ERITROCITOSIS PATOLÓGICA DE ALTURA: Caracterización biológica, diagnóstico y tratamiento. HIGH ALTITUDE PATHOLOGICAL ERYTHROCYTOSIS. Diagnóstico y tratamiento | 23 DIC Eritrocitosis. Actualización de los métodos diagnósticos y el manejo de los pacientes con eritrocitosis. 3. original research. DOI: Secondary erythrocytosis due to hypoxemia as prognosis. in exacerbated chronic .
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Mortality and mortality-related factors after hospitalization for acute exacerbation of COPD. Bivariate analysis of prognostic factors for the composite outcome. Complications during hospital stay. Since the NYHA functional class and the use of medications did not differ due to hematocrit levels, tratqmiento parameters in this cohort did not appear to have any relation to the severity of chronic lung disease in patients.
Discussion This study attempted to establish the relationship between red blood cell parameters and the development of adverse outcomes at 30 days in patients with exacerbated chronic lung disease. While the minority of patients had a severe functional class IVthe use of long-acting bronchodilators was limited to only five cases, compared with the more extensive use of methylxanthines.
INADEQUATE TREATMENT OF EXCESSIVE ERYTHROCYTOSIS
Outcome measures The outcome variable was a composite between death, length of hospital stay in tratamieto, need for invasive or non-invasive ventilatory support, need to transfer to ICU and rehospitalization, provided that they were associated with chronic lung disease. Almost half of patients had a history of smoking and it was two times higher in men compared to women.
No relationship between a history of use of home oxygen and hematocrit values was found. The variables that were statistically significant showed some unusual associations, particularly with the Anthonisen classification and the presence of a history of heart failure, the latter being a protective factor, without defining a coherent explanation for this finding and without any publication report with a similar result that could be used to infer that protective effect.
Type of chronic lung disease. Use of short-acting anticholinergic.
Revista de la Facultad de Medicina
The following operating variables were established as admission and results analysis criteria:. Study assessments After checking the study entry criteria and obtaining the authorization of the patients or caregiver for inclusion, we proceeded to collect information through a survey to patients during their hospital stay.
In only one case phlebotomy was repeated. Effects on pulmonary hemodynamics, gas exchange, and exercise capacity. The diagnosis of chronic lung disease was the most common chronic obstructive pulmonary disease Effects of long-term oxygen therapy on mortality and morbidity.
The outcome variable was a composite between death, length of hospital stay in floors, need for invasive or non-invasive ventilatory support, need to transfer to ICU and rehospitalization, provided that they were associated with chronic lung disease.
Patients Patients over 18 years of age, with a history of chronic lung disease, hypoxemia at admission and diagnostic impression of exacerbation of, infectious or non-infectious, chronic lung disease were selected.
Effects of erythrapheresis on pulmonary haemodynamics and oxygen transport in patients with secondary polycythaemia and cor pulmonale. The results showed that exacerbations of chronic lung diseases afflicted, with very little difference in frequency, both men and women and appeared at similar ages, without any difference in the severity of the disease, although comorbidities are more often associated with women.
Own elaboration based on the data obtained in the study. On the other hand, the presence of the exacerbation did not differ according to the Anthonisen criteria, but did show a trend to greater affectation of oxygenation and hypercapnia in the presence of higher hematocrit levels. Hemorheology in the erythrocytoses. Introduction Chronic lung diseases are common and their exacerbations are the main cause of consultation in the emergency department since they impair the quality of life of patients Br J Dis Chest ; History of heart failure.
None of these patients presented any of the outcomes assessed at 30 days. After checking the study entry criteria and obtaining the authorization of the patients or caregiver for inclusion, we proceeded to collect information through a survey to patients during their hospital stay.
History of ischemic heart disease. This study attempted to establish the relationship between red blood cell parameters and the development of adverse outcomes at 30 days in patients with exacerbated chronic lung disease. The most frequently used medications were short-acting bronchodilators, and their combination was the most common association, followed by association with inhaled steroids. Multivariate analysis of prognostic factors for the composite outcome.
Acknowledgements None stated by the authors. Cochrane Database Syst Rev ;4: Funding None stated by the authors. Phlebotomy was performed hratamiento only three patients; indications focused on the hematocrit value and the technique used was variable in each case without having a direct relationship between the volume of blood extracted and the change of red cell values, in fact, in one patient no changes were seen.
Clin Lab Haematol ; By contrast, other prognostic factors found to be related with exacerbations in other studies, such as age, use of home oxygen, the presence of signs of respiratory distress at admission, the number of Anthonisen criteria present and blood gases, could not be validated in this cohort 2,5,22,23, Demographic, clinical and paraclinical variables supported in the literature were included. Morbidity and mortality in pseudopolycythaemia.
Universidad Nacional de Colombia. Exacerbation rate, health status eriitrocitosis mortality in COPD – a review of potential interventions. Clinical and paraclinical characteristics of patients included in the study by sex and hematocrit levels in percentiles. Depending on the outcome, the abnormally distributed variables were reported by their median and interquartile range, while those presenting normal distribution were reported by their mean and standard deviation.
Eritrocitosis – Artículos – IntraMed
At each step, the fulfillment of the criteria for inclusion and exclusion was verified. Thus, determining the implications of erythrocyte parameters might contribute to define the usefulness of phlebotomy or red blood cells transfusion in these patients. A unique clonal JAK2 mutation leading to constitutive signalling causes polycythaemia vera.
A retrospective study of apparent and relative polycythaemia: Therefore, there is a big gap in the state of the art, which indicates eritrocitsis need to expand clinical research to achieve a better characterization of the risk and the need for eritrocitosie of secondary erythrocytosis in stable and exacerbated chronic lung disease.
Acute leukemia and myelodysplasia in patients with a Philadelphia chromosome negative chronic myeloproliferative disorder treated with hydroxyurea alone or with hydroxyurea after busulphan.
Use of systemic steroids.