Utilidad de una escala de riesgo para identificar pacientes con disglucemia

Authors

  • Rubén González Tabares Hospital Militar Clínico-Quirúrgico Docente "Dr. Mario Muñoz Monroy". Carretera Central km 109 Gelpy. Reparto “2 de diciembre”. Matanzas.
  • Frank Abel Acosta González Hospital Militar Clínico-Quirúrgico Docente "Dr. Mario Muñoz Monroy". Carretera Central km 109 Gelpy. Reparto “2 de diciembre”. Matanzas.

Abstract

Introducción: la prevalencia de diabetes y prediabetes ha ido en aumento a nivel global y en Cuba. Para identificar individuos en riesgo de disglucemia se han desarrollado varias escalas. 
Objetivo: evaluar el desempeño de la escala de Bang y otros, para identificar individuos con disglucemia, en una población cubana laboralmente activa. 
Métodos: se realizó un estudio transversal en 2 902 pacientes, fueron clasificados en portadores o no de disglucemia, a través de las pruebas de glucemia en ayunas, de tolerancia a la glucosa y hemoglobina glucosilada. Se determinó la frecuencia de factores de riesgo de diabetes mellitus tipo 2 comprendidos en la escala de Bang y otros, y en el proceder enfocado en factores de riesgo de American Diabetes Association. Se determinó sensibilidad, especificidad, valor predictivo positivo, valor predictivo negativo y Odds Ratio de ambas estrategias. En ambos se calculó el área bajo la curva operativa del receptor. 
Resultados: se encontró relación entre cada uno de los factores de riesgo previstos en ambos procederes con el diagnóstico de disglucemia. Se encontró sensibilidad de 96,5 % y 79,9 %; especificidad de 20,9 % y 59,1 %; valor predictivo positivo de 10,7 % y 16,1 %; valor predictivo negativo de 98,4 % y 96,8 %; OR de 7,33 y 6,76 y área bajo la curva 0,77 y 0,79 para la escala de Bang y otros, y el procedimiento enfocado en factores de riesgo, respectivamente. 
Conclusiones: ambos procederes identificaron de forma aceptable el grupo de pacientes con disglucemia.

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Author Biography

Rubén González Tabares, Hospital Militar Clínico-Quirúrgico Docente "Dr. Mario Muñoz Monroy". Carretera Central km 109 Gelpy. Reparto “2 de diciembre”. Matanzas.

Especialista en Endocrinología, Máster en Investigación en Aterosclerosis, médico asistencial, Hospital Clínico Quirúrgico Docente ¨ Dr. Mario Muñoz Monroy¨

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Published

2017-08-21

How to Cite

1.
González Tabares R, Acosta González FA. Utilidad de una escala de riesgo para identificar pacientes con disglucemia. Rev Cubana Med Milit [Internet]. 2017 Aug. 21 [cited 2025 Jun. 20];46(2). Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/26

Issue

Vol. 46 No. 2 (2017): Abril-Junio

Section

Research Article

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