Validez de la escala de predictores para el diagnóstico de la coledocolitiasis en pacientes mayores de 18 años en una institución privada de la ciudad de Bogotá D.C. durante el periódo de Enero a Junio del 2017

The American Society for Gastrointestinal Endoscopy (ASGE), in its clinical practice guide published in 2010, proposes the scale of predictions for choledocholithiasis on patients with symptomatic cholelithiasis to make easier their intrahospital management and to diminish the complications of the pathology. For this reason, the validity of the scale was determined through the revision of patients older than 18 years old in the Clinic 100, within the period January-June 2017. To achieve this, an observational, descriptive and retrospective study with applied inclusion and exclusion criteria was realized on 178 clinical histories. By obtaining a sample of 117 clinical histories organized into a data base, the predictive positive and negative amount, and its sensibility and specificity were found by graphing with the ROC curve, which determined the validity of the studied scale. The results allowed to describe the characteristics of the population, showing that the female sex was the predominant one in terms of confirmatory analysis with a 52%, and and age range from 48 to 61 years. Moreover, 53% of the patients were classified as "high risk" and 9%, "medium risk", this in relation to the general sample, determining an 85% sensibility and 100% specificity for the scale. Finally, it was posible to conclude that the utility of the scale is trustworthy on patients in whom the disease is suspected, because its 89%-93% sensibility is close to the CPRE (golden pattern in the diagnosis of choledocholithiasis).

• Autores: Gómez González, Juan Pablo; Navas Brand, Lida María; Ortiz Murcia, Juliana Alejandra; Quitian Vega, Luis Alfonso
• Tipo de recurso: Trabajo de grado de pregrado
• 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:11158/832
• Acceso en línea: https://repository.udca.edu.co/handle/11158/832
• Palabra clave: Coledocolitiasis; CPRE; Validez; Sensibilidad; Especificidad; Cálculos biliares -- Investigaciones -- Bogotá (Colombia) -- Estudio de casos; Coledocolitiasis -- Investigaciones -- Bogotá (Colombia) -- Estudio de casos; Medicina
• Rights: closedAccess
• License: Derechos Reservados - Universidad de Ciencias Aplicadas y Ambientales