Resultado de un programa de seguimiento y estilos de vida saludable en pacientes con falla cardiaca en Barranquilla (atl, co) entre los años 2020 y 2021
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Fecha
2022
Autores
Ortiz Mejía, Nelson Enrique
Diaz Seña, Álvaro
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
Introducción: La insuficiencia cardíaca (IC) o también llamada falla cardíaca se define en la mayoría de las literaturas como la imposibilidad del corazón para bombear sangre a los diferentes órganos, situación que es desarrollada por diversas causas que a medida que van avanzando van dejando una lesión en el músculo cardíaco. Objetivo: Evaluar el resultado de un programa de seguimiento y estilos de vida saludable en pacientes con falla cardiaca en barranquilla (Atl, Co) entre los años 2020 y 2021. Metodología: Se realizó un estudio de tipo transversal analítico, a la totalidad de los pacientes adscritos a un programa de seguimiento a pacientes con falla cardiaca. Se le recogieron datos de los principales parámetros clínicos y escala de independencia de Barthel, los indicadores de éxito del programa fue el mejoramiento en la Calidad de Vida evaluada por EQ-5D y la Fracción de Eyección Ventricular Izquierda (FEVI). A los datos se les realizó medidas de tendencia central y los resultados fueron acopiados en tablas de frecuencia, para comparar el antes y después se realizó una prueba de comparación de medias o medianas de acuerdo con la distribución de los datos. Resultados: Se acopiaron 84 pacientes con una edad promedio de 60.3±13.8años, se encontró diferencia en la proporción de sexos (p: 0.0001), la principal causa de falla cardiaca fue la de etiología Dilatada (54.8%) seguida de la Isquémica (33.3%). El 78.31% de los pacientes tenían una Dependencia moderada (61 – 90pts). Al iniciar el programa el EQ-5D fue de 76.5±20.6 y al final del programa fue de 91.3±11.1 siendo significativa esta diferencia (p: 0.0001), así como el FEVI, al inicio fue de 27.1±11.4 y al final fue de 32.9±11.8 (p: 0.0004). Conclusión: Los programas de seguimiento son beneficioso para los pacientes especialmente en la recuperación funcional del musculo cardiaco y de la Calidad de vida de estos.
Introduction: Heart failure (HF) or also called heart failure is defined in most literatures as the impossibility of the heart to pump blood to the different organs, a situation that is developed by various causes that as they progress, they leave a lesion in the heart. the heart muscle. Objective: To evaluate the results of a follow-up program and healthy lifestyles in patients with heart failure in Barranquilla (Atl, Co) between 2020 and 2021. Methodology: An analytical cross-sectional study was carried out on all the patients enrolled in a follow-up program for patients with heart failure. Data on the main clinical parameters and the Barthel independence scale were collected. The indicators of success of the program were the improvement in the Quality of Life evaluated by EQ-5D and the Left Ventricular Ejection Fraction (LVEF). The results were measured for central tendency and the results were collected in frequency tables, to compare before and after, a comparison test of means or medians was performed according to the distribution of the data. Results: 84 patients with an average age of 60.3 ± 13.8 years were collected, a difference was found in the proportion of sexes (p: 0.0001), the main cause of heart failure was Dilated etiology (54.8%) followed by Ischemic ( 33.3%). 78.31% of the patients had a moderate Dependence (61 – 90pts). At the beginning of the program, the EQ-5D was 76.5±20.6 and at the end of the program it was 91.3±11.1, this difference being significant (p: 0.0001), as well as the LVEF, at the beginning it was 27.1±11.4 and at the end it was 32.9±11.8 (p: 0.0004). Conclusion: Follow-up programs are beneficial for patients, especially in the functional recovery of the heart muscle and their quality of life.
Introduction: Heart failure (HF) or also called heart failure is defined in most literatures as the impossibility of the heart to pump blood to the different organs, a situation that is developed by various causes that as they progress, they leave a lesion in the heart. the heart muscle. Objective: To evaluate the results of a follow-up program and healthy lifestyles in patients with heart failure in Barranquilla (Atl, Co) between 2020 and 2021. Methodology: An analytical cross-sectional study was carried out on all the patients enrolled in a follow-up program for patients with heart failure. Data on the main clinical parameters and the Barthel independence scale were collected. The indicators of success of the program were the improvement in the Quality of Life evaluated by EQ-5D and the Left Ventricular Ejection Fraction (LVEF). The results were measured for central tendency and the results were collected in frequency tables, to compare before and after, a comparison test of means or medians was performed according to the distribution of the data. Results: 84 patients with an average age of 60.3 ± 13.8 years were collected, a difference was found in the proportion of sexes (p: 0.0001), the main cause of heart failure was Dilated etiology (54.8%) followed by Ischemic ( 33.3%). 78.31% of the patients had a moderate Dependence (61 – 90pts). At the beginning of the program, the EQ-5D was 76.5±20.6 and at the end of the program it was 91.3±11.1, this difference being significant (p: 0.0001), as well as the LVEF, at the beginning it was 27.1±11.4 and at the end it was 32.9±11.8 (p: 0.0004). Conclusion: Follow-up programs are beneficial for patients, especially in the functional recovery of the heart muscle and their quality of life.
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Palabras clave
Falla cardiaca, Seguimiento, Calidad de vida, Fracción de Eyección Izquierda, Heart failure, Follow-up, Quality of life, Left Ejection Fraction
