergency doctor and specialists interconsulted a challenge, because it contains several conditions that may or ma...

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Autores:
Peralta R., Karen Viviana
Caballero R., Carlos Andrés
Mora V., Mónica del Pilar
Tipo de recurso:
Article of journal
Fecha de publicación:
2017
Institución:
Universidad de Ciencias Aplicadas y Ambientales U.D.C.A
Repositorio:
Repositorio Institucional UDCA
Idioma:
spa
OAI Identifier:
oai:repository.udca.edu.co:11158/1120
Acceso en línea:
https://revistas.udca.edu.co/index.php/ruadc/article/view/408
Palabra clave:
Apendicitis - Diagnóstico
Escala de Alvarado
Dolor abdominal - Diagnóstico
Apendicitis
Escala de Alvarado
Diagnóstico
Falsos positivos
Rights
openAccess
License
Derechos Reservados - Universidad de Ciencias Aplicadas y Ambientales, 2017
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dc.title.spa.fl_str_mv Validez diagnóstica de la escala de Alvarado en pacientes con dolor abdominal sugestivo de apendicitis, en un hospital de tercer nivel, del sur de Bogotá
title Validez diagnóstica de la escala de Alvarado en pacientes con dolor abdominal sugestivo de apendicitis, en un hospital de tercer nivel, del sur de Bogotá
spellingShingle Validez diagnóstica de la escala de Alvarado en pacientes con dolor abdominal sugestivo de apendicitis, en un hospital de tercer nivel, del sur de Bogotá
Apendicitis - Diagnóstico
Escala de Alvarado
Dolor abdominal - Diagnóstico
Apendicitis
Escala de Alvarado
Diagnóstico
Falsos positivos
title_short Validez diagnóstica de la escala de Alvarado en pacientes con dolor abdominal sugestivo de apendicitis, en un hospital de tercer nivel, del sur de Bogotá
title_full Validez diagnóstica de la escala de Alvarado en pacientes con dolor abdominal sugestivo de apendicitis, en un hospital de tercer nivel, del sur de Bogotá
title_fullStr Validez diagnóstica de la escala de Alvarado en pacientes con dolor abdominal sugestivo de apendicitis, en un hospital de tercer nivel, del sur de Bogotá
title_full_unstemmed Validez diagnóstica de la escala de Alvarado en pacientes con dolor abdominal sugestivo de apendicitis, en un hospital de tercer nivel, del sur de Bogotá
title_sort Validez diagnóstica de la escala de Alvarado en pacientes con dolor abdominal sugestivo de apendicitis, en un hospital de tercer nivel, del sur de Bogotá
dc.creator.fl_str_mv Peralta R., Karen Viviana
Caballero R., Carlos Andrés
Mora V., Mónica del Pilar
dc.contributor.author.spa.fl_str_mv Peralta R., Karen Viviana
Caballero R., Carlos Andrés
Mora V., Mónica del Pilar
dc.subject.lemb.spa.fl_str_mv Apendicitis - Diagnóstico
Escala de Alvarado
Dolor abdominal - Diagnóstico
topic Apendicitis - Diagnóstico
Escala de Alvarado
Dolor abdominal - Diagnóstico
Apendicitis
Escala de Alvarado
Diagnóstico
Falsos positivos
dc.subject.proposal.spa.fl_str_mv Apendicitis
Escala de Alvarado
Diagnóstico
Falsos positivos
description Acute abdominal pain is one of the symptoms which a patient attends the emergency room of any hospital worldwide, representing a 5 to 10% of those consultations; this represents for the emergency doctor and specialists interconsulted a challenge, because it contains several conditions that may or may not be surgical and not be diagnosed properly and promptly can be fatal, within these, is appendicitis, pathological and surgical condition which most often is faced the surgeon general. The patient may present with signs and varied symptoms ranging from a clear picture of appendicitis, or have no signs or symptoms suggestive as this pathology diagnosis; so scales have been developed to facilitate or provide help to the doctor for a correct diagnosis and subsequent treatment; Alvarado makes the scale of these diagnostic aids, being a non-invasive, fast and reliable economical method. Was evaluated by means of this project the validity of the scale in the USS Tunal IIII level to be one of the largest and busiest hospitals in Bogota, for this sample of 161 patients was taken Hospital and rated each parameter in addition to comparing the scores given by the same scale and histopathological diagnosis. The results show that the scale is sensitive but not specific for the diagnosis of appendicitis
publishDate 2017
dc.date.issued.spa.fl_str_mv 2017-01
dc.date.accessioned.spa.fl_str_mv 2018-11-15T20:01:08Z
dc.date.available.spa.fl_str_mv 2018-11-15T20:01:08Z
dc.type.spa.fl_str_mv Artículo de revista
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url https://revistas.udca.edu.co/index.php/ruadc/article/view/408
dc.language.iso.spa.fl_str_mv spa
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dc.relation.ispartofseries.spa.fl_str_mv Revista UDCA : Actualidad y Divulgación Científica (Bogotá) . -- Vol. 20, No. 1 (Ene.- Jun., 2017). -- páginas 5-11
dc.rights.spa.fl_str_mv Derechos Reservados - Universidad de Ciencias Aplicadas y Ambientales, 2017
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dc.coverage.spatial.spa.fl_str_mv Bogotá (Colombia)
dc.publisher.spa.fl_str_mv Universidad de Ciencias Aplicadas y Ambientales
institution Universidad de Ciencias Aplicadas y Ambientales U.D.C.A
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spelling Peralta R., Karen VivianaCaballero R., Carlos AndrésMora V., Mónica del PilarBogotá (Colombia)2018-11-15T20:01:08Z2018-11-15T20:01:08Z2017-010123-4226https://revistas.udca.edu.co/index.php/ruadc/article/view/408Acute abdominal pain is one of the symptoms which a patient attends the emergency room of any hospital worldwide, representing a 5 to 10% of those consultations; this represents for the emergency doctor and specialists interconsulted a challenge, because it contains several conditions that may or may not be surgical and not be diagnosed properly and promptly can be fatal, within these, is appendicitis, pathological and surgical condition which most often is faced the surgeon general. The patient may present with signs and varied symptoms ranging from a clear picture of appendicitis, or have no signs or symptoms suggestive as this pathology diagnosis; so scales have been developed to facilitate or provide help to the doctor for a correct diagnosis and subsequent treatment; Alvarado makes the scale of these diagnostic aids, being a non-invasive, fast and reliable economical method. Was evaluated by means of this project the validity of the scale in the USS Tunal IIII level to be one of the largest and busiest hospitals in Bogota, for this sample of 161 patients was taken Hospital and rated each parameter in addition to comparing the scores given by the same scale and histopathological diagnosis. The results show that the scale is sensitive but not specific for the diagnosis of appendicitisEl dolor abdominal agudo es uno de los síntomas por los que un paciente asiste al servicio de urgencias de cualquier hospital, a nivel mundial, representando entre un 5 y 10% del total de consultas, constituyéndose para el médico de urgencias y especialistas interconsultados, un reto, dado que encierra varias patologías, que pueden ser o no quirúrgicas y que de no ser diagnosticadas, correcta y oportunamente, se pueden convertir en fatales, como la apendicitis, la condición patológica y quirúrgica, la que, frecuentemente, se ve en- frentado el cirujano general. El paciente, se puede presentar con signos y síntomas muy variados, que van desde un cua- dro claro de apendicitis o no tener signos ni síntomas que sugieran, como diagnóstico, esta patología, por lo cual, se han desarrollado escalas que faciliten o aporten ayuda al mé- dico para un correcto diagnóstico y posterior tratamiento. La escala de Alvarado hace parte de estas ayudas diagnósticas, siendo un método económico, no invasivo, rápido y confia- ble. Se evaluó por medio de este proyecto, la validez de la escala en la USS Tunal de IIII nivel, al ser uno de los hospita- les más grandes y concurridos de Bogotá; para ello, se tomó una muestra de 161 pacientes y valorando cada parámetro de la escala, además, de comparar el puntaje dado por la misma y el diagnóstico histopatológico. Los resultados per miten concluir que la escala es sensible, pero no específica para el diagnóstico de apendicitis.Incluye bibliografíaapplication/pdfspaUniversidad de Ciencias Aplicadas y AmbientalesRevista UDCA : Actualidad y Divulgación Científica (Bogotá) . -- Vol. 20, No. 1 (Ene.- Jun., 2017). -- páginas 5-11Derechos Reservados - Universidad de Ciencias Aplicadas y Ambientales, 2017https://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccessAtribución-NoComercial-CompartirIgual 4.0 Internacional (CC BY-NC-SA 4.0)http://purl.org/coar/access_right/c_abf2Validez diagnóstica de la escala de Alvarado en pacientes con dolor abdominal sugestivo de apendicitis, en un hospital de tercer nivel, del sur de BogotáArtículo de 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en las Obras Colectivas;
b.	Distribuir copias o fonogramas de las Obras, exhibirlas públicamente, ejecutarlas públicamente y/o ponerlas a disposición pública, incluyéndolas como incorporadas en Obras Colectivas, según corresponda;
c.	Distribuir copias de las Obras Derivadas que se generen, exhibirlas públicamente, ejecutarlas públicamente y/o ponerlas a disposición pública.
Los derechos mencionados anteriormente pueden ser ejercidos en todos los medios y formatos, actualmente conocidos o que se inventen en el futuro. Los derechos antes mencionados incluyen el derecho a realizar dichas modificaciones en la medida que sean técnicamente necesarias para ejercer los derechos en otro medio o formatos, pero de otra manera usted no está autorizado para realizar obras derivadas.Todos los derechos no otorgados expresamente por el Licenciante quedan por este medio reservados, incluyendo pero sin limitarse a aquellos que se mencionan en las secciones 4(d) y 4(e).
4. Restricciones.
La licencia otorgada en la anterior Sección 3 está expresamente sujeta y limitada por las siguientes restricciones:
a.	Usted puede distribuir, exhibir públicamente, ejecutar públicamente, o poner a disposición pública la Obra sólo bajo las condiciones de esta Licencia, y Usted debe incluir una copia de esta licencia o del Identificador Universal de Recursos de la misma con cada copia de la Obra que distribuya, exhiba públicamente, ejecute públicamente o ponga a disposición pública. No es posible ofrecer o imponer ninguna condición sobre la Obra que altere o limite las condiciones de esta Licencia o el ejercicio de los derechos de los destinatarios otorgados en este documento. No es posible sublicenciar la Obra. Usted debe mantener intactos todos los avisos que hagan referencia a esta Licencia y a la cláusula de limitación de garantías. Usted no puede distribuir, exhibir públicamente, ejecutar públicamente, o poner a disposición pública la Obra con alguna medida tecnológica que controle el acceso o la utilización de ella de una forma que sea inconsistente con las condiciones de esta Licencia. Lo anterior se aplica a la Obra incorporada a una Obra Colectiva, pero esto no exige que la Obra Colectiva aparte de la obra misma quede sujeta a las condiciones de esta Licencia. Si Usted crea una Obra Colectiva, previo aviso de cualquier Licenciante debe, en la medida de lo posible, eliminar de la Obra Colectiva cualquier referencia a dicho Licenciante o al Autor Original, según lo solicitado por el Licenciante y conforme lo exige la cláusula 4(c).
b.	Usted no puede ejercer ninguno de los derechos que le han sido otorgados en la Sección 3 precedente de modo que estén principalmente destinados o directamente dirigidos a conseguir un provecho comercial o una compensación monetaria privada. El intercambio de la Obra por otras obras protegidas por derechos de autor, ya sea a través de un sistema para compartir archivos digitales (digital file-sharing) o de cualquier otra manera no será considerado como estar destinado principalmente o dirigido directamente a conseguir un provecho comercial o una compensación monetaria privada, siempre que no se realice un pago mediante una compensación monetaria en relación con el intercambio de obras protegidas por el derecho de autor.
c.	Si usted distribuye, exhibe públicamente, ejecuta públicamente o ejecuta públicamente en forma digital la Obra o cualquier Obra Derivada u Obra Colectiva, Usted debe mantener intacta toda la información de derecho de autor de la Obra y proporcionar, de forma razonable según el medio o manera que Usted esté utilizando: (i) el nombre del Autor Original si está provisto (o seudónimo, si fuere aplicable), y/o (ii) el nombre de la parte o las partes que el Autor Original y/o el Licenciante hubieren designado para la atribución (v.g., un instituto patrocinador, editorial, publicación) en la información de los derechos de autor del Licenciante, términos de servicios o de otras formas razonables; el título de la Obra si está provisto; en la medida de lo razonablemente factible y, si está provisto, el Identificador Uniforme de Recursos (Uniform Resource Identifier) que el Licenciante especifica para ser asociado con la Obra, salvo que tal URI no se refiera a la nota sobre los derechos de autor o a la información sobre el licenciamiento de la Obra; y en el caso de una Obra Derivada, atribuir el crédito identificando el uso de la Obra en la Obra Derivada (v.g., "Traducción Francesa de la Obra del Autor Original," o "Guión Cinematográfico basado en la Obra original del Autor Original"). Tal crédito puede ser implementado de cualquier forma razonable; en el caso, sin embargo, de Obras Derivadas u Obras Colectivas, tal crédito aparecerá, como mínimo, donde aparece el crédito de cualquier otro autor comparable y de una manera, al menos, tan destacada como el crédito de otro autor comparable.
d.	Para evitar toda confusión, el Licenciante aclara que, cuando la obra es una composición musical:
i.	Regalías por interpretación y ejecución bajo licencias generales. El Licenciante se reserva el derecho exclusivo de autorizar la ejecución pública o la ejecución pública digital de la obra y de recolectar, sea individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, SAYCO), las regalías por la ejecución pública o por la ejecución pública digital de la obra (por ejemplo Webcast) licenciada bajo licencias generales, si la interpretación o ejecución de la obra está primordialmente orientada por o dirigida a la obtención de una ventaja comercial o una compensación monetaria privada.
ii.	Regalías por Fonogramas. El Licenciante se reserva el derecho exclusivo de recolectar, individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, SAYCO), una agencia de derechos musicales o algún agente designado, las regalías por cualquier fonograma que Usted cree a partir de la obra (“versión cover”) y distribuya, en los términos del régimen de derechos de autor, si la creación o distribución de esa versión cover está primordialmente destinada o dirigida a obtener una ventaja comercial o una compensación monetaria privada.
e.	Gestión de Derechos de Autor sobre Interpretaciones y Ejecuciones Digitales (WebCasting). Para evitar toda confusión, el Licenciante aclara que, cuando la obra sea un fonograma, el Licenciante se reserva el derecho exclusivo de autorizar la ejecución pública digital de la obra (por ejemplo, webcast) y de recolectar, individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, Acinpro), las regalías por la ejecución pública digital de la obra (por ejemplo, webcast), sujeta a las disposiciones aplicables del régimen de Derecho de Autor, si esta ejecución pública digital está primordialmente dirigida a obtener una ventaja comercial o una compensación monetaria privada.
5. Representaciones, Garantías y Limitaciones de Responsabilidad.
A MENOS QUE LAS PARTES LO ACORDARAN DE OTRA FORMA POR ESCRITO, EL LICENCIANTE OFRECE LA OBRA (EN EL ESTADO EN EL QUE SE ENCUENTRA) “TAL CUAL”, SIN BRINDAR GARANTÍAS DE CLASE ALGUNA RESPECTO DE LA OBRA, YA SEA EXPRESA, IMPLÍCITA, LEGAL O CUALQUIERA OTRA, INCLUYENDO, SIN LIMITARSE A ELLAS, GARANTÍAS DE TITULARIDAD, COMERCIABILIDAD, ADAPTABILIDAD O ADECUACIÓN A PROPÓSITO DETERMINADO, AUSENCIA DE INFRACCIÓN, DE AUSENCIA DE DEFECTOS LATENTES O DE OTRO TIPO, O LA PRESENCIA O AUSENCIA DE ERRORES, SEAN O NO DESCUBRIBLES (PUEDAN O NO SER ESTOS DESCUBIERTOS). ALGUNAS JURISDICCIONES NO PERMITEN LA EXCLUSIÓN DE GARANTÍAS IMPLÍCITAS, EN CUYO CASO ESTA EXCLUSIÓN PUEDE NO APLICARSE A USTED.
6. Limitación de responsabilidad.
A MENOS QUE LO EXIJA EXPRESAMENTE LA LEY APLICABLE, EL LICENCIANTE NO SERÁ RESPONSABLE ANTE USTED POR DAÑO ALGUNO, SEA POR RESPONSABILIDAD EXTRACONTRACTUAL, PRECONTRACTUAL O CONTRACTUAL, OBJETIVA O SUBJETIVA, SE TRATE DE DAÑOS MORALES O PATRIMONIALES, DIRECTOS O INDIRECTOS, PREVISTOS O IMPREVISTOS PRODUCIDOS POR EL USO DE ESTA LICENCIA O DE LA OBRA, AUN CUANDO EL LICENCIANTE HAYA SIDO ADVERTIDO DE LA POSIBILIDAD DE DICHOS DAÑOS. ALGUNAS LEYES NO PERMITEN LA EXCLUSIÓN DE CIERTA RESPONSABILIDAD, EN CUYO CASO ESTA EXCLUSIÓN PUEDE NO APLICARSE A USTED.
7. Término.
a.	Esta Licencia y los derechos otorgados en virtud de ella terminarán automáticamente si Usted infringe alguna condición establecida en ella. Sin embargo, los individuos o entidades que han recibido Obras Derivadas o Colectivas de Usted de conformidad con esta Licencia, no verán terminadas sus licencias, siempre que estos individuos o entidades sigan cumpliendo íntegramente las condiciones de estas licencias. Las Secciones 1, 2, 5, 6, 7, y 8 subsistirán a cualquier terminación de esta Licencia.
b.	Sujeta a las condiciones y términos anteriores, la licencia otorgada aquí es perpetua (durante el período de vigencia de los derechos de autor de la obra). No obstante lo anterior, el Licenciante se reserva el derecho a publicar y/o estrenar la Obra bajo condiciones de licencia diferentes o a dejar de distribuirla en los términos de esta Licencia en cualquier momento; en el entendido, sin embargo, que esa elección no servirá para revocar esta licencia o que deba ser otorgada , bajo los términos de esta licencia), y esta licencia continuará en pleno vigor y efecto a menos que sea terminada como se expresa atrás. La Licencia revocada continuará siendo plenamente vigente y efectiva si no se le da término en las condiciones indicadas anteriormente.
8. Varios.
a.	Cada vez que Usted distribuya o ponga a disposición pública la Obra o una Obra Colectiva, el Licenciante ofrecerá al destinatario una licencia en los mismos términos y condiciones que la licencia otorgada a Usted bajo esta Licencia.
b.	Si alguna disposición de esta Licencia resulta invalidada o no exigible, según la legislación vigente, esto no afectará ni la validez ni la aplicabilidad del resto de condiciones de esta Licencia y, sin acción adicional por parte de los sujetos de este acuerdo, aquélla se entenderá reformada lo mínimo necesario para hacer que dicha disposición sea válida y exigible.
c.	Ningún término o disposición de esta Licencia se estimará renunciada y ninguna violación de ella será consentida a menos que esa renuncia o consentimiento sea otorgado por escrito y firmado por la parte que renuncie o consienta.
d.	Esta Licencia refleja el acuerdo pleno entre las partes respecto a la Obra aquí licenciada. No hay arreglos, acuerdos o declaraciones respecto a la Obra que no estén especificados en este documento. El Licenciante no se verá limitado por ninguna disposición adicional que pueda surgir en alguna comunicación emanada de Usted. Esta Licencia no puede ser modificada sin el consentimiento mutuo por escrito del Licenciante y Usted.

