Cold Stimulation Test in Blood Pressure Control of Hypertensive Patients in Preoperative Care

<strong>Background:</strong> arterial hypertension constitutes a global health problem. Its hyperreactivity is evidenced in patients subjected to surgical stress. <br /><strong>Objective:</strong> to evaluate the effectiveness of the cold stimulation test for blood pres...

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Main Authors: José Leandro Pérez Guerrero, Katherin Rodríguez Escobar, William Arias Salazar
Format: Article
Language:Spanish
Published: Universidad de las Ciencias Médicas de Cienfuegos 2023-01-01
Series:Revista Finlay
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Online Access:https://revfinlay.sld.cu/index.php/finlay/article/view/1208
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author José Leandro Pérez Guerrero
Katherin Rodríguez Escobar
William Arias Salazar
author_facet José Leandro Pérez Guerrero
Katherin Rodríguez Escobar
William Arias Salazar
author_sort José Leandro Pérez Guerrero
collection DOAJ
description <strong>Background:</strong> arterial hypertension constitutes a global health problem. Its hyperreactivity is evidenced in patients subjected to surgical stress. <br /><strong>Objective:</strong> to evaluate the effectiveness of the cold stimulation test for blood pressure control of hypertensive patients in preoperative care. <br /><strong>Methods:</strong> a descriptive, cross-sectional and prospective study was carried out during 2019 at the Vladimir Ilich Lenin General Teaching Hospital in Holguín. The universe consisted of all hypertensive patients pending elective surgery, the sample by 150 diagnosed hypertensive patients. The variables used were: age, sex, result of the cold stimulation test, perioperative stress behavior and perioperative stress complications. Descriptive statistical indicators such as absolute values and percentages were used. <br /><strong>Results:</strong> the male sex predominated with 58 patients, the age groups from 18 to 29 years with 36 patients (33.03 %) and the group of 70 years and over with 25 patients (22.94 %). 80 patients (73.39 %) had a negative test. There was a high correspondence between the negative result and perioperative normotension with 78 patients (98.73 %). The main complication was the suspension of the operation due to elevated blood pressure figures with 20 patients (66.67 %). Its sensitivity was 80 % and specificity 93.67 %. The probability of not suffering complications was 92.50 % in patients with a negative result. <br /><strong>Conclusions:</strong> the test was effective by establishing a correct relationship between the positive result and the occurrence of blood pressure complications in the patient in the preoperative care. There was correspondence between preoperative stable control and trans and postoperative tension stability.
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institution Kabale University
issn 2221-2434
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publishDate 2023-01-01
publisher Universidad de las Ciencias Médicas de Cienfuegos
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spelling doaj-art-693cc412136d425fb6fee5512faa129b2025-01-30T21:22:02ZspaUniversidad de las Ciencias Médicas de CienfuegosRevista Finlay2221-24342023-01-011311926611Cold Stimulation Test in Blood Pressure Control of Hypertensive Patients in Preoperative CareJosé Leandro Pérez Guerrero0Katherin Rodríguez Escobar1William Arias Salazar2Universidad de Ciencias Médicas de Holguín. Hospital General Docente Vladimir Ilich Lenin. Holguín.Universidad de Ciencias Médicas de Holguín. Hospital General Docente Vladimir Ilich Lenin. Holguín.Universidad de Ciencias Médicas de Holguín. Hospital General Docente Vladimir Ilich Lenin. Holguín.<strong>Background:</strong> arterial hypertension constitutes a global health problem. Its hyperreactivity is evidenced in patients subjected to surgical stress. <br /><strong>Objective:</strong> to evaluate the effectiveness of the cold stimulation test for blood pressure control of hypertensive patients in preoperative care. <br /><strong>Methods:</strong> a descriptive, cross-sectional and prospective study was carried out during 2019 at the Vladimir Ilich Lenin General Teaching Hospital in Holguín. The universe consisted of all hypertensive patients pending elective surgery, the sample by 150 diagnosed hypertensive patients. The variables used were: age, sex, result of the cold stimulation test, perioperative stress behavior and perioperative stress complications. Descriptive statistical indicators such as absolute values and percentages were used. <br /><strong>Results:</strong> the male sex predominated with 58 patients, the age groups from 18 to 29 years with 36 patients (33.03 %) and the group of 70 years and over with 25 patients (22.94 %). 80 patients (73.39 %) had a negative test. There was a high correspondence between the negative result and perioperative normotension with 78 patients (98.73 %). The main complication was the suspension of the operation due to elevated blood pressure figures with 20 patients (66.67 %). Its sensitivity was 80 % and specificity 93.67 %. The probability of not suffering complications was 92.50 % in patients with a negative result. <br /><strong>Conclusions:</strong> the test was effective by establishing a correct relationship between the positive result and the occurrence of blood pressure complications in the patient in the preoperative care. There was correspondence between preoperative stable control and trans and postoperative tension stability.https://revfinlay.sld.cu/index.php/finlay/article/view/1208hipertensión arterialhiperreactividadcirugíacomplicaciones
spellingShingle José Leandro Pérez Guerrero
Katherin Rodríguez Escobar
William Arias Salazar
Cold Stimulation Test in Blood Pressure Control of Hypertensive Patients in Preoperative Care
Revista Finlay
hipertensión arterial
hiperreactividad
cirugía
complicaciones
title Cold Stimulation Test in Blood Pressure Control of Hypertensive Patients in Preoperative Care
title_full Cold Stimulation Test in Blood Pressure Control of Hypertensive Patients in Preoperative Care
title_fullStr Cold Stimulation Test in Blood Pressure Control of Hypertensive Patients in Preoperative Care
title_full_unstemmed Cold Stimulation Test in Blood Pressure Control of Hypertensive Patients in Preoperative Care
title_short Cold Stimulation Test in Blood Pressure Control of Hypertensive Patients in Preoperative Care
title_sort cold stimulation test in blood pressure control of hypertensive patients in preoperative care
topic hipertensión arterial
hiperreactividad
cirugía
complicaciones
url https://revfinlay.sld.cu/index.php/finlay/article/view/1208
work_keys_str_mv AT joseleandroperezguerrero coldstimulationtestinbloodpressurecontrolofhypertensivepatientsinpreoperativecare
AT katherinrodriguezescobar coldstimulationtestinbloodpressurecontrolofhypertensivepatientsinpreoperativecare
AT williamariassalazar coldstimulationtestinbloodpressurecontrolofhypertensivepatientsinpreoperativecare