Revista médica del Instituto Mexicano del Seguro Social最新文献_第8页

[Mature teratoma with malignant differentiation treated with peritonectomy with HIPEC]. 【成熟畸胎瘤伴恶性分化伴HIPEC腹膜切除术】。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Magaly Denise Peña-Arriaga, Diana Paola Ramírez-Salado, Laura Denisse Ramírez-González, Héctor Martínez-Gómez, Ruth Ruiz Esparza-Garrido

{"title":"[Mature teratoma with malignant differentiation treated with peritonectomy with HIPEC].","authors":"Magaly Denise Peña-Arriaga, Diana Paola Ramírez-Salado, Laura Denisse Ramírez-González, Héctor Martínez-Gómez, Ruth Ruiz Esparza-Garrido","doi":"","DOIUrl":"","url":null,"abstract":"Background: Mature teratomas belong to the group of germ line ovarian tumors; they generally have benign behavior. Malignant transformation occurs in 0.2% to 1% of tumors. The objective is to show the results of peritonectomy with HIPEC in the treatment of a mature teratoma with malignant differentiation with signet ring cells.Clinical case: 43-year-old woman diagnosed with mature malignant teratoma with signet ring cells. It was performed optimal primary cytoreduction surgery, total hysterectomy, bilateral salpingo-oophorectomy, peritonectomy, appendectomy, cholecystectomy and splenectomy adding intraoperative hyperthermic chemotherapy (HIPEC).Conclusions: Malignant transformation of a mature teratoma of the ovary is a rare event, but not exceptional. HIPEC was used after optimal cytoreduction, with good results, since the patient is in a disease-free period of 36 months. It is necessary to report cases in order to compare different types of treatment to improve oncological results.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"111-116"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d1/00/04435117-61-1-111.PMC10396065.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9937574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Complete androgen insensitivity syndrome: diagnosis and multidisciplinary management]. [完全雄激素不敏感综合征:诊断和多学科治疗]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Ketzarly Gitzelim Gallardo-Durán, Beatriz Elizabeth De la Fuente-Cortez, Teresa Carolina Villarreal-Benavides, Catalina García-Vielma

{"title":"[Complete androgen insensitivity syndrome: diagnosis and multidisciplinary management].","authors":"Ketzarly Gitzelim Gallardo-Durán, Beatriz Elizabeth De la Fuente-Cortez, Teresa Carolina Villarreal-Benavides, Catalina García-Vielma","doi":"","DOIUrl":"","url":null,"abstract":"Background: Complete androgen insensitivity syndrome (CAIS) is a sexual differentiation disorder, caused by a defect in the androgen receptor gene (AR; OMIM# 313700). It is characterized by the resistance of target tissues to the action of testosterone, which prevents normal male genital development. The objective is to describe a family case of CAIS and highlight the importance of multidisciplinary medical management and early diagnosis of this syndrome.Clinical case: We present two cases of SICA in a Mexican family. Case 1: 18-year-old female patient with primary amenorrhea and a history of surgery at an early age, without performing gonadectomy. Case 2: 11-year-old female patient who, due to the history of her sister, underwent surgery at that age. In both patients, absence of uterus and ovaries, hypoplastic vagina and male gonads is reported. The 46,XY karyotype was detected with the GTG and CBG band technique and fluorescent in situ hybridization with the presence of the Y chromosome in 100% of the cells analyzed. Although both patients were identified with their assigned sex, they were referred to the institution's psychiatric clinic.Conclusions: The importance of multidisciplinary management for the diagnosis of SICA at an early age is discussed, in order to make decisions regarding the treatment and management of patients, avoiding malignant transformation of the male gonads.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"117-122"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9a/eb/04435117-61-1-117.PMC10399756.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9937575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Anti-MDA5 dermatomyositis. Literature review]. [Anti-MDA5皮肌炎。文献综述)。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Sirenia Alejandra Castro-Molina, Silvia Méndez-Flores

{"title":"[Anti-MDA5 dermatomyositis. Literature review].","authors":"Sirenia Alejandra Castro-Molina, Silvia Méndez-Flores","doi":"","DOIUrl":"","url":null,"abstract":"Dermatomyositis positive anti-melanoma differentiation-associated gene 5 (anti-MDA5 DM) is a rare disease that represents less than 2%. The prevalence of anti-MDA5 DM ranges from 7 to 60%, with higher prevalence in Asian (11-60%) and women. The clinical picture may be variable and is accompanied by the typical features of dermatomyositis, such as periorbital heliotrope (blue-purple) rash with edema, erythematous rash on the face, or the anterior chest (in a V-sign), and back and shoulders (in a shawl sign), violaceous papules or plaques located on the dorsal part of the metacarpophalangeal or interphalangeal joints, which are pathognomonic by definition; yet, one of the most striking signs is the painful ulceration skin that is found in 82% of cases, which is deep and in punching holes or showing hyperkeratotic crusts. For diagnosis is necessary the typical DM rashes (Gottron's papules or Gottron's sign and heliotrope rash), along with either an \"interface dermatitis\" skin pathology or evidence of myositis or a MSA (myositis-specific autoantibodies). Immunoprecipitation is the gold standard method to detect MSA. Combinations of glucocorticoids and immunosuppressants are used for treatment; besides, it is necessary the detection of rapidly progressive interstitial disease (RP-ILD) with a high-resolution CT because of its high association with fatal prognosis.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"99-105"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ef/b3/04435117-61-1-99.PMC10395958.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9991271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Associating prognostic factors with clinical results in locally advanced breast cancer]. [将局部晚期癌症的预后因素与临床结果相关联]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Nicolás Ramírez-Torres, Alfonso Reyes-López, Marcelino Hernández-Valencia

{"title":"[Associating prognostic factors with clinical results in locally advanced breast cancer].","authors":"Nicolás Ramírez-Torres, Alfonso Reyes-López, Marcelino Hernández-Valencia","doi":"","DOIUrl":"","url":null,"abstract":"Background: Breast cancer is the most frequent malignant tumor in women.Objective: To identify clinico-pathological and molecular markers as predictors of survival in patients with locally advanced breast cancer (LABC).Methods: Retrospective and observational study. The clinical factors of clinico-pathological and molecular predictors in relation with overall survival (OS) were assessed by the survival function, baseline hazard with smoothing and Cox regression.Results: 126 patients were assessed. OS at five years was significantly superior in patients with clinical stage IIIA (87%; p < 0.001), grade 2 tumor (81%; p < 0.001), pathological node stage (ypN0: 90%; p < .001), low-risk Nottingham prognostic index (86%; p < 0.001) and luminal A subtype (88%; p = 0.022). Baseline hazard with smoothing exhibited an increase in the mortality rate at 50 months for the luminal B/ HER2+ subtype compared with other subtypes. The multivariate analysis ascertained that the stage ypN2-3 (hazard ratio [HR] = 7.3; 95% confidence interval [95% CI]: 2.2 to 23.9) and the HER2+ nonluminal (HR = 7.8; 95% CI: 2 to 29.6) and triple negative (HR = 5.4; 95% CI: 1.7 to 17.2) subtypes were associated with a poor OS.Conclusions: The comprehensive evaluation of the molecular marker and clinico-pathological factors provides more accurate predictive and prognostic information. The nodal stage and molecular subtype are suitable clinical parameters on survival for LABC patients.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"88-98"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/67/14/04435117-61-1-88.PMC10395981.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9991274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Effect of rehabilitation on functionality/quality of life in stroke due to COVID-19]. [康复对COVID-19脑卒中患者功能/生活质量的影响]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Ana Karen Herrera-Hernández, Aidée Gibraltar-Conde, Rubén Torres-González, Daniel Martínez-Barro

{"title":"[Effect of rehabilitation on functionality/quality of life in stroke due to COVID-19].","authors":"Ana Karen Herrera-Hernández, Aidée Gibraltar-Conde, Rubén Torres-González, Daniel Martínez-Barro","doi":"","DOIUrl":"","url":null,"abstract":"Background: COVID-19 can present neurological complications of the central nervous system. Ischemic-type strokes have been reported in this population. Neurological rehabilitation participates in the functional recovery and improvement of the quality of life of these patients.Objective: To measure the functionality and quality of life of patients with ischemic stroke due to COVID-19.Material and methods: An observational, prospective and longitudinal study of patients with ischemic stroke admitted to a neurological rehabilitation program was carried out. The Barthel index, the modified Rankin Scale and the SF-12 were used to monitor functionality and quality of life. To compare the proportions of patients with functional independence, the McNemar test was used; for SF-12 scores, Student's t test was used for related data or Wilcoxon test, depending on their normality. A p < 0.05 was significant.Results: 21 patients were included; mean age was 53.57 ± 12.2 years; they were predominantly male (66.7%). The percentage of patients with higher degrees of independence in daily and functional life increased, both in the Barthel index (p < 0.01) and in the modified Rankin scale (p < 0.01) at the third month of follow-up. There was an improvement in the quality of life in its physical component (p = 0.02), as well as in the dimensions of general health (p = 0.01) and mental health (p = 0.04).Conclusions: Patients with stroke due to COVID-19 admitted to the neurological rehabilitation program presented improvement in functional independence and increased their quality of life in their physical component at 3-month follow-up.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"8-14"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2c/00/04435117-61-1-8.PMC10395903.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10293565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Diagnostic performance of the FINDRISC questionnaire to identify insulin resistance in adults]. [FINDRISC问卷对成人胰岛素抵抗的诊断性能]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Yuline Varela-Vega, Ivonne Analí Roy-García, Marcela Pérez-Rodríguez, Lubia Velázquez-López

{"title":"[Diagnostic performance of the FINDRISC questionnaire to identify insulin resistance in adults].","authors":"Yuline Varela-Vega, Ivonne Analí Roy-García, Marcela Pérez-Rodríguez, Lubia Velázquez-López","doi":"","DOIUrl":"","url":null,"abstract":"Background: Insulin resistance (IR) is a state prior to the development of type 2 diabetes (T2D) and it is reversible with lifestyle modification. However, it is underdiagnosed due to the difficulty in its measurement.Objective: To evaluate the diagnostic performance of the FINDRISC questionnaire to identify IR.Material and methods: An analytical cross-sectional study was performed in adults aged 20 to 60 years without previous diagnosis of T2D. Those using steroids and pregnant women were excluded. IR was diagnosed through the Triglycerides/glucose index. A ROC curve was used to establish the cut-off point for the diagnosis of IR. Sensitivity, specificity, predictive values and likelihood ratios were calculated. Risk measurement for IR was performed with the FINDRISC instrument.Results: A total of 253 participants were included, with a prevalence of IR of 60.8%. The area under the curve of the FINDRISC instrument was 0.813 (95% confidence interval [95% CI] 0.759-0.865), with a cut-off point of 8. Sensitivity was 94.8% and specificity was 48.5%, positive predictive value was 74% and negative 86%, with a positive likelihood ratio of 1.84 and a negative of 0.11.Conclusions: The FINDRISC instrument is a useful screening tool to identify subjects with IR at the first level of care. A score ≥ 8 identifies subjects with IR.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"33-41"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9b/e2/04435117-61-1-33.PMC10395935.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10293566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Doctor-patient relationship and therapeutic adherence in patients with arterial hypertension]. [动脉高血压患者的医患关系与坚持治疗]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Alibe Natanai Peña-Valenzuela, Wilyaham Ruiz-Cervantes, Casandra Barrios-Olán, Ana Isabel Chávez-Aguilasocho

{"title":"[Doctor-patient relationship and therapeutic adherence in patients with arterial hypertension].","authors":"Alibe Natanai Peña-Valenzuela, Wilyaham Ruiz-Cervantes, Casandra Barrios-Olán, Ana Isabel Chávez-Aguilasocho","doi":"","DOIUrl":"","url":null,"abstract":"Background: Systemic Arterial hypertension (SAH) is a serious socio-sanitary problem with high morbidity and mortality, potentially controllable with therapeutic interventions; however, not all patients achieve their therapeutic objectives, mostly due to therapeutic non-adherence, a multifactorial entity that can be reduced through a proper doctor-patient relationship.Objective: To determine the association between the doctor-patient relationship and the therapeutic adherence in patients with arterial hypertension.Material and methods: Observational, cross-sectional, analytical, and prospective study carried out from January to November 2021 in a sample of 289 patients with SAH from a family medical unit in Northwest Mexico; the 8-item Morisky-Green Test was used to assess therapeutic adherence and the Patient-Doctor Relationship Questionnaire to assess the doctor-patient relationship.Results: The prevalence of therapeutic adherence was 57%, which is why 4 out of 10 patients with SAH were not adherent to their treatment, and more than half of the patients showed a good doctor-patient relationship (64%), which doubles the probability of adherence to antihypertensive treatment (OR 1.92, 26 with a 95% CI of 1.54-2.39, p = 0.000).Conclusions: The absence of adherence to antihypertensive treatment is a frequent and multifactorial problem, with few advances in recent decades. The doctor-patient relationship is a factor that influences the therapeutic adherence of patients with SAH.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"55-60"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b2/29/04435117-61-1-55.PMC10396067.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9991268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Hematological indices associated with mortality in critically ill patients with COVID-19]. [与COVID-19危重患者死亡率相关的血液学指标]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Aura Angélica López-García, Miguel Ángel Ramos-Choreño, Luis Alejandro Sánchez-Hurtado, Laura Romero-Gutiérrez, Salvador Calleja-Alarcón, Araceli Gudiño-Turrubiates, Natividad Neri-Muñoz, Jesús Manuel Ponce-Sánchez, Tania Colín-Martínez

{"title":"[Hematological indices associated with mortality in critically ill patients with COVID-19].","authors":"Aura Angélica López-García, Miguel Ángel Ramos-Choreño, Luis Alejandro Sánchez-Hurtado, Laura Romero-Gutiérrez, Salvador Calleja-Alarcón, Araceli Gudiño-Turrubiates, Natividad Neri-Muñoz, Jesús Manuel Ponce-Sánchez, Tania Colín-Martínez","doi":"","DOIUrl":"","url":null,"abstract":"Background: The COVID-19 disease has represented one of the most important threats to health. The most severe form is acute respiratory distress syndrome (ARDS). The inflammatory response can cause hematologic changes.Objective: To determine the association between the Neutrophil/lymphocyte ratio (NLR) and the mean platelet volume (MPV) associated with mortality in critically ill patients with COVID-19 and ARDS.Material and methods: A retrospective study was carried out in an intensive care unit (ICU) in a public hospital, with patients in critical condition due to COVID-19 and on mechanical ventilation. The clinical characteristics of admission and severity of the disease were recorded. The end point was the ICU discharge condition.Results: 162 subjects were gathered, 103 were men, with a mean age of 54.54 ± 13.53 years. 66.7% died in the ICU. The NLR had an area under the curve (aROC) of 0.62, with a cut-off point for mortality of > 7.04, sensitivity of 94.4%, specificity of 29.63%. The VPM had an aROC of 0.65 with a cut-off point > 9.5, sensitivity of 30.84%, and specificity of 92.59%; finally, the APACHE II had an aROC of 0.67 with a cut-off point > 14, sensitivity of 51.4% and specificity of 80%. The NLR presented an odds ratio (OR) of 5.02, the VPM 2.06 and the APACHE II score 1.16.Conclusions: NLR, MPV, and APACHE II at ICU admission are associated with mortality for critically ill patients with COVID-19.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"75-81"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9f/53/04435117-61-1-75.PMC10395922.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9937572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Laboratories as predictors of length of hospital stay in patients with pneumonia]. [实验室作为肺炎患者住院时间的预测指标]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Gustavo Rivera-Saldivar, Humberto Zamudio-Osorio, Samuel Vega-Castro

{"title":"[Laboratories as predictors of length of hospital stay in patients with pneumonia].","authors":"Gustavo Rivera-Saldivar, Humberto Zamudio-Osorio, Samuel Vega-Castro","doi":"","DOIUrl":"","url":null,"abstract":"Background: There are several factors that influence the length of hospital stay (LoHS) in patients with community-acquired pneumonia (CAP). There is currently no study in the literature that correlates laboratory parameters at hospital admittance with the LoHS.Objective: To find the association of laboratory parameters with the LoHS in patients with community-acquired pneumonia.Material and methods: An observational, prospective, longitudinal, and controlled study was conducted in the emergency room of a secondary level hospital.Results: The mean time of LoHS in patients with CAP was 6.6 ± 3.0 days. The parameters of laboratory of monocytes, basophils and segmented neutrophils presented a correlation (Spearman rho) of 0.363, 0.364 and 0.331; p =0.02, 0.02 and 0.04, respectively, with LoHS. Systemic arterial hypertension (SAH) presented a relative risk (RR) of 2.8 (95% confidence interval [95% CI]: 1.41-5.56; p < 0.001), and the chronic obstructive pulmonary disease (COPD) a RR 1.94, (95%CI: 1.31-2.88; p = 0.03) associated with prolonged LoHS.Conclusions: LoHS in patients with CAP is related to the counting of monocytes, basophils, and neutrophils at the time of the hospital admittance and it was increased in patients with SAH and patients with COPD.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"82-87"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/07/ed/04435117-61-1-82.PMC10396059.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9991273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Correlation between Predictive Index of Difficult Intubation and Cormack]. [插管困难预测指标与Cormack的相关性]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Maritza Domínguez-Pérez, Roxana Del Socorro González-Dzib

{"title":"[Correlation between Predictive Index of Difficult Intubation and Cormack].","authors":"Maritza Domínguez-Pérez, Roxana Del Socorro González-Dzib","doi":"","DOIUrl":"","url":null,"abstract":"Background: More than 600 people die each year in developed countries from complications at the time of orotracheal intubation. Studies have shown that all predictors used so far have low ability to predict difficult airway. When analyzing this ability, both clinical suspicion, indirect laryngoscopy and even the different individual examinations showed predictive values higher than 80%.Objective: To evaluate the concordance between the Predictive Index of Difficult Intubation (PIDI) and the Cormack regarding the diagnosis of difficult intubation in patients undergoing open and laparoscopic cholecystectomy under balanced general anesthesia.Material and methods: Observational, prospective, cross-sectional, analytical concordance study, carried out in patients aged 18 to 60 who underwent open and laparoscopic cholecystectomy. The sample was probabilistic, the statistical analysis applied univariate and bivariate, specifically the Kappa index.Results: A total of 96 patients were analyzed; 77 were female with a mean age of 40.4 years. Said sample presented a PIDI of easy intubation in 75%, discreet difficulty in 21.9% and frank difficulty in 3.1%. After conventional direct laryngoscopy, 75% presented Cormack I, 16.7% presented Cormack II, 8.3% presented Cormack III. The bivariate analysis with the Kappa index statistic showed a value of 0.242.Conclusions: It is accepted the alternative hypothesis demonstrating that there is a correlation between the PIDI and the Cormack concerning the diagnosis of difficult intubation in patients undergoing open and laparoscopic cholecystectomy under balanced general anesthesia.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"15-20"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b4/d0/04435117-61-1-15.PMC10395993.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10293564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0