From 86be190cf01c344a85f85a7254cc1f9f00f81a4f Mon Sep 17 00:00:00 2001 From: Sergio Nicolas Lavaise Date: Mon, 20 Apr 2026 00:36:04 -0300 Subject: [PATCH] Add ATB tab for antibiotic treatment tracking --- package-lock.json | 286 +++++++++++++++---------------- server/server.js | 28 +++ src/App.tsx | 4 + src/hooks/useHospitalStore.ts | 29 ++++ src/sections/HistoriaClinica.tsx | 255 +++++++++++++++++++++++---- src/types/index.ts | 9 + 6 files changed, 430 insertions(+), 181 deletions(-) diff --git a/package-lock.json b/package-lock.json index fb1afb0..42887a0 100644 --- a/package-lock.json +++ b/package-lock.json @@ -4333,9 +4333,9 @@ "license": "MIT" }, "node_modules/@rollup/rollup-android-arm-eabi": { - "version": "4.55.1", - "resolved": "https://registry.npmjs.org/@rollup/rollup-android-arm-eabi/-/rollup-android-arm-eabi-4.55.1.tgz", - "integrity": "sha512-9R0DM/ykwfGIlNu6+2U09ga0WXeZ9MRC2Ter8jnz8415VbuIykVuc6bhdrbORFZANDmTDvq26mJrEVTl8TdnDg==", + "version": "4.60.2", + "resolved": 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"@rollup/rollup-linux-arm-gnueabihf": "4.55.1", - "@rollup/rollup-linux-arm-musleabihf": "4.55.1", - "@rollup/rollup-linux-arm64-gnu": "4.55.1", - "@rollup/rollup-linux-arm64-musl": "4.55.1", - "@rollup/rollup-linux-loong64-gnu": "4.55.1", - "@rollup/rollup-linux-loong64-musl": "4.55.1", - "@rollup/rollup-linux-ppc64-gnu": "4.55.1", - "@rollup/rollup-linux-ppc64-musl": "4.55.1", - "@rollup/rollup-linux-riscv64-gnu": "4.55.1", - "@rollup/rollup-linux-riscv64-musl": "4.55.1", - "@rollup/rollup-linux-s390x-gnu": "4.55.1", - "@rollup/rollup-linux-x64-gnu": "4.55.1", - "@rollup/rollup-linux-x64-musl": "4.55.1", - "@rollup/rollup-openbsd-x64": "4.55.1", - "@rollup/rollup-openharmony-arm64": "4.55.1", - "@rollup/rollup-win32-arm64-msvc": "4.55.1", - "@rollup/rollup-win32-ia32-msvc": "4.55.1", - "@rollup/rollup-win32-x64-gnu": "4.55.1", - "@rollup/rollup-win32-x64-msvc": "4.55.1", + "@rollup/rollup-android-arm-eabi": "4.60.2", + "@rollup/rollup-android-arm64": "4.60.2", + "@rollup/rollup-darwin-arm64": "4.60.2", + "@rollup/rollup-darwin-x64": "4.60.2", + "@rollup/rollup-freebsd-arm64": "4.60.2", + "@rollup/rollup-freebsd-x64": "4.60.2", + "@rollup/rollup-linux-arm-gnueabihf": "4.60.2", + "@rollup/rollup-linux-arm-musleabihf": "4.60.2", + "@rollup/rollup-linux-arm64-gnu": "4.60.2", + "@rollup/rollup-linux-arm64-musl": "4.60.2", + "@rollup/rollup-linux-loong64-gnu": "4.60.2", + "@rollup/rollup-linux-loong64-musl": "4.60.2", + "@rollup/rollup-linux-ppc64-gnu": "4.60.2", + "@rollup/rollup-linux-ppc64-musl": "4.60.2", + "@rollup/rollup-linux-riscv64-gnu": "4.60.2", + "@rollup/rollup-linux-riscv64-musl": "4.60.2", + "@rollup/rollup-linux-s390x-gnu": "4.60.2", + "@rollup/rollup-linux-x64-gnu": "4.60.2", + "@rollup/rollup-linux-x64-musl": "4.60.2", + "@rollup/rollup-openbsd-x64": "4.60.2", + "@rollup/rollup-openharmony-arm64": "4.60.2", + "@rollup/rollup-win32-arm64-msvc": "4.60.2", + "@rollup/rollup-win32-ia32-msvc": "4.60.2", + "@rollup/rollup-win32-x64-gnu": "4.60.2", + "@rollup/rollup-win32-x64-msvc": "4.60.2", "fsevents": "~2.3.2" } }, @@ -10555,9 +10555,9 @@ } }, "node_modules/vite": { - "version": "7.3.0", - "resolved": "https://registry.npmjs.org/vite/-/vite-7.3.0.tgz", - "integrity": "sha512-dZwN5L1VlUBewiP6H9s2+B3e3Jg96D0vzN+Ry73sOefebhYr9f94wwkMNN/9ouoU8pV1BqA1d1zGk8928cx0rg==", + "version": "7.3.2", + "resolved": "https://registry.npmjs.org/vite/-/vite-7.3.2.tgz", + "integrity": "sha512-Bby3NOsna2jsjfLVOHKes8sGwgl4TT0E6vvpYgnAYDIF/tie7MRaFthmKuHx1NSXjiTueXH3do80FMQgvEktRg==", "dev": true, "license": "MIT", "dependencies": { diff --git a/server/server.js b/server/server.js index 57da6c1..a3f280d 100644 --- a/server/server.js +++ b/server/server.js @@ -183,6 +183,25 @@ try { console.log('Error tabla interconsultas:', e.message); } +try { + const existingATB = db.prepare("SELECT name FROM sqlite_master WHERE type='table' AND name='atb'").get(); + if (!existingATB) { + db.exec(` + CREATE TABLE atb ( + id TEXT PRIMARY KEY, + pacienteId TEXT NOT NULL, + internacionId TEXT NOT NULL, + antibiotico TEXT, + fechaInicio TEXT, + fechaFinalizacion TEXT + ) + `); + console.log('Tabla atb creada'); + } +} catch (e) { + console.log('Error tabla atb:', e.message); +} + const app = express(); app.use(cors()); app.use(express.json({ limit: '50mb' })); @@ -233,6 +252,7 @@ app.get('/api/state', (req, res) => { cultivos: queryAll('SELECT * FROM cultivos'), estudiosComplementarios: queryAll('SELECT * FROM estudiosComplementarios'), interconsultas: queryAll('SELECT * FROM interconsultas').map(ic => ({ ...ic, realizada: !!ic.realizada })), + atb: queryAll('SELECT * FROM atb'), vistaActual: 'dashboard', currentInternacionId: null }; @@ -323,6 +343,14 @@ if (state.laboratorios?.length) { } } + run('DELETE FROM atb'); + if (state.atb?.length) { + const stmt = db.prepare('INSERT INTO atb (id, pacienteId, internacionId, antibiotico, fechaInicio, fechaFinalizacion) VALUES (?, ?, ?, ?, ?, ?)'); + for (const atb of state.atb) { + stmt.run(atb.id, atb.pacienteId, atb.internacionId, atb.antibiotico, atb.fechaInicio, atb.fechaFinalizacion || null); + } + } + res.json({ ok: true }); }); diff --git a/src/App.tsx b/src/App.tsx index afbe21a..88d709e 100644 --- a/src/App.tsx +++ b/src/App.tsx @@ -145,6 +145,7 @@ function AppContent() { cultivos={store.getCultivosByPaciente(paciente.id)} estudiosComplementarios={store.estudiosComplementarios.filter(e => e.pacienteId === paciente.id)} interconsultas={(store.interconsultas || []).filter(ic => ic.internacionId === internacion.id)} + atb={(store.atb || []).filter(a => a.internacionId === internacion.id)} onAgregarEvolucion={store.agregarEvolucion} onActualizarEvolucion={store.actualizarEvolucion} onEliminarEvolucion={store.eliminarEvolucion} @@ -163,6 +164,9 @@ function AppContent() { onAgregarInterconsulta={(ic) => store.agregarInterconsulta({ ...ic, internacionId: internacion.id })} onActualizarInterconsulta={store.actualizarInterconsulta} onEliminarInterconsulta={store.eliminarInterconsulta} + onAgregarATB={(atb) => store.agregarATB({ ...atb, internacionId: internacion.id })} + onActualizarATB={store.actualizarATB} + onEliminarATB={store.eliminarATB} onActualizarInternacion={store.actualizarInternacion} onActualizarCama={store.actualizarCama} onVolver={() => store.setVista('internaciones')} diff --git a/src/hooks/useHospitalStore.ts b/src/hooks/useHospitalStore.ts index ccd2e9e..6374fc9 100644 --- a/src/hooks/useHospitalStore.ts +++ b/src/hooks/useHospitalStore.ts @@ -10,6 +10,7 @@ import type { Cultivo, EstudioComplementario, Interconsulta, + ATB, Vista } from '@/types'; @@ -37,6 +38,7 @@ interface HospitalState { cultivos: Cultivo[]; estudiosComplementarios: EstudioComplementario[]; interconsultas: Interconsulta[]; + atb: ATB[]; vistaActual: Vista; currentInternacionId?: string | null; } @@ -54,6 +56,7 @@ const defaultState = (): HospitalState => ({ cultivos: [], estudiosComplementarios: [], interconsultas: [], + atb: [], vistaActual: 'dashboard', camas: [] }); @@ -376,6 +379,29 @@ const finalizarInternacion = useCallback((internacionId: string, datos: { })); }, []); + const agregarATB = useCallback((atb: Omit) => { + const nuevoATB: ATB = { ...atb, id: generateUUID() }; + setState(prev => ({ + ...prev, + atb: [...prev.atb, nuevoATB], + })); + return nuevoATB.id; + }, []); + + const actualizarATB = useCallback((id: string, datos: Partial) => { + setState(prev => ({ + ...prev, + atb: prev.atb.map(a => a.id === id ? { ...a, ...datos } : a), + })); + }, []); + + const eliminarATB = useCallback((id: string) => { + setState(prev => ({ + ...prev, + atb: prev.atb.filter(a => a.id !== id), + })); + }, []); + // Acciones de areas const agregarArea = useCallback((area: Omit) => { const nuevaArea: Area = { ...area, id: generateUUID() }; @@ -502,6 +528,9 @@ const getEstadisticas = useCallback(() => { agregarInterconsulta, actualizarInterconsulta, eliminarInterconsulta, + agregarATB, + actualizarATB, + eliminarATB, agregarArea, actualizarArea, eliminarArea, diff --git a/src/sections/HistoriaClinica.tsx b/src/sections/HistoriaClinica.tsx index 0ae0f4c..ee05321 100644 --- a/src/sections/HistoriaClinica.tsx +++ b/src/sections/HistoriaClinica.tsx @@ -22,7 +22,7 @@ import { FileText, ChevronDown, ChevronUp, - ChevronRight, + List, FileDown, Thermometer, Heart, @@ -51,7 +51,7 @@ import { Table, TableBody, TableCell, TableHead, TableHeader, TableRow } from '@ import { ScrollArea, ScrollBar } from "@/components/ui/scroll-area" import { DropdownMenu, DropdownMenuContent, DropdownMenuItem, DropdownMenuTrigger } from '@/components/ui/dropdown-menu'; import { LineChart, Line, XAxis, YAxis, CartesianGrid, Tooltip, ResponsiveContainer } from 'recharts'; -import type { Laboratorio, AcidoBase, Cultivo, Paciente, ResultadoLaboratorio, Internacion, Evolucion, Cama, EstudioComplementario, Interconsulta } from '@/types'; +import type { Laboratorio, AcidoBase, Cultivo, Paciente, ResultadoLaboratorio, Internacion, Evolucion, Cama, EstudioComplementario, Interconsulta, ATB } from '@/types'; import { formatDateDDMMYYYY } from '@/lib/utils'; interface HistoriaClinicaProps { @@ -65,6 +65,7 @@ interface HistoriaClinicaProps { cultivos: Cultivo[]; estudiosComplementarios: EstudioComplementario[]; interconsultas: Interconsulta[]; + atb: ATB[]; onAgregarEvolucion: (evolucion: Omit) => void; onActualizarEvolucion: (id: string, datos: Partial) => void; onEliminarEvolucion: (id: string) => void; @@ -84,6 +85,9 @@ interface HistoriaClinicaProps { onAgregarInterconsulta: (interconsulta: Omit) => void; onActualizarInterconsulta: (id: string, datos: Partial) => void; onEliminarInterconsulta: (id: string) => void; + onAgregarATB: (atb: Omit) => void; + onActualizarATB: (id: string, datos: Partial) => void; + onEliminarATB: (id: string) => void; onActualizarInternacion: (id: string, datos: Partial) => void; onActualizarCama: (id: string, datos: Partial) => void; onVolver: () => void; @@ -192,6 +196,10 @@ export function HistoriaClinica({ onAgregarInterconsulta, onActualizarInterconsulta, onEliminarInterconsulta, + atb, + onAgregarATB, + onActualizarATB, + onEliminarATB, onActualizarInternacion, onActualizarCama, onVolver, @@ -473,6 +481,13 @@ export function HistoriaClinica({ Evoluciones ({evoluciones.length}) + + + + Indicaciones + + + Laboratorio @@ -488,6 +503,11 @@ export function HistoriaClinica({ Cultivos ({cultivos.length}) + + + ATB + ({atb.length}) + Estudios @@ -519,10 +539,14 @@ export function HistoriaClinica({ -
- -

Sección ATB en desarrollo

-
+ @@ -679,10 +703,9 @@ function SeccionLaboratorios({ lab, patientId, add, update, del, addAcidoBase }: const observacionesExtra: string[] = []; const mapeoParametros: Record = { - 'hematíes': { nombre: 'Hematíes', unidad: '10⁶/µl', esPrincipal: false }, + 'hematocrito': { nombre: 'Hematocrito', unidad: '%', esPrincipal: true }, 'hemoglobina corpuscular media': { nombre: 'HCM', unidad: 'pg', esPrincipal: false }, - 'concentración de hemoglobina media': { nombre: 'CHCM', unidad: 'g/dL', esPrincipal: false }, 'hemoglobina': { nombre: 'Hemoglobina', unidad: 'g/dL', esPrincipal: true }, 'volumen corpuscular medio': { nombre: 'VCM', unidad: 'fL', esPrincipal: false }, 'rdw': { nombre: 'RDW', unidad: '%', esPrincipal: false }, @@ -1433,6 +1456,7 @@ function SeccionAcidosBase({ ab, patientId, add, update, del }: { const [lactato, setLactato] = useState(''); const [fio2, setFio2] = useState(''); const [interpretacion, setInterpretacion] = useState(''); + const [eabSortAsc, setEabSortAsc] = useState(false); const reset = () => { setFecha(new Date().toISOString().split('T')[0]); @@ -1555,38 +1579,71 @@ function SeccionAcidosBase({ ab, patientId, add, update, del }: { {abFiltered.length === 0 ?

No hay gasometrías

: - abFiltered.map(a => { - const phSt = getEstadoParametro('ph', a.ph); - return ( - -
-
-

{a.fecha} {a.hora}

-
- {a.fio2 && a.po2 && PaFiO2: {Math.round(a.po2 / a.fio2 * 100) / 100}} - {a.fio2 && FiO₂:{a.fio2}} - pH: {a.ph} - - -
-
-
-

pH

{a.ph}

-

pCO2

{a.pco2}

-

pO2

{a.po2}

-

HCO3

{a.hco3}

-

BE

{a.be}

-

SatO2

{a.sato2}%

- {a.lactato &&

Lactato

{a.lactato}

} - {a.fio2 &&

FiO2

{a.fio2}

} -
- {a.interpretacion &&

Interpretación: {a.interpretacion}

} -
- - ); - }) + +
+
+ + + + + setEabSortAsc(!eabSortAsc)}> + Fecha {eabSortAsc ? '↑' : '↓'} + + pH + pCO2 + pO2 + HCO3 + BE + SatO2 + Lactato + FiO2 + PaFiO2 + + + + + {abFiltered.map(a => ( + + {a.fecha} {a.hora || ''} + {a.ph} + {a.pco2} + {a.po2} + {a.hco3} + {a.be} + {a.sato2} + {a.lactato} + {a.fio2} + + + + + + + + + loadEdit(a)}> + + Editar + + del(a.id)} className="text-red-600"> + + Eliminar + + + + + + ))} + +
+
+
+ + } ); @@ -2162,4 +2219,126 @@ function SeccionInterconsultas({ interconsultas, pacienteId, internacionId, add, )} ); +} + +function SeccionATB({ atb, internacionId, pacienteId, add, update, del }: { + atb: ATB[]; + internacionId: string; + pacienteId: string; + add: (a: Omit) => void; + update: (id: string, data: Partial) => void; + del: (id: string) => void; +}) { + const [dialog, setDialog] = useState(false); + const [edit, setEdit] = useState(null); + const [antibiotico, setAntibiotico] = useState(''); + const [fechaInicio, setFechaInicio] = useState(new Date().toISOString().split('T')[0]); + const [fechaFinalizacion, setFechaFinalizacion] = useState(''); + + const calcularDias = (inicio: string, fin?: string): number => { + const ini = new Date(inicio); + const finDate = fin ? new Date(fin) : new Date(); + const diff = finDate.getTime() - ini.getTime(); + return Math.ceil(diff / (1000 * 60 * 60 * 24)); + }; + + const reset = () => { + setEdit(null); + setAntibiotico(''); + setFechaInicio(new Date().toISOString().split('T')[0]); + setFechaFinalizacion(''); + }; + + const loadEdit = (a: ATB) => { + setEdit(a); + setAntibiotico(a.antibiotico); + setFechaInicio(a.fechaInicio); + setFechaFinalizacion(a.fechaFinalizacion || ''); + }; + + const handleGuardar = () => { + if (!antibiotico.trim() || !fechaInicio) return; + if (edit) { + update(edit.id, { antibiotico, fechaInicio, fechaFinalizacion: fechaFinalizacion || undefined }); + } else { + add({ pacienteId, internacionId, antibiotico, fechaInicio, fechaFinalizacion: fechaFinalizacion || undefined }); + } + setDialog(false); + reset(); + }; + + const atbOrdenado = atb.sort((a, b) => new Date(b.fechaInicio).getTime() - new Date(a.fechaInicio).getTime()); + + return ( +
+
+ +
+ + + + + {edit ? 'Editar' : 'Nuevo'} Antibiótico + +
+
+ + setAntibiotico(e.target.value)} placeholder="Nombre del antibiótico" /> +
+
+ + setFechaInicio(e.target.value)} /> +
+
+ + setFechaFinalizacion(e.target.value)} /> +
+
+
+ + +
+ + + + {atbOrdenado.length === 0 ? ( +
No hay antibiotics registrados
+ ) : ( +
+ {atbOrdenado.map(a => ( + + +
+
{a.antibiotico}
+
+ Inicio: {formatDateDDMMYYYY(a.fechaInicio)} + {a.fechaFinalizacion && ( + Fin: {formatDateDDMMYYYY(a.fechaFinalizacion)} + )} + + {calcularDias(a.fechaInicio, a.fechaFinalizacion)} días + +
+
+
+ + +
+ + + ))} +
+ )} +
+ ); } \ No newline at end of file diff --git a/src/types/index.ts b/src/types/index.ts index 87e63c4..5e16aeb 100644 --- a/src/types/index.ts +++ b/src/types/index.ts @@ -162,4 +162,13 @@ export interface Interconsulta { respuestaFecha?: string; } +export interface ATB { + id: string; + pacienteId: string; + internacionId: string; + antibiotico: string; + fechaInicio: string; + fechaFinalizacion?: string; +} + export type Vista = 'dashboard' | 'camas' | 'pacientes' | 'internaciones' | 'evoluciones' | 'laboratorios' | 'acidobase' | 'cultivos' | 'historiaclinica' | 'nuevoingreso' | 'editaringreso';