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La&7y 5[#- endstream endobj 33 0 obj <>/Filter/FlateDecode/ID[]/Info 409 0 R/Length 182/Root 411 0 R/Size 410/Type/XRef/W[1 3 1]>>stream hbb&FF U&C RR lm09D2mB@$;Tˮ"` RL,DJ#H`f`q}0[LIF>h`A 6"/NS00A$7X C ?FQqh8jMW$ސ?`30W endstream endobj startxref 116 %%EOF Registro prospectivo de estrategias diagnósticas implementadas para tromboembolia venosa en servicios de medicina intensiva de Santa Fe - Archivo PPCT

Registro prospectivo de estrategias diagnósticas implementadas para tromboembolia venosa en servicios de medicina intensiva de Santa Fe;
Prospective registry of diagnostic strategies applied on venous thromboembolism in intensive care units of Santa Fe

Creators:Becker, Carlos Alberto; Servicio de Cardiología. Hospital José María Cullen. Santa Fe, Fernández, Ricardo Alcides; Servicio de Cardiología. Hospital José María Cullen. Santa Fe, Paolantonio, Jorge; Unidad de Terapia Intensiva. Sanatorio San Jerónimo. Santa Fe, Lerman, Mario; Unidad Coronaria. Instituto del Diagnóstico. Santa Fe, Ucedo, Enrique; Unidad Coronaria. Instituto Privado de Cardiologia Sagrada Familia. Santa Fe., Avila, Rafael; Unidad de Terapia Intensiva: Hospital José María Cullen. Santa Fe, Faccio, Fernando; Servicio de Cardiología. Sanatorio San Jerónimo. Santa Fe, Botta, cristian; Unidad Coronaria. Clínica de Nefrología y Enfermedades Cardiovasculares. Santa Fe, Carrizo, Néstor; Terapia Intensiva. Clínica de Nefrología y Enfermedades Cardiovasculares. Santa Fe, Obaid, Carla; Unidad Coronaria. Sanatorio Garay. Santa Fe
2014-06-05

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Descripción

Introducción: la Tromboembolia Venosa (TEV) es una enfermedad frecuente con elevada morbimortalidad, la que puede ser reducida en forma drástica cuando se la reconoce y trata precozmente. Su diagnóstico tropieza con dos dificultades: la baja sospecha clínica y la complejidad de los recursos técnicos requeridos no siempre disponibles, lo que dificulta la aplicación de los algoritmos propuestos en las Guías. Objetivos: evaluar las estrategias diagnósticas en los Servicios de Medicina Intensiva (SMI) de la ciudad de Santa Fe,  ante la sospecha de TEV, identificar si se utiliza algún algoritmo diagnóstico y el grado de incertidumbre diagnóstica final. Material y Método: Se convocó a todos los SMI para adultos de la ciudad de Santa Fe para un Registro Prospectivo, Multicéntrico y Observacional, reclutando los pacientes internados con sospecha de TEV (TVP y/o TEP). Resultados: durante tres meses y medio se internaron 3.042 pacientes en los 19 SMI de la ciudad. Se sospechó TEV en 83 pacientes (50 TEP, 10 TVP y 23 TEP+TVP). El diagnóstico se confirmó en 25 (30,1%), se descartó en 33 (39,7%), permaneciendo inciertos 25 (30,1%). La incertidumbre diagnóstica final fue del 25,7% en los servicios privados y 66,6% en los hospitalarios. La Tasa de sospecha fue 2,73% (rango 0,94% a 8,79%). No se aplicó ningún algoritmo propuesto en las Guías, Consensos ni Artículos de Revisión. Conclusiones: Este registro mostró bajo índice de sospecha global para TEV, no se utilizaron los algoritmos diagnósticos propuestos en Guías y Consensos y el diagnóstico permaneció incierto en 30,1 %.

IntroductionVenous thromboembolism is a common disease with high morbidity and mortality which can be reduced drastically with early diagnosis and treatment. The diagnosis of venous thromboembolism faces two difficulties: the low clinical suspicion and the complexity of the technical resources required which are not always available, makingit difficult to apply the algorithms recommended by the guidelines.ObjectivesThe evaluate the diagnostic strategies used by the intensive care units in the city of Santa Fe when venous thromboembolism suspected, and to identify if any diagnostic algorithm is applied and the degree of final uncertain diagnosis.MethodsA prospective multicenter and observational registry of patients hospitalized with suspicion of venous thromboembolism[(deep venous thrombosis (DVT) and/or pulmonary embolism (PE)] was elaborated by all the adult intensive care units.ResultsOver a three and a half-month period, 3042 patients were hospitalized in the 19 intensive care units of the city. Venousthromboembolism was suspected in 83 patients (50 PE, 10DVT and 23 PE + DVT). The diagnosis was confirmed in 25(30.1%), was ruled out in 33 (39.8%) and remained uncertainin 25 (30.1%). The final uncertain diagnosis was 25.7% inprivate centers and 66.6% in public hospitals. The index of suspicion was 2.7% (range 0.9% to 8.8%). The algorithms recommended by guidelines were not systematically used.ConclusionsThis registry showed a low global index of suspicion for venous thromboembolism, the algorithms recommended byguidelines were not used and the final uncertain diagnosiswas 30.1%.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 82, No 3 (2014); 218-224, Argentine Journal of Cardiology; Vol 82, No 3 (2014); 218-224

Citación

Becker, Carlos Alberto; Servicio de Cardiología. Hospital José María Cullen. Santa Fe et al., “Registro prospectivo de estrategias diagnósticas implementadas para tromboembolia venosa en servicios de medicina intensiva de Santa Fe,” Archivo PPCT, consulta 2 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/8155.

Dublin Core

Materia

Autor

Becker, Carlos Alberto; Servicio de Cardiología. Hospital José María Cullen. Santa Fe
Fernández, Ricardo Alcides; Servicio de Cardiología. Hospital José María Cullen. Santa Fe
Paolantonio, Jorge; Unidad de Terapia Intensiva. Sanatorio San Jerónimo. Santa Fe
Lerman, Mario; Unidad Coronaria. Instituto del Diagnóstico. Santa Fe
Ucedo, Enrique; Unidad Coronaria. Instituto Privado de Cardiologia Sagrada Familia. Santa Fe.
Avila, Rafael; Unidad de Terapia Intensiva: Hospital José María Cullen. Santa Fe
Faccio, Fernando; Servicio de Cardiología. Sanatorio San Jerónimo. Santa Fe
Botta, cristian; Unidad Coronaria. Clínica de Nefrología y Enfermedades Cardiovasculares. Santa Fe
Carrizo, Néstor; Terapia Intensiva. Clínica de Nefrología y Enfermedades Cardiovasculares. Santa Fe
Obaid, Carla; Unidad Coronaria. Sanatorio Garay. Santa Fe

Fuente

Revista Argentina de Cardiología; Vol 82, No 3 (2014); 218-224
Argentine Journal of Cardiology; Vol 82, No 3 (2014); 218-224

Editor

Sociedad Argentina de Cardiología

Fecha

2014-06-05

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

Formato

Idioma

spa
eng

Tipo

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion