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Título : Prevalencia de complicaciones postquirúrgicas inmediatas en pacientes menores de 15 años que ingresan a la unidad de cuidados intensivos luego de cirugía de corrección de escoliosis del servicio de traumatología y ortopedia del Hospital Pediátrico Baca Ortiz Quito, durante el periodo de enero del 2014 a abril del 2016.
Autor : Hidalgo Cisneros, Fernando Manuel
Moreira Quiroz, Erwin Moisés
Palabras clave : CIRUGÍA CORRECTIVA
ESCOLIOSIS
COMPLICACIONES POSTQUIRÚRGICAS
Fecha de publicación : 2017
Editorial : Quito: UCE
Citación : Moreira Quiroz, Erwin Moisés (2017). Prevalencia de complicaciones postquirúrgicas inmediatas en pacientes menores de 15 años que ingresan a la unidad de cuidados intensivos luego de cirugía de corrección de escoliosis del servicio de traumatología y ortopedia del Hospital Pediátrico Baca Ortiz Quito, durante el periodo de enero del 2014 a abril del 2016. Informe final de investigación presentado como requisito para optar por el Título de Especialista en Ortopedia y Traumatología. Instituto Superior de Postgrado, Postgrado en Ortopedia y Traumatología. Quito: UCE. 78 p.
Resumen : Introduction: Scoliosis surgery is one of the most complex interventions among orthopedic surgeries. This makes the complications derived from these surgeries very frequent and potentially serious. Objective: To determine the prevalence of immediate post-operative complications after a scoliosis corrective surgery. Materials and Methodology: Design: Overall epidemiologic, observational and descriptive study. Place and Subjects: Patients younger than 15. They underwent scoliosis corrective surgery at Hospital Baca Ortiz during January 2014 to April 2016. Variables of Interest: Sex, age, type of scoliosis, surgical time, blood transfusion, hospital stay, complications. Results and conclusions: 50 patients participated, from whom 72% were female and 28% were male. The average age was 7.94 ± 3.49 years. Types of scoliosis: Congenital n = 32 (64%), idiopathic n = 17 (34%), and the neurological n = 1 (2%). It could be observed that n = 27 (54%) presented no complications, and the cases that presented complications were n = 23 (46%). Among the complications, we can mention bleeding n=20; surgical site infection n=1; and implant rupture n = 2. The type of scoliosis with more complications was the congenital with n=15 (46.88%), and the idiopathic scoliosis with n=8 (47.06%). The greatest bleeding increase occurred in the idiopathic scoliosis, with an average of 205.88 ml. Also, high statistical significance with surgical time, pre-operative hemoglobin, mechanical ventilation and bleeding in milliliters were found.
URI : http://www.dspace.uce.edu.ec/handle/25000/11248
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