Factores predictores de resultados desfavorables en pacientes con hemorragia subaracnoidea espontánea atendidos en el hospital III Iquitos EsSalud, 2020-2023

• Autor: Reategui Mori, Cinthya Giovana
• Formato: tesis de grado
• Fecha de Publicación: 2025
• Institución: Universidad Nacional De La Amazonía Peruana
• Repositorio: UNAPIquitos-Institucional
• Lenguaje: español
• OAI Identifier: oai:repositorio.unapiquitos.edu.pe:20.500.12737/11498
• Enlace del recurso: https://hdl.handle.net/20.500.12737/11498
• Nivel de acceso: acceso abierto
• Materia: X; https://purl.org/pe-repo/ocde/ford#3.02.02

Objective: To determine the predictive factors of unfavorable outcomes in patients with spontaneous subarachnoid hemorrhage treated at Hospital III Iquitos EsSalud, during the period 2020-2023. Method: Observational, analytical, case-control study, with a sample of 106 patients, divided into 53 hypertensive patients who presented unfavorable outcomes (cases) and 53 patients with favorable outcomes (controls). Results: It was observed that 62.2% of patients over 65 years of age presented unfavorable outcomes; 51.0% of patients with arterial hypertension also presented unfavorable outcomes; 96.2% of patients with greater clinical severity, 66.2% with greater risk of vasospasm, and 97.4% with poor clinical condition presented unfavorable outcomes. Increased risk of vasospasm and poor clinical condition were the only significant predictors of poor outcomes in patients with spontaneous subarachnoid hemorrhage (p=0.004 and p=0.001), respectively. Factors associated with mortality were higher clinical severity (p=0.000; OR=14.901), severe impaired consciousness (p=0.000; OR=10.428), poor clinical condition (p=0.000; OR=11.482), and rebleeding (p=0.000; OR=130.00). Conclusion: Clinical factors are significantly associated with poor outcomes in patients with spontaneous subarachnoid hemorrhage.