medigraphic.com
ISSN 1029-3043 (Electronic)

2017, Number 1

<< Back Next >>

Medicentro 2017; 21 (1)

Characterization of perioperative arterial hypertension at «Cmdte. Manuel Fajardo Rivero» Hospital

Hernández MCE, Hidalgo MCJ, Bellot FCL, Victores MJA, Berrio ÁJE, Benítez PMO

Language: Spanish
References: 17
Page: 22-29
PDF size: 456.56 Kb.


ABSTRACT

Perioperative hypertension is defined as blood pressure values higher than 140/90 mm Hg in pre-, trans- or post-operatory. Its incidence as a reason for cancellation or delay of surgical procedure motivated this research. An observational cross-sectional study was aimed at characterizing perioperative hypertension at «Cmdte. Manuel Fajardo Rivero» Hospital of Villa Clara from January, 2010 to December, 2014. Universe was constituted by patients who required major surgery; a simple random sample of the 30 % was selected. Perioperative hypertension was more common in women (64.6 %); patients with history of blood pressure and diabetes mellitus had 7.6 and 7.8 more probabilities of suffering from perioperative hypertension than those without a family history of these diseases; it was 14.4 times more frequent in patients undergoing emergency surgery and in the 5.8 operated with general anesthesia. Evaluated variables were associated with perioperative hypertension in the studied patients, which will allow us to improve medical intervention with a preventive approach.


REFERENCES

  1. James PA, Oparil S, Carter BL. Evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). Jama [internet]. 2014 Feb. 5 [citado 10 ago. 2015];311(5):[aprox. 14 p.]. Disponible en: http://jama.jamanetwork.com/article.aspx?articleid=1791497&sa=U&ei=G4aEU5f4Hquy7AbJrIDoBw&ved=0CD0QFjAG&usg=AFQjCNFsGEnXjan3FHZBo_3URtE6 -tJw7Q

  2. Scafati A. Riesgo perioperatorio y morbimortalidad. Simposio Seguridad 2012. RAA. 2012;70(1):7-14.

  3. Galindo M. Seguridad, riesgo y anestesia. Rev Colombiana Anestesiol. 2008;28:107-15.

  4. Fernández Ramos H, Pozo Romero JA, Correa Borrell M. Prevención de complicaciones perioperatorias en pacientes con enfermedades cardiovasculares. Rev Cubana Anestesiol Reanim [internet]. 2012 sep.-dic. [citado 18 dic. 2015];11(3):[aprox. 9 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1726-67182012000300008&lng=es

  5. Ministerio de Salud Pública. Epidemiología y Microbiología. Cuadro de las enfermedades crónicas no transmisibles. La Habana: MINSAP; 1990.

  6. Morales Rigau JM, Achiong Estupiñán F, Díaz Hernández O, Fuentes García S. Pesquisa activa de hipertensión arterial. Un éxito de la atención primaria de salud. Rev Cubana Med Gen Integr [internet]. 2003 nov.-dic. [citado 19 jun. 2015];19(6):[aprox. 6 p.] Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252003000600009&lng=es&nrm=iso&tlng=es

  7. Rodríguez Bonet T, Echevarría Hernández AT, Arpa Gámez A, García Pila JL. Complicaciones cardiovasculares perioperatorias asociadas al síndrome metabólico durante la colecistectomía laparoscópica. Rev Cubana Anestesiol Reanim [internet]. 2015 mayo-ago. [citado 29 oct. 2015];14(2):[aprox. 11 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1726 -67182015000200002&lng=es

  8. Costa León E, Otero Leyva M, Colmenares Sancho F, Ochoa Varela SM. Suspensión de la intervención quirúrgica electiva no cardiaca en el paciente hipertenso. Rev Cubana Anestesiol Reanim [internet]. 2015 ene.-abr. [citado 18 dic. 2015];14(1):[aprox. 9 p.]. Disponible en: http://bvs.sld.cu/revistas/scar/vol14_1_15 /scar02115.htm

  9. Fischer SP, Bader AM, Sweitzer B. Anestesia Milller. En: Valoración preoperatoria. Vol. 1. 7th ed. España : Elsevier Churchill Livingstone; 2010. p. 767-832.

  10. Ferrario CM, Jessup JA, Smith RD. Hemodynamic and hormonal patterns of untreated essential hypertension in men and women. Ther Adv Cardiovasc Dis. 2013 Nov.;7(6):293-305.

  11. Nazar CJ, Herrera CF, González A. Manejo preoperatorio de medicamentos en pacientes hipertensos. Rev Chilena Cir. 2013 jun.;65(3):267-70.

  12. Prashant V, Eagle KA. The Yin and Yang of Perioperative Medicine. N Engl J Med [internet]. 2014 Apr. 17 [citado 19 jun. 2015];370(16):[aprox. 2 p.]. Disponible en : http://www.nejm.org/doi/pdf/10.1056 /NEJMe1402976

  13. Zimmet P, Alberti GM. Surgery or Medical Therapy for Obese Patients with Type 2 Diabetes?. N Engl J Med [internet]. 2012 Apr. 26 [citado 19 jun. 2015];366(17):[aprox. 2 p.]. Disponible en: http://www.nejm.org/doi/pdf/10.1056/NEJMe1202443

  14. Kurnutala LN, Soghomonyan S, Bergese SD. Perioperative acute hypertension—role of Clevidipine butyrate. Front Pharmacol [internet]. 2014 Aug. 27 [citado 18 ago. 2015];5:[aprox. 10 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145348/

  15. Lonjaret L, Lairez O, Minville V, Geeraerts T. Optimal perioperative management of arterial blood pressure. Integr Blood Press Control [internet]. 2014 Sep. 12 [citado 10 ago. 2015];7:[aprox. 10 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4178624/

  16. Campillo Acosta D, Berdasquera Corcho D, Coronado Mestre R. Mortalidad asociada al síndrome metabólico. Rev Cubana Med Gen Integr [internet]. 2007 abr.-jun. [citado 18 dic. 2015];23(2):[aprox. 7 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252007000200003&lng=es

  17. Pomaresa J, Palomino R, Gómez C, Gómez Camargod D. Síndrome metabólico y complicaciones perioperatorias durante cirugías programadas con anestesia general. Rev Colomb Anestesiol. 2012;40(2):106-12.




2020     |     www.medigraphic.com