Objetivo. Determinar la mortalidad de los pacientes con lupus eritematoso sistémico (LES) que ingresaron a una unidad de cuidados intensivos (UCI). Material y Métodos. Se realizó un estudio de serie de casos, retrospectivo, en el que se evaluó todos los primeros ingresos de los pacientes con LES a la UCI del Hospital Nacional Arzobispo Loayza de Lima, durante el periodo enero 2003-diciembre 2007. En cada caso, se obtuvo los puntajes SLEDAI, APACHE II y SOFA de ingreso, para luego determinar su poder pronóstico de mortalidadde los pacientes. Resultados. De un total de 32 casos, 28 (92,9%) fueron mujeres y 4 varones (7,1%), con edad promedio de 71,63 ± 12,40 años. La mortalidad de los pacientes fue de 46,4%. Los puntajes fueron: SLEDAI, 14,7 ± 5,2 (el 96,4% dentro del rango de actividad severa); APACHE II, 17,3 ± 6,4; y, SOFA, 7,5 ± 3,3. Sobre la base de una mediana de 7 ± 8,5 d...

Introducción: La segunda ola de la pandemia por COVID-19 en el Perú generó la mayor mortalidad a nivel nacional y global, sin embargo, existe información limitada respecto a los factores asociados a mortalidad en pacientes hospitalizados por neumonía por COVID-19 durante este periodo de tiempo. Objetivos: Identificar los factores de riesgo para la mortalidad y los factores pronósticos de sobrevida de los pacientes con neumonía COVID-19 durante la segunda ola en un hospital de tercer nivel en el Perú. Materiales y métodos: El tipo de estudio serie de casos de tipo analítico exploratorio. Se incluyeron 683 pacientes adultos mayores de 18 años con diagnóstico de neumonía por SARS-CoV-2 sospechoso o confirmado que ingresaron a hospitalización entre el 1 de enero al 28 de febrero del 2021. De los cuales 429 (62.81%) fueron varones y 254 (37.19%) mujeres, la mediana de duración ...

Objective: to evaluate the impact of a program on high-fidelity simulation on knowledge about sepsis and septic shock among pre-graduate medical students. Methods: A quasi-experimental study was conducted. Students received lectures on sepsis and septic shock before the simulation sessions. Two sessions were scheduled, one on sepsis due to an upper urinary tract infection (scenery A) and the second one about septic shock due to nosocomial pneumonia (scenery B). A pre-and post-test was scheduled, and a debriefing was guided by a checklist to evaluate the achievement of the learning objectives. Results: 153 students participated; the mean score of the post-test was higher than the pre-test (0.97± 0.06 vs. 0.90 ± 0.14 p<0.00). The most right topic in the pre and post-test was determining gold time in sepsis and septic shock (98% on the pre-test and 100% on the post-test). The less corr...

Objetivo. Determinar la mortalidad de los pacientes con lupus eritematoso sistémico (LES) que ingresaron a una unidad de cuidados intensivos (UCI). Material y Métodos. Se realizó un estudio de serie de casos, retrospectivo, en el que se evaluó todos los primeros ingresos de los pacientes con LES a la UCI del Hospital Nacional Arzobispo Loayza de Lima, durante el periodo enero 2003-diciembre 2007. En cada caso, se obtuvo los puntajes SLEDAI, APACHE II y SOFA de ingreso, para luego determinar su poder pronóstico de mortalidadde los pacientes. Resultados. De un total de 32 casos, 28 (92,9%) fueron mujeres y 4 varones (7,1%), con edad promedio de 71,63 ± 12,40 años. La mortalidad de los pacientes fue de 46,4%. Los puntajes fueron: SLEDAI, 14,7 ± 5,2 (el 96,4% dentro del rango de actividad severa); APACHE II, 17,3 ± 6,4; y, SOFA, 7,5 ± 3,3. Sobre la base de una mediana de 7 ± 8,5 d...

High fidelity simulation has emerged as an important technological method for learning and teaching in complex clinical scenarios of specialized areas, enabling to develop both technical and non-technical skills. The experience described is related to the curricular insertion of high fidelity simulation in fourth and fifth grade of undergraduate medical students (2018-2019) of the Faculty of Medicine Universidad Peruana Cayetano Heredia (UPCH) with the objective to establish diagnoses, request and interpret auxiliary tests, establish and evaluate the response to an initial treatment and establish effective communication with other health professionals, through the use of clinical scenarios with highly complex simulators, emphasizing debriefing with immediate good judgment, providing insights into the learning objectives of each case and concluding the sessions with the learning experienc...

Introducción: La sarcopenia es la pérdida progresiva de masa y función muscular, asociada a un alto riesgo de efectos adversos en adultos mayores. El cuestionario SARC-F ha sido recientemente recomendado como el primer paso para detectar casos de sarcopenia, y la evidencia sobre el screening de esta condición en nuestro medio es limitada. El presente estudio tuvo como objetivo describir los resultados del screening de sarcopenia y factores relacionados en adultos mayores que acudieron ambulatoriamente a un hospital general en Lima, Perú. Métodos: Estudio observacional descriptivo de corte transversal. Se recolectaron datos de adultos mayores de 60 años que acudieron a consultorio externo de Geriatría del Hospital Cayetano Heredia para Valoración Geriátrica Integral (VGI), entre agosto del 2019 a febrero del 2020. Resultados: Se incluyeron 211 adultos mayores. 88 (41.71%) tuvier...

Objective: To determine the relationship between symptoms of generalized anxiety disorder (GAD) and migraine in medical students. Materials and methods: This is an analytical cross-sectional study. Sixth- and seventh-year medical students were invited to participate in the survey. Data collections were conducted through Google Forms. The questionnaire included sociodemographic factors, family history, the ALCOI-95 questionnaire, and the GAD-7 questionnaire. The ALCOI-95 questionnaire classified students into “non-migraine,” “migraine without aura,” or “migraine with aura”. The GAD-7 questionnaire classified students based on the severity of symptoms of GAD. Results: A response rate of 52 % was achieved. Forty-seven students (27.81 %) had migraine, of which 22 (13.02 %) had migraine without aura, and 25 (14.79 %) had migraine with aura. Sixty-one students (36.09 %) had minimal...

Background: Learning through clinical simulation allows the development of technical and non-technical skills demonstrated in both undergraduate and graduate degrees. The level of self - confidence and satisfaction of the students, as well as, the good perception on the part of these is important and is relatedto the repetition of simulation sessions. Objective: In order to evaluate the impact of simulation on the level of confidence, satisfaction and perception in undergraduate students at a private university. Material and methods: A descriptive cross-sectional study was carried out. The sixth- year medicalstudents who were carrying out their high-fidelity simulation practices were invited to participate; they were administered the “Questionnaire on the level of confidence and satisfaction in hospital clinical simulation practices” and the exploratory questionnaire “Perception of...

Communication skills in medicine are very important not only in the development of a physician’s clinical skills but in the doctor-patient relationship; and, besides, has beneficial results in the same patient. However, its learning is neither explicit nor structured in most of our medical schools. This article’s objective is to summarize a proposal in order that such skills be included in the curricular plans of our medical schools.

Communication skills in medicine are very important not only in the development of a physician’s clinical skills but in the doctor-patient relationship; and, besides, has beneficial results in the same patient. However, its learning is neither explicit nor structured in most of our medical schools. This article’s objective is to summarize a proposal in order that such skills be included in the curricular plans of our medical schools.

Objective:To describe the characteristics of acute complications of diabetes in patients attending the emergency service of a third- level general hospital. Material and methods: Descriptive and prospective study in patients who attended the Emergency Service of the Arzobispo Loayza National Hospital (HNAL), Lima, between September 2019 and March 2020, with acute complications of diabetes mellitus. The demographic, clinical, laboratory and destination characteristics of the patient were recorded. Data were analyzed with the STATA 14 program. Results: 22 patients with some acute complications of DM were admitted to the emergency room. Fifteen patients had hyperglycemic crises and seven had hypoglycemia. Of the patients with hyperglycemic crises, 12 (80%) were ketoacidosis and 3 (20%) were hyperosmolar. 46,7% had newly diagnosed diabetes.The most frequent trigger was infections in 60%. 50%...

Introducción: Malnutrición y fragilidad fisica son condiciones comunes en adultos mayores que incrementan el riesgo para eventos adversos en la salud. Diferentes factores pueden contribuir al desarrollo de fragilidad y uno de ellos es el estado nutricional. El objetivo del estudio es describir la relación entre malnutrición y fragilidad fisica en adultos mayores que fueron sometidos a cirugía abdomino pélvica en un hospital general en Lima, Perú. Material y Métodos: Estudio secundario de base de datos del estudio de de cohorte prospectivo “Fragilidad física y eventos adversos en adultos mayores sometidos a cirugía abdomino pélvica en un hospital general en Lima, Perú”, SIDISI: 67507, el cual se llevó a cabo entre Agosto 2017 a marzo del 2019. Los participantes incluídos en este estudio fueron aquellos que tenían en la base de datos la evaluación nutricional y de fragi...