Evaluación y manejo del dolor en pacientes con hemofilia en el Hospital de San José Centro - Bogotá. Serie de casos
Buitrago, Claudia Liliana | 2016-06-21
ABSTRACT: Pain is a condition of high incidence in patients diagnosed with Hemophilia, affecting the quality of life and requiring a multidisciplinary approach.
Objective. To describe the epidemiological profile, clinical features and treatment of patients diagnosed with Hemophilia at the Hospital San José Centro Bogota, which is a national reference center for this disease.
Methods. A Descriptive study type of case series was developed. Patients over 18 years with diagnosis of Hemophilia were included. A database was built with all patients that have been treated at the Hospital San José Centro Bogota, from January 1st 2013 to March 31st 2016. Qualitative variables were described with absolute and relative frequencies and quantitative variables were described with medians.
Outcomes: 196 patients were diagnosed with Hemophilia. Hemophilia A 155 (79%), Hemophilia B 35 (18%), Carriers 6 (3%). Patients diagnosed with pain 169 (86.2%), aged between 19 – 82 years (mean 39). The most common consultation diagnosis was: knee arthroscopy in 26 patients (30.2%). Average hospitalization per year: 2. Treatment: 114 patients (58%) received opioid management and Tramadol was the most often prescribed: 51 cases (44.7%); Acetaminophen was prescribed in 130 cases (66.3%); and Pregabalin in 11 cases (5.6%). The most common comorbidity was hepatitis C: 17 cases (8.6%). Physical therapy assessed 61 patients (31%) and 33 patients (17%) were evaluated by pain and palliative care.
Conclusion: Our hospital is a national reference center for hemophilia, therefore should set up evaluation and treatment strategies to management of pain in those patients with an interdisciplinary work team