Browsing by Autor "Carolina Madriz"

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Incidencia de la lesión renal aguda por COVID-19: revisión sistemática
(2021) Geraldyne Ortiz; Carolina Madriz; Emperatriz Orti; Tomás Byrne
El brote de COVID-19 se encuentra en pleno desarrollo a escala global, y apenas se ha iniciado la colocación de vacunas en algunos países. Es importante evaluar las posibles complicaciones de esta enfermedad, tal como la lesión renal aguda (LRA) que se asocia con alta tasa de mortalidad. La presente revisión sistematizada pretende cuantificar la incidencia de LRA por COVID-19 desde diciembre de 2019 hasta diciembre de 2020. Método: se realizó la búsqueda de serie de casos y estudios de cohortes en las bases de datos PubMed, Cochrane, LILACS, BVS y Science Direct, publicados entre diciembre de 2019 y diciembre de 2020. Se incluyeron estudios de pacientes mayores de 18 años, que presentaron LRA durante el periodo de enfermedad. Resultados: la incidencia de LRA en 17 cohortes de pacientes hospitalizados por COVID-19, mayores de 18 años fue de 35,1%. Nueve de estos estudios presentaron un desglose de la gravedad de la LRA según los estadios CKIDGO, resultando que el 43,47% estaba en estadio 1, el 21,05% estaba en estadio 2 y el 35,48% estaba en estadio 3. Conclusiones: la lesión renal aguda es una complicación frecuente en la enfermedad por COVID-19, pues presenta una incidencia importante que se incrementa con el estado de severidad del paciente. Se considera necesario el estudio de estas y otras complicaciones para guiar el manejo clínico y la disposición de los tratamientos con el fin de prevenir mayor morbimortalidad. Introduction: The COVID-19 outbreak is in full swing on a global scale, and the introduction of vaccines has only just begun in some countries. It is important to evaluate the possible complications of this disease, such as acute kidney injury (AKI), which is associated with a high mortality rate. This systematic review aims to quantify the incidence of AKI by COVID-19 from december 2019 to december 2020. Method: a search of case series and cohort studies was carried out in the PubMed, Cochrane, LILACS, BVS and Science Direct databases, published between december 2019 and december 2020. They were included studies of patients with COVID-19, older than 18 years, who have presented acute kidney injury during the period of illness. Results: the incidence of AKI in 17 cohorts of patients hospitalized for COVID-19, older than 18 years was 35.1%. Nine of these studies presented a breakdown of AKI severity according to CKIDGO stages, resulting in 43.47% being stage 1, 21.05% stage 2, and 35.48% stage 3. Conclusions: acute kidney injury is a frequent complication in COVID-19 disease, as it has a significant incidence that increases with the severity of the patient. The study of these and other complications is considered necessary to guide clinical management and the provision of treatments in order to prevent greater morbidity and mortality.
Incidencia de la lesión renal aguda por COVID-19: revisión sistemática. Incidence of acute kidney injury by COVID-19: a systematic review
(2021) Geraldyne Ortiz; Carolina Madriz; Emperatriz Ortiz; Tomás Byrne
Introduction: The COVID-19 outbreak is in full swing on a global scale, and the introduction of vaccines has only just begun in some countries. It is important to evaluate the possible complications of this disease, such as acute kidney injury (AKI), which is associated with a high mortality rate. This systematic review aims to quantify the incidence of AKI by COVID-19 from december 2019 to december 2020. Method: a search of case series and cohort studies was carried out in the PubMed, Cochrane, LILACS, BVS and Science Direct databases, published between december 2019 and december 2020. They were included studies of patients with COVID-19, older than 18 years, who have presented acute kidney injury during the period of illness. Results: the incidence of AKI in 17 cohorts of patients hospitalized for COVID-19, older than 18 years was 35.1%. Nine of these studies presented a breakdown of AKI severity according to CKIDGO stages, resulting in 43.47% being stage 1, 21.05% stage 2, and 35.48% stage 3. Conclusions: acute kidney injury is a frequent complication in COVID-19 disease, as it has a significant incidence that increases with the severity of the patient. The study of these and other complications is considered necessary to guide clinical management and the provision of treatments in order to prevent greater morbidity and mortality.
Osteocondroma femoral: hallazgo casual
(2023) Tomás Byrne; Katherin Suárez; Ramón Cárdenas; Cleyderman Villalta; Carolina Madriz
Los osteocondromas son tumores óseos benignos que se desarrollan en la edad pediátrica y cesa su crecimiento con la madurez esquelética. A partir de la placa de crecimiento, en la diáfisis de los huesos largos, se produce una excrecencia, semejante a una herniación que puede tener una base ancha (sésil) o angosta (pediculada), y su superficie forma parte de la corteza ósea de la cual creció. Usualmente son únicos y asintomáticos, pero también pueden ser múltiples y producir manifestaciones por compresión de tejidos vecinos (tendones, paquetes vasculonerviosos o articulaciones), limitando la funcionalidad de la articulación cercana. El diagnóstico se confirma con estudios radiológicos, siendo, en la mayoría de los casos, un hallazgo casual, por no presentase manifestaciones clínicas. El objetivo de la presentación de este caso es revisar el osteocondroma como patología relativamente frecuente, recordar las posibles manifestaciones clínicas, su diagnóstico y tratamiento, a través de la descripción del hallazgo fortuito de un osteocondroma de fémur distal en un adulto de 34 años.
Perfil clínico-epidemiológico y creencias de pacientes con síntomas sospechosos de COVID-19 que no asistieron a una institución de salud, Táchira, 2020 –2021
(2021) Farles Flores; Carolina Madriz
Los pacientes infectados con COVID-19 ameritan asistencia médica inmediata, sin embargo, muchos de ellos no acuden a centros hospitalarios por distintas razones. En la mayoría de los casos, la infección es autolimitada, pero en una pequeña cantidad presenta síntomas más severos y el COVID-19 llega a tener una mortalidad del 3%. Objetivo: describir el perfil epidemiológico, clínico y creencias de pacientes con síntomas sospechosos de COVID-19 que no asistieron a una institución de salud, San Cristóbal, estado Táchira, octubre 2020 a marzo 2021. Método: Enfoque cuantitativo, de tipo descriptivo, con diseño no experimental y corte transversal. Se realizó el cálculo por medio de la cantidad de habitantes de San Cristóbal, estado Táchira, con criterios de inclusión: vivir en la ciudad de San Cristóbal, haber padecido síntomas de COVID-19 en los últimos 6 meses y no haber asistido a un centro hospitalario. Se realizó un cuestionario con Google Formularios y preguntas cerradas. Resultados: el 78% de los participantes no tenía patologías de base, 76% de ellos tuvo contacto con un paciente sospechoso previamente, 62% presentó sintomatología leve, 37% recibió asesoría médica vía teleconsulta, 53% padeció secuela 2 meses luego de terminada la enfermedad. Conclusiones: la mayoría de los pacientes manifestó un cuadro leve y tuvo contacto previo con caso sintomático, un bajo número aprovechó la teleconsulta. Patients infected with COVID-19 deserve immediate medical assistance, however, many of them do not go to hospitals for several reasons. In most cases, the infection is self-limited, but in a small proportion presents more severe symptoms and COVID-19 has a mortality rate of 3%. Objective: to describe the epidemiological and clinical profile and opinions of patients with suspicious symptoms of COVID-19 who did not attend a health institution, San Cristóbal, Táchira state, October 2020 to March 2021. Method: quantitative approach, descriptive type, with non-experimental design and cross section. The calculation was made by means of the number inhabitants of San Cristóbal, Táchira state, with inclusion criteria: living in the city of San Cristóbal, having suffered symptoms of COVID-19 in the last 6 months and not having attended a hospitable center. A questionnaire was carried out with Google Forms and closed questions. Results: 78% of the participants had no underlying pathologies, 76% of them had contact with a previously suspicious patient, 62% had mild symptoms, 37% received medical advice across medical teleconsultation, 53% suffered sequelae 2 months later after the pathology is over. Conclusions: most of the patients had a mild condition and had previous contact with a suspicious case, a low number took advantage of medical teleconsultation.
Perfil clínico-epidemiológico y creencias de pacientes con síntomas sospechosos de COVID-19 que no asistieron a una institución de salud, Táchira, 2020 –2021. Clinical-epidemiological profile and beliefs of patients with suspicious symptoms of COVID-19 who did not attend a health institution, Táchira, 2021
(2021) Farles Flores; Carolina Madriz
Patients infected with COVID-19 deserve immediate medical assistance, however, many of them do not go to hospitals for several reasons. In most cases, the infection is self-limited, but in a small proportion presents more severe symptoms and COVID-19 has a mortality rate of 3%. Objective: to describe the epidemiological and clinical profile and opinions of patients with suspicious symptoms of COVID-19 who did not attend a health institution, San Cristobal, Tachira state, October 2020 to March 2021. Method: quantitative approach, descriptive type, with non-experimental design and cross section. The calculation was made by means of the number inhabitants of San Cristobal, Tachira state, with inclusion criteria: living in the city of San Cristobal, having suffered symptoms of COVID-19 in the last 6 months and not having attended a hospitable center. A questionnaire was carried out with Google Forms and closed questions. Results: 78% of the participants had no underlying pathologies, 76% of them had contact with a previously suspicious patient, 62% had mild symptoms, 37% received medical advice across medical teleconsultation, 53% suffered sequelae 2 months later after the pathology is over. Conclusions: most of the patients had a mild condition and had previous contact with a suspicious case, a low number took advantage of medical teleconsultation.