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complicaciones pulmonares son comunes en pacientes tratados en terapia intensiva con fracturas de pelvis: un estudio de cohorte retrospectivo

Lung complications are common in intensive care treated patients with pelvis fractures: a retrospective cohortstudy

 

Fuente
Este artículo es originalmente publicado en:

http://www.ncbi.nlm.nih.gov/pubmed/?term=Lung+complications+are+common+in+intensive+care+treated+patients+with+pelvis+fractures%3A+a+retrospective+cohort+study

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4837640/

http://sjtrem.biomedcentral.com/articles/10.1186/s13049-016-0244-1

 
De:

Engström J1, Reinius H2, Ström J2, Bergström MF2, Larsson IM2, Larsson A2, Borg T3.

Scand J Trauma Resusc Emerg Med. 2016 Apr 19;24(1):52. doi: 10.1186/s13049-016-0244-1.
Todos los derechos reservados para:

Abstract

BACKGROUND:

The incidence of severe respiratory complications in patients with pelvis fractures needing intensive care have not previously been studied. Therefore, the aims of this registry study were to 1) determine the number of ICU patients with pelvis fractures who had severe respiratorycomplications 2) whether the surgical intervention in these patients is associated with the pulmonary condition and 3) whether there is an association between lung complications and mortality. We hypothesized that acute hypoxic failure (AHF) and acute respiratory distress syndrome (ARDS) 1) arecommon in ICU treated patients with pelvis fractures, 2) are not related to the reconstructive surgery, or to 3) to mortality.

CONCLUSIONS:

We found that the incidence of respiratory failure in ICU treated patients with pelvis fractures was high, that the procedure around surgical stabilization seems to be associated with a worsening in the respiratory function in patients with lung contusion, and that mortality was low and was probably not related to the respiratory condition.

Resumen
ANTECEDENTES:
La incidencia de complicaciones respiratorias graves en pacientes con fracturas de pelvis que requieren cuidados intensivos antes no han sido estudiados. Por lo tanto, los objetivos de este estudio de registro fueron: 1) determinar el número de pacientes de UCI con fracturas de pelvis que tuvieron complicaciones respiratorias graves 2) si la intervención quirúrgica en estos pacientes se asocia con la enfermedad pulmonar y 3) la existencia de una asociación entre complicaciones pulmonares y la mortalidad. La hipótesis de que la insuficiencia aguda hipóxica (ICA) y el síndrome de distrés respiratorio agudo (SDRA) 1) son comunes en los pacientes tratados en la UCI con fracturas de pelvis, 2) no están relacionados con la cirugía reconstructiva, o 3) a la mortalidad.
CONCLUSIONES:
Hemos encontrado que la incidencia de la insuficiencia respiratoria en pacientes tratados de UCI con fracturas de pelvis fue alta, que el procedimiento de alrededor de estabilización quirúrgica parece estar asociada con un empeoramiento de la función respiratoria en pacientes con contusión pulmonar, y que la mortalidad era baja y no era probablemente relacionada con la condición respiratoria.

TRIAL REGISTRATION:

Study was registered at ISRCTN.org number, ISRCTN10335587 .

KEYWORDS:

Acute hypoxic failure; Acute respiratory distress syndrome; Intensive care units; Traumatic pelvis fracture

PMID: 27095122 [PubMed – in process] PMCID: PMC4837640 Free PMC Article

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