RESUMO
BACKGROUND: Trauma is an important cause of morbidity and mortality in children. Blunt trauma is the most common type and falls and road traffic injuries (RTI) are the most frequent mechanisms. METHODS: Secondary analysis of institutional data included within the Panamerican Society of Trauma Registry (STP-ITSDP). A total of 581 trauma patients younger than 18years, hospitalized between 2012 and 2014, were included. RESULTS: Blunt trauma (BT) (68%) was the most common type, and falls (42.5%) the most common mechanism. Median age was: 14years for penetrating trauma (PT), 8years for BT, and 5.5years for other types of trauma (OT). Of all patients, 8.1% had a Glasgow score<8, 9% had a Glasgow score of 8-13 and 81.1% had a Glasgow score higher than 14. Death occurred in 5.2% of patients: 83.3% as inpatients and 16.7% during initial management in the emergency room (ER). Patients dying in the ER were mostly PT victims, with higher ISS and lower Glasgow scores. CONCLUSIONS: Trauma is an important cause of morbidity and mortality in our pediatric population. Fundación Valle de Lili (FVL), a referral hospital, receives a high number of trauma patients from southwestern Colombia. Detailed knowledge of epidemiological data will help us to develop rapid response strategies for patients with trauma and to develop prevention and promotion programs.
Assuntos
Acidentes por Quedas/mortalidade , Escala de Gravidade do Ferimento , Ferimentos não Penetrantes/mortalidade , Ferimentos Penetrantes/mortalidade , Adolescente , Criança , Pré-Escolar , Colômbia/epidemiologia , Feminino , Hospitais Gerais/estatística & dados numéricos , Humanos , Masculino , Sistema de Registros , Estudos Retrospectivos , Violência/estatística & dados numéricosRESUMO
UNLABELLED: Advanced age has been identified as a predictor factor for complications and poor outcome at Percutaneous Mitral Valvulotomy (PMV) with balloon, nevertheless this has been associated to the inadequate valvular anatomy, whereby the contribution of each factor needs to be determinate. OBJECTIVE: Describe the immediate and final outcome of PMV with Inoue balloon in patients over 50 years old and associate complications with age and Wilkins score. MATERIAL AND METHODS: A retrospective and analytic study was performed with a data base of 430 patients. We included all the patients proceeding from the Centro Medico Nacional Siglo XXI Cardiology Hospital. From January 1996 to December 2005. RESULTS: We selected 137 patients with rheumatic mitral stenosis. We found a Mitral Valvular Area (MVA) before the PMV proceeding of 1.01 cm2 +/- 0.18 and 1.99 cm2 +/- 0.30 post PMV (P < 0.001), with pre procedure transmitral gradient of 14.3 +/- 3.18 mm Hg and of 4.3 +/- 2.6 mm Hg post (P < 0.001). In 128 (93%) the immediate proceeding was considered successful. The Wilkins score was 8.41 +/- 1.31. The observed complications were present in 19 (13.8%), stroke in 3 (2.2%), tamponade in 3 (2.2%), conduction disorder in 5 (3.7%), severe mitral insufficiency in 7 (5.1%), residual interatrial communication in 1 (0.7%). A clinical and echocardiographic follow-up was performed in 113 (83%) MVA was > 1.5 cm2 in 113 at 70 [IBM1] months average, 1.1 to 1.49 cm2 in 14 (10.2%) and < 1 cm2 in 9 (7%). CONCLUSIONS: PMV with Inoue balloon in patients over 50 years old is a procedure with an immediate high successful index and of acceptable risk. We found a restenosis index of 27 (19%) after long follow-up 70 months average.
Assuntos
Oclusão com Balão , Cateterismo , Estenose da Valva Mitral/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de TempoRESUMO
Advanced age has been identified as a predictor factor for complications and poor outcome at Percutaneous Mitral Valvulotomy (PMV) with balloon, nevertheless this has been associated to the inadequate valvular anatomy, whereby the contribution of each factor needs to be determinate. OBJECTIVE: Describe the immediate and final outcome of PMV with Inoue balloon in patients over 50 years old and associate complications with age and Wilkins score. MATERIAL AND METHODS: A retrospective and analytic study was performed with a data base of 430 patients. We included all the patients proceeding from the Centro Medico Nacional Siglo XXI Cardiology Hospital. From January 1996 to December 2005. RESULTS: We selected 137 patients with rheumatic mitral stenosis. We found a Mitral Valvular Area (MVA) before the PMV proceeding of 1.01 cm2 +/- 0.18 and 1.99 cm2 +/- 0.30 post PMV (P < 0.001), with pre procedure transmitral gradient of 14.3 +/- 3.18 mm Hg and of 4.3 +/- 2.6 mm Hg post (P < 0.001). In 128 (93%) the immediate proceeding was considered successful. The Wilkins score was 8.41 +/- 1.31. The observed complications were present in 19 (13.8%), stroke in 3 (2.2%), tamponade in 3 (2.2%), conduction disorder in 5 (3.7%), severe mitral insufficiency in 7 (5.1%), residual interatrial communication in 1 (0.7%). A clinical and echocardiographic follow-up was performed in 113 (83%) MVA was > 1.5 cm2 in 113 at 70 [IBM1] months average, 1.1 to 1.49 cm2 in 14 (10.2%) and < 1 cm2 in 9 (7%). CONCLUSIONS: PMV with Inoue balloon in patients over 50 years old is a procedure with an immediate high successful index and of acceptable risk. We found a restenosis index of 27 (19%) after long follow-up 70 months average.
Assuntos
Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Oclusão com Balão , Cateterismo , Estenose da Valva Mitral , Estudos Retrospectivos , Fatores de TempoRESUMO
Se presentan la incidencia, manifestaciones clínicas, hallazgos radiológicos, electrocardiográficos, ecocardiográficos, gammagráficos y de cateterismo cardiáco de dos casos con la asociación de dextrocardia en situs viscerum inversus con cardiopatía insquémica por aterosclerosis coronaria, así como su evolución clínica y seguimiento a dos años. El primer paciente fue intervenido quirúrgicamente y evoluciona asintomático con prueba de esfuerzo máximo negativa. El segundo paciente, diabético, con anatomía coronaria desfavorable, no fue operado y está en la actualidad con angina estable en clase funcional II de la NYHA. Las características electrocardiográficas y encacardiográficas, y las estrategias angiográficas, son comentadas
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Angiografia , Dextrocardia/complicações , Cardiopatias/etiologia , Isquemia/etiologiaRESUMO
Se realizó un estudio descriptivo-retrospectivo en 889 casos de intoxicación de los 33.432 pacientes atendidos entre 1990 y 1991 en el servicio de atención médica de urgencias de la Cruz Roja Colombiana en Santafé de Bogotá. Se presenta globalmente el desarrollo histórico de la toxicología en Colombia y la situación epidemiológica nacional y extranjera. Finalmente se revisa el diagnóstico y tratamiento de los pacientes y se emiten algunas recomendaciones