Determinación y comparación de distintas medidas antropométricas y las ecuaciones de estimación de peso en pacientes del Hospital General en Zacapu Michoacán: Propuesta de implementación de la fórmula de estimación de peso al personal de salud para que la empleen en su práctica clínica.

Tesis Materias > Biomedicina Universidad Internacional Iberoamericana México > Docencia > Trabajos finales de Máster Cerrado Español El peso corporal es un dato fundamentar en la práctica clínica, que no se limita al uso exclusivo del área de nutrición sino que es utilizado por otro personal sanitario, para realizar una evaluación nutricional, cálculo de requerimientos nutricionales hasta para el cálculo de medicamentos. La medición del peso se puede ver dificultada o imposibilitada debido a las condiciones clínicas que presente el paciente y a la carencia de los hospitales de camas con báscula, en estas circunstancias el uso de las fórmulas de estimación de peso corporal es una opción de fácil aplicación, bajo costo, que utilizan algunas mediciones antropométricas que permiten conocer el peso del paciente, la presente investigación pretende determinar cuál de entre las fórmulas de estimación de peso de Chumlea, Rabito, Ross Laboratories, Martin y Díaz de León González tiene mayor exactitud y desarrollar una propuesta de implementación de la fórmula de estimación de peso al Hospital General de Zacapu para que el personal de salud la emplee en su práctica clínica, para lo cual se seleccionaron un total de 113 sujetos de ambos sexos con edades de entre 20 a 59 años seleccionados de forma aleatoria simple, que asistieron al Hospital General de Zacapu, fueron pesados utilizando una báscula digital beurer 100 y se les realizó una evaluación antropométrica. Se generó una base de datos y con el software SAS Studio se aplicaron las fórmulas de estimación de peso corporal, se compararon los resultados de las formulas con el peso obtenido de la báscula y se analizó la variabilidad mediante la prueba T student pareada, se tomó como nivel de significancia estadística un valor de p ≤ 0.05. Las edades medias fueron de 34.8, 77% (n=87) fueron mujeres y el 23% (n=26) fueron hombres. La media del peso fue de 70.1 kg ± 29.5 kg con una mediana de 67.9 kg. Se encontró mayor concordancia entre el peso real y la fórmula de estimación de peso desarrollada por Chumlea et al. con una diferencia promedio de 30 gr y la desarrollada por Rabito et al. III con 470 gr., con un porcentaje de diferencia contra el peso real de 0.05% y de 0.68% respectivamente. La propuesta de implementación de la fórmula de estimación de peso al personal de salud del Hospital General en Zacapu para que la empleen en su práctica clínica es la de Chumlea y Rabito III. metadata Álvarez Hernández, Verónica Berenice mail berep_al@hotmail.com (2022) Determinación y comparación de distintas medidas antropométricas y las ecuaciones de estimación de peso en pacientes del Hospital General en Zacapu Michoacán: Propuesta de implementación de la fórmula de estimación de peso al personal de salud para que la empleen en su práctica clínica. Masters thesis, SIN ESPECIFICAR.

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Resumen

El peso corporal es un dato fundamentar en la práctica clínica, que no se limita al uso exclusivo del área de nutrición sino que es utilizado por otro personal sanitario, para realizar una evaluación nutricional, cálculo de requerimientos nutricionales hasta para el cálculo de medicamentos. La medición del peso se puede ver dificultada o imposibilitada debido a las condiciones clínicas que presente el paciente y a la carencia de los hospitales de camas con báscula, en estas circunstancias el uso de las fórmulas de estimación de peso corporal es una opción de fácil aplicación, bajo costo, que utilizan algunas mediciones antropométricas que permiten conocer el peso del paciente, la presente investigación pretende determinar cuál de entre las fórmulas de estimación de peso de Chumlea, Rabito, Ross Laboratories, Martin y Díaz de León González tiene mayor exactitud y desarrollar una propuesta de implementación de la fórmula de estimación de peso al Hospital General de Zacapu para que el personal de salud la emplee en su práctica clínica, para lo cual se seleccionaron un total de 113 sujetos de ambos sexos con edades de entre 20 a 59 años seleccionados de forma aleatoria simple, que asistieron al Hospital General de Zacapu, fueron pesados utilizando una báscula digital beurer 100 y se les realizó una evaluación antropométrica. Se generó una base de datos y con el software SAS Studio se aplicaron las fórmulas de estimación de peso corporal, se compararon los resultados de las formulas con el peso obtenido de la báscula y se analizó la variabilidad mediante la prueba T student pareada, se tomó como nivel de significancia estadística un valor de p ≤ 0.05. Las edades medias fueron de 34.8, 77% (n=87) fueron mujeres y el 23% (n=26) fueron hombres. La media del peso fue de 70.1 kg ± 29.5 kg con una mediana de 67.9 kg. Se encontró mayor concordancia entre el peso real y la fórmula de estimación de peso desarrollada por Chumlea et al. con una diferencia promedio de 30 gr y la desarrollada por Rabito et al. III con 470 gr., con un porcentaje de diferencia contra el peso real de 0.05% y de 0.68% respectivamente. La propuesta de implementación de la fórmula de estimación de peso al personal de salud del Hospital General en Zacapu para que la empleen en su práctica clínica es la de Chumlea y Rabito III.

Tipo de Documento: Tesis (Masters)
Palabras Clave: Estimación de peso, ecuaciones de estimación, peso, antropometría, adulto.
Clasificación temática: Materias > Biomedicina
Divisiones: Universidad Internacional Iberoamericana México > Docencia > Trabajos finales de Máster
Depositado: 02 Nov 2023 23:30
Ultima Modificación: 02 Nov 2023 23:30
URI: https://repositorio.unini.edu.mx/id/eprint/1382

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