Complicated hepatic and pulmonary hydatid cyst and hospital post-surgical stay in patients intervened in two hospitals of Peru, 2000-2011
- International Journal of Family & Community Medicine
Jaime Rosales Rimache,1 Saúl Santivañez Salazar2
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Background: Echinococcosis is a parasitic zoonosis of high prevalence in some regions of Peru, and the treatment of choice in advanced stages is surgery, which leads to prolonged hospital stays. In this sense, the research aimed to associate the number of days of post-surgical hospitalization and the presence of hydatid cyst complication.
Methods: Cross-sectional study with a population consisting of patients diagnosed with echinococcosis in two hospitals in Peru between 2000 and 2011. A primary database was used, generated from the exploration of medical records of individuals who underwent surgery. Data were recorded on the number of days of post-surgical hospitalization, complication of hydatid cyst, affected organ, and type of cyst, number, diameter and volume of cysts, type of surgery, pre- surgical and post-surgical anthelmintic prophylaxis, hospital, age and sex. The association was evaluated by the exponentiated coefficient adjusted in a negative binomial regression.
Results: We evaluated 655 patients constituted by women in 53.6%, and the average age was 32.3±18.6 years. Complication of hydatid cyst occurred in 54.2%, while the median post-surgical hospital stay was 9 days, and this did not present significant differences according to pre-surgical prophylaxis and age groups. There was no significant association between the number of days of post-surgical hospitalization and the complication of the hydatid cyst (ecoef: 1.17, CI95%: 1.00-1.39); However, post-surgical prophylaxis and care according to Hospital did generate significant differences.
Conclusion: There is no significant association between the complication of the hepatic and pulmonary hydatid cyst and the number of days of post-surgical hospitalization.
complicated hydatid cyst, surgery, hospital stay