Examinando por Materia "Morbidity"
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Publicación Acceso abierto Impact of hypothermia during craniosynostosis repair surgery(Sociedad Colombiana de Anestesiología y Reanimación, 2016-07-01) González-Cárdenas, Víctor Hugo; Vanegas-Martínez, María Victoria; Rojas-Rueda, María Elvira; Burbano-Paredes, Claudia Cecilia; Pulido-Barbosa, Nadya TatianatIntroduction: Hypothermia is recognized as a risk factor for perioperative complications inpaediatric patients. High surgical risk procedures serve as a model of exposure to that riskfactor. In particular, surgical correction of craniosynostosis serves as a model for measuringthe impact of hypothermia.Objective: To assess hypothermia-related morbidity and mortality in paediatric patientstaken to craniosynostosis correction.Methodology: Historical cohort study of patients taken to craniosynostosis correction andexposed to hypothermia.Results: With prior approval of the Ethics Committee of the institution, 54 records wereincluded in the analysis. No statistically significant differences were found betweenhypothermia and its impact in terms of morbidity and mortality (death, major bleeding,massive haemorrhage massive transfusion, disseminated intravascular coagulation, needfor vasopressor support, mechanical ventilation time and length of stay, including admission to the intensive care unit). A clinically significant increase in bleeding (severe and massive) and severe hypothermia was found (28.6% vs. 40% and 14.3% vs. 40%, respectively). Conclusions: No statistical differences were found in terms of morbidity and mortality with severe hypothermia (and moderate/severe hypothermia).Publicación Acceso abierto Morbidity and mortality associated with performing bone marrow aspiration and biopsy(Edmond OK: MedCrave Group, 2018-02-06) Patiño, Bonell; Espinosa, Daniel; Solano, María Helena; Abello, Virginia; Casas, ClaudiaBackground: Bone marrow aspiration and biopsy are diagnostic methods in the study of hematological diseases. Complications are rare. Knowing the morbidity and mortality related to the procedure is essential in order to implement preventive behaviors and improvement plans. Objective: To determine the incidence of complications in patients over 18 years who were undergone to bone marrow biopsy and aspiration in a university hospital between October 2013 and May of 2015. Furthermore, frequency, socio-demographic and clinical characteristics were established as well. Materials & methods: Observational, descriptive and retrospective study. The unit of analysis was biopsies and bone marrow aspirations. The information was obtained from the database of outpatient hematology ward, into the program Group of Education and Monitoring of Egress (GESE) of the Hematology Service of Hospital de San José (Bogotá, Colombia), and from medical records. Results: A total of 1252 bone marrow aspirates and biopsies were performed on 914 patients. Seventy-seven complications were reported, which corresponds to 6.15% of all documented procedures. The most frequent complication was: pain (100%), being more affected the women (66%), OR 1,91(IC 1,18-3,11) p=0,003. Regard to pathology diagnosis, 53.2% of biopsies were histologically normal hematopoiesis, followed by 16.8% for chronic myeloproliferative syndromes, which was the diagnosis most commonly associated with bleeding events (40%):OR 8,9 (IC 1,2-66,44) p=0,006, and death (1.3%). Conclusion: Pain was the most frequently reported complication, and among bleeding complications, chronic myeloproliferative disorders were the most common diagnosis. The largest number of complications in women may be related to the anatomical differences between the genders. It is recommended to improve post-procedure analgesia and prospective studies to establish association between complications and diagnosis.Publicación Acceso abierto Stereotactic frame-based guided brain biopsies: experience in a center in Latin America(Bogotá: Fundación Universitaria de Ciencias de la Salud, 2018-05-30) Ordóñez-Rubiano, Edgar Gerardo; Rodríguez-Vargas, Saney; Ospina-Osorio, Jeisson; Zorro-Guío, Oscar Fernando; Patiño, Javier Gustavo; Sánchez Rueda, MarcelaIntroduction: Stereotactic guided biopsies are chosen for deep-located lesions, as well as for those in eloquent areas, when the risk outweighs the benefit of an open procedure, or when open surgery has no advantage over the suspected histology. Objective: This study aims to describe retrospectively the diagnostic yield and the morbidity and mortality related to a series of stereotactic-guided biopsies in a 6-year period in a single center in Latin America. Materials and methods: 62 medical records of patients who underwent stereotactic-guided brain biopsies were reviewed. The clinical features, the morbidity and mortality associated to the procedures were acquired. Results: The complication rate was 2.7% and the diagnostic yield reached 87%. The most frequent location of the target was frontal and the most frequent diagnosis was glioblastoma. Conclusions: The complication rate and the diagnostic yield in this series were similar to the observed in different series performed with frame-based stereotactic procedures or performed with neuronavigation in the literature.