Abstracts de trabajos presentados en congresos internacionales 2012

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8 th WORLD STROKE CONGRESS - BRASILIA, BRASILINCIDENCE AND SURVIVAL OF INTRACEREBRAL HEMORRHAGE IN CHILE. A POPULATION BASED REGISTER.V. Díaz, S. Illanes, J. Antinao, V. Olavarría, D. Cárcamo, P. LavadosThe average incidence of intracerebral hemorrhage (ICH) is 25 per 100.000 inhabitants in the world, in Chile is 20 per100.000. The mortality of hemorrhage stroke is between 30 to 45% Objective: To study the incidence of intracerebralhemorrhage through the country. To Study intrahospitalary mortality and survival of ICH. Method: Is a descriptive andecological study of national discharges database from 2003 to 2007 from ICD-10 category I 61.0 (0 to 9) and I 62.9 ofNational Health Ministry (MINSAL), National Socioeconomic Survey (CASEN). We calculated average incidence rates foreach region of the country. The rates were adjusted to Europe and World population. Result: 13.259 register and 10.267persons identifies, 93.6 % had only one event. 37 % died during the hospitalization, 44 % the first day and the 70 % beforede five days, the survival is higher in women than men (p= 0.02). The lethality has been decreasing from 42.6 % to 36.4%. The average incidence rate for the country is 15.2 per 100.000 (95% CI 14.8 to 15.5). The male has 35 % more higherrates through the different regions. V,VI, IX and XII regions have the higher rates of ICH. The correlation of lethality rateswas only with poverty (r= 41%, p= 0.0001). Conclusions: The lethality has decreasing during the study period. Most of thepatients died during the first five days, the survival is higher in women. The average incidence rates is heterogenic throughthe country.SYMPTOMATIC INTRACRANIAL STENOSIS, VASCULAR RISK FACTORS AND ATHEROESCLEROSIS. A PROSPECTIVESYNGLE-CENTER STUDY IN CHILE.A. Jaramillo, V. Díaz, J. Vallejos, A. Reyes, J.L. Manterola, P. Orellana, S. IllanesBackground and purpose: Intracranial atherosclerotic disease (IAD) carries a high risk of transitory ischemic attack orischemic stroke. Available information about vascular risk factors associated to occurrence of symptomatic IAD (SIAD) in theChilean population is limited. Methods: Prospective cohort study of 340 inpatients with TIA or ischemic stroke consecutivelyadmitted to Stroke Unit of the Hospital Clínico de la Universidad de Chile between 2006 and 2008. 34 (10%) IAD was detectedin 30 patients using transcranial Doppler, angio-CT, angio- MRI or angio-DS. Of these, 21 (6,17 %) corresponded to 50% to99% stenosis in the same TIA/stroke territory, which were considered as SIAD after to exclude any cardiac or extra cranialvascular origin or other. Results: 30/340 (8.8%) of our Hispanic-Mestizo population had IAD. After adjustment by genderand age, only diabetes mellitus history (OR 3.70; CI 95% 1.49 to 9.17; P=0,005) and hypercholesterolemia with a totalcholesterol/HDL-cholesterol(Castelli) Index > 4.5 at admission (OR 4,0; CI 95% 1.5 TO 10.64; P=0.005) were associated withSIAD. Not association among SIAD and previous use of statins, extracranial carotid, arteries aortic arch or coronary arteriesarteriosclerosis could be demostered. The basal hematological and biochemical parameters including fasting glucose andlipids were not different between both groups. Conclusion: We report that diabetes mellitus and hypercholesterolemia with aCastelli index >4.5 at admission were independently associated with SIAD despite previous use of statins or anti-hypertensiveagents.DEPARTAMENTO DE OBSTETRICIA Y GINECOLOGÍAXX FIGO WORLD CONGRESS OF GYNECOLOGY AND OBSTETRICS - ROMA, ITALIAIMPACT OF MENOPAUSE ON WOMEN’S HEALTH: A SURVEY FROM DIFFERENT AREAS OF THE WORLD – CHILE.M. ParraChile is a country in demographical transition with 16.5 million inhabitants – from which 8.4 million are women. From those,25% are aged more than 50. The “aging index” for 2010 is estimated to be 35 and life expectancy of women is 81 yearsold. Those indexes are similar to those of developed countries with a maternal mortality rate of 17/100.000 and a childmortality of 7.9/1000. The median age at menopause in Chile is 49.5 years; using the MRS scale to evaluate quality oflife during the menopause in a cohort of Chilean women 81% of the them have a score described as moderate or severe.Within the female population, the most frequent causes of death are – in descendent order and approximate percentages– cardiovascular diseases (29%), malign tumours (26%), respiratory system diseases 10%, digestive system diseases (6%)and endocrine, nutritional and/or metabolical diseases account for 5%. These five large groups represent 76% of causes offemale population’s deaths. And what is more, breast cancer is demonstrated to be the first cause of death in women aged82Revista Hospital Clínico Universidad de Chile
more than 50. In the same line, deaths caused by malign tumours and cardio-vascular diseases contributed for more thanhalf (53%) of the loss of expectancy years (AEVP for its acronym in Spanish) estimated for 2009. The cardiovascular riskfactors within the female population aged over 50 are: Smoking 36%, Obesity 40%, arterial hypertension 40% (for womenover 65 this factor rises to 76%), Diabetes Mellitus 22%, Hypercholesterolemia 58%, Sedentarism 93%, consumption of5 or more fruits/vegetables per day 18.4% and depression 30%. Until 2002 Chile was the south-american country withthe highest rate of hormonal replacement therapy use with 13%. Today, this figure doesn’t even reach 4%. A year ago theMinistry of Health added, within the sanitary goals for the 2010–2020 period, the health of women aged over 50. Nowadaysthere are efforts in the development of sanitary rules and clinical guidelines so that – as soon as possible – all women withinthis lifespan (>50) can receive adequate treatment for their vasomotor symptoms and handle their risk factors – notablybreast cancer.FACTORS ASSOCIATED WITH LOW QUALITY OF LIFE IN CLIMACTERIC WOMEN.M. Honorato, C. Fernández, C.E. Winkler, M. Levancini, M. Parra, F. TroncosoObjectives: The menopause is a change in the physiology of the woman who may be unfavorable aspects of their health andquality of life. Menopause brings several consequences in the psychological, somatic and vegetative area that impact sleepquality in varying degrees of women’s lives a meaning in some cases in this impairment. The aim of this study is to identifywhat factors are associated with secondary living climacteric symptoms in our population. Materials: A retrospectivedescriptive study of 385 women conducted in 2010. Women were enrolled from 43 to 61 years who presented as patientsto the clinic of Internal Medicine Clinics of Hospital Padre Hurtado, Santiago Chile and Primary Care Facility of SanRamon, Santiago Chile. Methods: They applied the Chilean version of the MRS scale (menopause rating scale). Samplewas separated into 2 groups, the group 1were women asymptomatic or with mild-moderate and group 2 were women withsevere and intolerable symptoms. Both groups were identified in a number of factors were compared to determine which ofthese were related to a better quality of life and which were present in a lower quality of life secondary to postmenopausalsymptoms. Results: Of the factors studied, we found that depression is significantly associated with poor quality of life,whose prevalence is 18.5% in group 1 versus 52% in group 2 (p 0.01). The factors that are associated with a betterquality of life were complete basic education present in 56.3% in group 1 and 45.4% in group 2 (p 0.04), having a paid jobprevalent in 44, 5% in group 1 and 30.3% in group 2 (p 0.008) and have an income greater than US 1000 with a prevalenceof 8.6% in group 1 and 3.3% in group 2 (p = 0.05). Conclusions: The menopause is a time of life of women characterizedby symptoms that alters their quality of life to a greater or lesser extent. Many factors influence the quality of life, beyondits own pathophysiology of the altered hormonal axis. These factors is essential to know to handle them and so do amultidisciplinary treatment of these patients.INTRAUTERINE DEVICE USERS EXPERIENCE IN A PRIMARY CARE FACILITY IN SANTIAGO, CHILE.M. Honorato, C.E. Winkler, C. Fernández, M. Levancini, F. Troncoso, M. ParraObjectives: Describe the experience of using the clinic IUD users in a primary care facility in Santiago, Chile. Materialsand Methods: We performed a retrospective study on 149 women between 17 and 56 users of IUD-380A type, controlledin the Office of the Flag of the municipality of San Ramon, Santiago, Chile in a period of 12 years (1999–2011). Results:We reviewed the clinical records and conducted a survey of 149 patients between 17 to 56 years with a mean age of 32.7years. Within the population studied 55% were single, 1.2-parous and 78% were monogamous during IUD use. Among thediseases based on 28% of the population were obese (BMI >30) and 8% were hypertensive. During the monitoring period,the complications most frequently mentioned were: pelvic algia and dysmenorrhea (17.4%), vaginal infections (16.7%) andred flow alterations (16.1%). Most of them occurred in the first two years of use. Pelvic inflammatory processes werepresented in a 4.69% of the patients, all responded well to outpatient antibiotic treatment. The IUD was expelled for 9.3%of patients. Sexual dysfunction was presented by 5%. In the study population 9 pregnancies occurred, of which 4 were forabortions, 3 pregnancies intrauterine and 2 ectopic pregnancies, all these occurred in an average of 1.5 years. Pearl Indexarises to 2.8. 20% of patients have more than one complication and most of these complications occurred before 6 years ofuse. 31% of patients withdrew the IUD and 22% was for desire future pregnancy. Despite all complications 90% of patientsrecommended. Conclusions: In our patients IUD users, despite the considerable number of complications and failures of themethod, 90% of them recommended. The patience preferred this method because of and easy access, reduced chekupsand because it is highly effective.www.redclinica.cl 83
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Page 5 and 6: decided occluding left main anomalo
Page 7 and 8: the occurrence of postoperative atr
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Page 13 and 14: FEV1 63% of predicted value and Pac
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Abstracts de trabajos presentados en congresos internacionales 2012

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