Cambios detectados en el hemograma en la urgencia pediátrica de una E.S.E. del departamento del Atlántico entre los meses de Marzo a Agosto del 2020
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Fecha
2021
Autores
Agamez Diaz, Adriana Isabel
Mejía Cerpa, Amira Lorena
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
El hemograma completo (CBC) es una de las herramientas de monitoreo más utilizadas en la emergencia pediátrica por su versatilidad, disponibilidad y bajo coste. Este permite realizar una aproximación más objetiva del paciente, en especial de aquellos signos y síntomas que este no refiere, por su edad, o desconoce.
Objetivo: Caracterizar las anormalidades halladas en el CBC en una Urgencia Pediátrica de un Hospital.
Metodología: Se realizado un estudio descriptivo prospectivo. Se tuvo en cuenta la edad (grupo etáreo), motivo de consulta (CIE10). Del CBC recuento de glóbulos rojos (RBC), Hematocritos ( %HTO), recuento de glóbulos blancos (WBC) y Plaquetas (PLT). Debido a la variabilidad de los datos, estos fueron ajustados a tres niveles (Elevado, Normal, Disminuido) y fueron mostrados en representación porcentual. Los análisis estadísticos fueron realizados en R-CRAN.
Resultados: De los 718 pacientes que llegaron a la PER, 351 cumplieron con criterios de inclusión. Con una edad de 5±5 años, el 52.9 % fueron niñas. El grupo etáreo de mayor frecuencia fue la primera infancia (0 – 5 años) con 63.3 %. Los diagnósticos de mayor frecuencia fueron aquellos asociados a Síntomas, signos y hallazgos anormales clínicos y de laboratorio, no clasificados en otra parte (R00-R99) con el 43.3 %. Los parámetros que estuvieron más frecuentemente disminuido en el CBC fueron la HB (64.39 %) y %HTO (57.83 %), el que más frecuentemente aumentado fue Monocitos 77.78 %. Los MON, LEU y NEU, para el grupo de Ciertas enfermedades infecciosas y parasitarias (A00-B99).
Conclusión: El CBC es un buen indicador para las sepsis y estado nutricional de los pacientes, por lo que se debe revisar acuciosamente para poder establecer las causas de sus variaciones en la PER.
The complete blood count (CBC) is one of the most used monitoring tools in pediatric emergencies due to its versatility, availability and low cost. This allows a more objective approach to the patient, especially those signs and symptoms that he does not report, due to his age, or is unknown. Objective: To characterize the abnormalities found in the BCC in a Pediatric Emergency Room of a Hospital. Methodology: A prospective descriptive study was carried out. Age (age group), reason for consultation (ICD10) was considered. CBC's Red Blood Cell Count (RBC), Hematocrit (% HTO), White Blood Cell Count (WBC) and Platelets (PLT). Due to the variability of the data, these were adjusted to three levels (High, Normal, Decreased) and were shown in percentage representation. Statistical analyzes were performed in R-CRAN. Results: Of the 718 patients who reached the PER, 351 met the inclusion criteria. With an age of 5 ± 5 years, 52.9% were girls. The age group with the highest frequency was early childhood (0 - 5 years) with 63.3%. The most frequent diagnoses were those associated with symptoms, signs and abnormal clinical and laboratory findings, not classified elsewhere (R00-R99) with 43.3%. The parameters that were most frequently decreased in the CBC were HB (64.39%) and% HTO (57.83%), the one that most frequently increased was Monocytes 77.78%. The MON, LEU and NEU, for the group of Certain infectious and parasitic diseases (A00-B99). Conclusion: CBC is a good indicator for sepsis and nutritional status of patients, so it must be carefully reviewed in order to establish the causes of its variations in PER.
The complete blood count (CBC) is one of the most used monitoring tools in pediatric emergencies due to its versatility, availability and low cost. This allows a more objective approach to the patient, especially those signs and symptoms that he does not report, due to his age, or is unknown. Objective: To characterize the abnormalities found in the BCC in a Pediatric Emergency Room of a Hospital. Methodology: A prospective descriptive study was carried out. Age (age group), reason for consultation (ICD10) was considered. CBC's Red Blood Cell Count (RBC), Hematocrit (% HTO), White Blood Cell Count (WBC) and Platelets (PLT). Due to the variability of the data, these were adjusted to three levels (High, Normal, Decreased) and were shown in percentage representation. Statistical analyzes were performed in R-CRAN. Results: Of the 718 patients who reached the PER, 351 met the inclusion criteria. With an age of 5 ± 5 years, 52.9% were girls. The age group with the highest frequency was early childhood (0 - 5 years) with 63.3%. The most frequent diagnoses were those associated with symptoms, signs and abnormal clinical and laboratory findings, not classified elsewhere (R00-R99) with 43.3%. The parameters that were most frequently decreased in the CBC were HB (64.39%) and% HTO (57.83%), the one that most frequently increased was Monocytes 77.78%. The MON, LEU and NEU, for the group of Certain infectious and parasitic diseases (A00-B99). Conclusion: CBC is a good indicator for sepsis and nutritional status of patients, so it must be carefully reviewed in order to establish the causes of its variations in PER.
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Palabras clave
Hemograma, Urgencia pediátrica, Anemia, Desordenes sanguíneos, Eritrocitos, Plaquetas, Hemogram, Pediatric emergency, Blood disorders, Erythrocytes, Platelets