Carla Paola Sánchez-Ríos, J. O. Barreto-Rodríguez, Gustavo Iván Centeno-Sáenz, Hazel Vázquez-Rojas
. Introduction: The elderly may represent a specific group of patients at high risk for developing COVID-19 with rapidly progressive clinical deterioration. In fact, in older individuals, immunosenescence and comorbid disorders are more likely to promote a virus-induced cytokine storm resulting in life-threatening respiratory failure and multi- system compromise. Material and methods: A descriptive study of the geriatric population with COVID-19 disease attended at the National Institute of Respiratory Diseases, Mexico City, Mexico in the period March-May 2020 was carried out. 35 hospitalized adult patients over 60 years were confirmed by RT PCR. for COVID-19 disease in pharyngeal exudate. Descriptive statistics were used and results were expressed using measures of central tendency. Results: A total sample of 35 patients was analyzed. 62.85% were male (n = 22). Systemic arterial hypertension was documented in 51.42% (n = 18), obesity in 48.57% (n = 17) and diabetes mellitus in 34.28% (n = 12). The severity of the COVID-19 disease at the time of hospital admission was: mild in 22.85% (n = 8), moderate in 42.85% (n = 15) and severe or critical in 34.28% (n = 12). 80% (n = 28) consulted after presenting symptoms for more than five days. The tomographic findings were ground glass pattern in 82.85% (n = 29), consolidation in 14.28% (n = 5) and «crazy paving» in only one patient (2.8%). The mortality registered in geriatric patients with COVID-19 was 68.57%. Conclusions: The geriatric population is considered vulnerable for the development of COVID-19 disease and for fatal outcomes. Patients with moderate disease should be closely monitored as they tend to eventually develop critical forms. The fatality of COVID-19 disease in older adult patients is high.
{"title":"Análisis descriptivo de adultos mayores mexicanos con enfermedad COVID-19","authors":"Carla Paola Sánchez-Ríos, J. O. Barreto-Rodríguez, Gustavo Iván Centeno-Sáenz, Hazel Vázquez-Rojas","doi":"10.35366/97964","DOIUrl":"https://doi.org/10.35366/97964","url":null,"abstract":". Introduction: The elderly may represent a specific group of patients at high risk for developing COVID-19 with rapidly progressive clinical deterioration. In fact, in older individuals, immunosenescence and comorbid disorders are more likely to promote a virus-induced cytokine storm resulting in life-threatening respiratory failure and multi- system compromise. Material and methods: A descriptive study of the geriatric population with COVID-19 disease attended at the National Institute of Respiratory Diseases, Mexico City, Mexico in the period March-May 2020 was carried out. 35 hospitalized adult patients over 60 years were confirmed by RT PCR. for COVID-19 disease in pharyngeal exudate. Descriptive statistics were used and results were expressed using measures of central tendency. Results: A total sample of 35 patients was analyzed. 62.85% were male (n = 22). Systemic arterial hypertension was documented in 51.42% (n = 18), obesity in 48.57% (n = 17) and diabetes mellitus in 34.28% (n = 12). The severity of the COVID-19 disease at the time of hospital admission was: mild in 22.85% (n = 8), moderate in 42.85% (n = 15) and severe or critical in 34.28% (n = 12). 80% (n = 28) consulted after presenting symptoms for more than five days. The tomographic findings were ground glass pattern in 82.85% (n = 29), consolidation in 14.28% (n = 5) and «crazy paving» in only one patient (2.8%). The mortality registered in geriatric patients with COVID-19 was 68.57%. Conclusions: The geriatric population is considered vulnerable for the development of COVID-19 disease and for fatal outcomes. Patients with moderate disease should be closely monitored as they tend to eventually develop critical forms. The fatality of COVID-19 disease in older adult patients is high.","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"53 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134094243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
@https://dx.doi.org/00000000000. @ Neumol Cir Torax. 2021; 80 (2): 122-127 RESUMEN. La costilla cervical puede ser un raro hallazgo en sujetos asintomáticos. Cuando produce compresión afecta variablemente las estructuras vasculonerviosas del plexo braquial; el cuadro clínico es progresivo, relacionado al movimiento; el diagnóstico es por exclusión, los estudios de imagen indican el sitio de conflicto osteoneurovascular, y los electrofisiológicos indican el grado de afección neural. A continuación presentamos un paciente joven con historia de ocho meses de paresia y disestesias derechas, con imagen de costillas cervicales bilaterales con diferentes características anatómicas. Con este caso se discute cómo una variante de la anatomía produce patología y cuándo no está relacionado a compresión.
{"title":"Síndrome del opérculo torácico superior unilateral en un caso con costillas cervicales bilaterales","authors":"J. M. Alemán-Iñiguez, Hernán Hermida-Córdova","doi":"10.35366/100994","DOIUrl":"https://doi.org/10.35366/100994","url":null,"abstract":"@https://dx.doi.org/00000000000. @ Neumol Cir Torax. 2021; 80 (2): 122-127 RESUMEN. La costilla cervical puede ser un raro hallazgo en sujetos asintomáticos. Cuando produce compresión afecta variablemente las estructuras vasculonerviosas del plexo braquial; el cuadro clínico es progresivo, relacionado al movimiento; el diagnóstico es por exclusión, los estudios de imagen indican el sitio de conflicto osteoneurovascular, y los electrofisiológicos indican el grado de afección neural. A continuación presentamos un paciente joven con historia de ocho meses de paresia y disestesias derechas, con imagen de costillas cervicales bilaterales con diferentes características anatómicas. Con este caso se discute cómo una variante de la anatomía produce patología y cuándo no está relacionado a compresión.","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128564248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Vázquez-García, M. A. Salazar-Lezama, Patricio Santillán-Doherty, Jorge Salas-Hernández, Justino Regalado-Pineda, Sebastián Rodríguez-Llamazares, J. L. Sandoval-Gutiérrez, R. Vega-Barrientos, J. O. Barreto-Rodríguez, Maribel Mateo-Alonso, Erika del Carmen López-Estrada, Ireri Thirión-Romero, Rosaura Esperanza Benítez-Pérez, Armando Castorena-Maldonado, Adrián Pacheco-López, Sergio Monraz-Pérez, J. R. Pérez-Padilla
Telemedicine worldwide and in Mexico has been very useful during the COVID-19 pandemic. Being able to provide health care services where distance is a critical factor, at a time when health services are saturated, and where face-to-face care implies a risk for both the health care provider and the patients, it has been indispensable during the pandemic. The speed with which telemedicine services have been implemented globally has been very different. There are still great challenges to be solved in order to provide this type of care worldwide. It should be noted that telemedicine complements patient care, rather than replacing the usual face-to-face care.
{"title":"Telemedicina durante la pandemia por COVID-19","authors":"J. Vázquez-García, M. A. Salazar-Lezama, Patricio Santillán-Doherty, Jorge Salas-Hernández, Justino Regalado-Pineda, Sebastián Rodríguez-Llamazares, J. L. Sandoval-Gutiérrez, R. Vega-Barrientos, J. O. Barreto-Rodríguez, Maribel Mateo-Alonso, Erika del Carmen López-Estrada, Ireri Thirión-Romero, Rosaura Esperanza Benítez-Pérez, Armando Castorena-Maldonado, Adrián Pacheco-López, Sergio Monraz-Pérez, J. R. Pérez-Padilla","doi":"10.35366/100996","DOIUrl":"https://doi.org/10.35366/100996","url":null,"abstract":"Telemedicine worldwide and in Mexico has been very useful during the COVID-19 pandemic. Being able to provide health care services where distance is a critical factor, at a time when health services are saturated, and where face-to-face care implies a risk for both the health care provider and the patients, it has been indispensable during the pandemic. The speed with which telemedicine services have been implemented globally has been very different. There are still great challenges to be solved in order to provide this type of care worldwide. It should be noted that telemedicine complements patient care, rather than replacing the usual face-to-face care.","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132885389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carolina Reyes-Méndez, Cinthia Fierros-Rodríguez, Ramiro Cárdenas-Ledesma, Andrea Hernández-Pérez, Leonor García-Gómez, R. Perez-Padilla
RESUMEN. El consumo de tabaco tiene consecuencias adversas en la salud cardiovascular y representa un problema de salud pública a nivel mundial que demanda atención integral. Se realizó una revisión sistemática en PubMed de la literatura concerniente al impacto del tabaquismo sobre la salud cardiovascular reportada en metaanálisis publicados en los últimos 10 años. Doce estudios determinaron una asociación significativa entre el tabaquismo y la incidencia de enfermedades cardiovasculares, de los cuales seis demostraron una dismi nución importante de la morbimortalidad tras la implementación de políticas para el control del tabaco. Es necesario fortalecer las acciones de los gobiernos y los profesionales de la salud para disminuir la prevalencia de consumo de tabaco y proteger a la población general de las enfermedades asociadas con este producto, que afectan a todo el cuerpo y que tienden a generar enfermos con múltiples comorbilidades que se tienen que investigar. ABSTRACT. Cigarette smoking has hazardous effects on cardiovascular health and represents a worldwide great concern that demands further attention. We conducted a systematic review using PubMed database of the literature concerning cardiovascular effects of cigarette smoking reported in meta-analyses published in the last 10 years. 12 studies determined a significant association between cigarette smoking and the incidence of cardiovascular diseases, 6 of them demonstrated a substantial decline in the morbimortality after tobacco control policies were implemented. There is a need for the governments and the health care providers to strengthen their actions in order to reduce the prevalence of tobacco smoking and protect the general population from smoking attributable diseases, affecting multiple organs and systems and generating patients with multiple comorbidities.
{"title":"Efectos cardiovasculares del tabaquismo","authors":"Carolina Reyes-Méndez, Cinthia Fierros-Rodríguez, Ramiro Cárdenas-Ledesma, Andrea Hernández-Pérez, Leonor García-Gómez, R. Perez-Padilla","doi":"10.35366/NT191I","DOIUrl":"https://doi.org/10.35366/NT191I","url":null,"abstract":"RESUMEN. El consumo de tabaco tiene consecuencias adversas en la salud cardiovascular y representa un problema de salud pública a nivel mundial que demanda atención integral. Se realizó una revisión sistemática en PubMed de la literatura concerniente al impacto del tabaquismo sobre la salud cardiovascular reportada en metaanálisis publicados en los últimos 10 años. Doce estudios determinaron una asociación significativa entre el tabaquismo y la incidencia de enfermedades cardiovasculares, de los cuales seis demostraron una dismi nución importante de la morbimortalidad tras la implementación de políticas para el control del tabaco. Es necesario fortalecer las acciones de los gobiernos y los profesionales de la salud para disminuir la prevalencia de consumo de tabaco y proteger a la población general de las enfermedades asociadas con este producto, que afectan a todo el cuerpo y que tienden a generar enfermos con múltiples comorbilidades que se tienen que investigar. ABSTRACT. Cigarette smoking has hazardous effects on cardiovascular health and represents a worldwide great concern that demands further attention. We conducted a systematic review using PubMed database of the literature concerning cardiovascular effects of cigarette smoking reported in meta-analyses published in the last 10 years. 12 studies determined a significant association between cigarette smoking and the incidence of cardiovascular diseases, 6 of them demonstrated a substantial decline in the morbimortality after tobacco control policies were implemented. There is a need for the governments and the health care providers to strengthen their actions in order to reduce the prevalence of tobacco smoking and protect the general population from smoking attributable diseases, affecting multiple organs and systems and generating patients with multiple comorbidities.","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132724828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas. Proyección y perspectiva. A 85 años","authors":"J. L. Sandoval-Gutiérrez","doi":"10.35366/103453","DOIUrl":"https://doi.org/10.35366/103453","url":null,"abstract":"","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130663690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandra Cárcamo, W. Pacheco, Glenda Ortiz, María Félix Rivera
. Introduction: the role of imaging resources for the characterization of the spectrum of radiological manifestations, through standardized language and structured reports, serves as a guide for treatment and therapy in COVID-19 patients. Purpose: to determine the clinical-imaging characteristics in the chest tomography in patients with COVID-19 at the Hospital María de Especialidades Pediátricas. Material and methods: observational, cross-sectional study, with an analytical component, carried out at the Hospital María de Especialidades Pediátricas, April 2020-April 2021. All data were obtained from clinical records and digital image archive, 149 patients met the case definition. The inclusion criteria were: confirmed or probable COVID-19 patients 18 years or older who were hospitalized and underwent RT-PCR or antigen tests and HRCT. On the other hand, three scales were used to objectify affectation, severity and degree of suspicion for the prediction of COVID-19 by computerized tomography (CT). Results: the most affected population where female, the most frequent age range was between 40-59 years, (mean of 56) with comorbidities such as hypertension, obesity and diabetes or prediabetes. Most of the patients presented in a chronic or advanced phase of the disease, the following patterns where found the most frequently; cobblestone (80.5%), pleuroparenchymal bands (79.5%) and ground glass pattern (73.8%). There is a strong correlation between the predominant pulmonary patterns and the tomographic evolution phase (Pearson’s correlation coefficient 0.65). Conclusion: computerized tomography is a very valuable tool for diagnosing COVID-19 infection,
． 简介:影像资源通过标准化的语言和结构化的报告，对影像学表现谱进行表征，为COVID-19患者的治疗和治疗提供指导。目的:了解María de Especialidades Pediátricas医院新冠肺炎患者胸部断层扫描的临床影像学特征。材料和方法:2020年4月至2021年4月，在María de Especialidades Pediátricas医院进行了观察性横断面研究，其中包括分析成分。所有数据来源于临床记录和数字图像档案，149例患者符合病例定义。纳入标准为:18岁及以上住院并接受RT-PCR或抗原检测和HRCT的确诊或可能的COVID-19患者。另一方面，采用三种量表客观化假相、严重程度和怀疑程度，用于计算机断层扫描(CT)预测COVID-19。结果:受影响人群以女性为主，最常见的年龄范围在40-59岁之间(平均56岁)，并伴有高血压、肥胖和糖尿病或前驱糖尿病等合并症。大多数患者表现为慢性或晚期疾病，以下模式最常见;鹅卵石纹(80.5%)、胸膜实质纹(79.5%)和磨砂玻璃纹(73.8%)。主要肺形态与层析成像演化阶段有很强的相关性(Pearson相关系数0.65)。结论:计算机断层扫描是诊断COVID-19感染的重要工具。
{"title":"Características clínicas y de imagen de tórax en pacientes con COVID-19 en un hospital de Tegucigalpa, Honduras","authors":"Sandra Cárcamo, W. Pacheco, Glenda Ortiz, María Félix Rivera","doi":"10.35366/111086","DOIUrl":"https://doi.org/10.35366/111086","url":null,"abstract":". Introduction: the role of imaging resources for the characterization of the spectrum of radiological manifestations, through standardized language and structured reports, serves as a guide for treatment and therapy in COVID-19 patients. Purpose: to determine the clinical-imaging characteristics in the chest tomography in patients with COVID-19 at the Hospital María de Especialidades Pediátricas. Material and methods: observational, cross-sectional study, with an analytical component, carried out at the Hospital María de Especialidades Pediátricas, April 2020-April 2021. All data were obtained from clinical records and digital image archive, 149 patients met the case definition. The inclusion criteria were: confirmed or probable COVID-19 patients 18 years or older who were hospitalized and underwent RT-PCR or antigen tests and HRCT. On the other hand, three scales were used to objectify affectation, severity and degree of suspicion for the prediction of COVID-19 by computerized tomography (CT). Results: the most affected population where female, the most frequent age range was between 40-59 years, (mean of 56) with comorbidities such as hypertension, obesity and diabetes or prediabetes. Most of the patients presented in a chronic or advanced phase of the disease, the following patterns where found the most frequently; cobblestone (80.5%), pleuroparenchymal bands (79.5%) and ground glass pattern (73.8%). There is a strong correlation between the predominant pulmonary patterns and the tomographic evolution phase (Pearson’s correlation coefficient 0.65). Conclusion: computerized tomography is a very valuable tool for diagnosing COVID-19 infection,","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127421044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrea Hernández-Pérez, Leonor García-Gómez, Jennifer Osio-Echánove, R. Pérez-Padilla
{"title":"Fumadores ocasionales y ligeros, prevalencia, importancia y alternativas de tratamiento","authors":"Andrea Hernández-Pérez, Leonor García-Gómez, Jennifer Osio-Echánove, R. Pérez-Padilla","doi":"10.35366/100988","DOIUrl":"https://doi.org/10.35366/100988","url":null,"abstract":"","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"84 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129865135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
José Domingo Casillas-Enríquez, Felipe de Jesús Cenobio-García, Alejandro Efraín Benítez-Herrera
{"title":"El reto de la atención médica primaria previa y su asociación con la mortalidad por la COVID-19","authors":"José Domingo Casillas-Enríquez, Felipe de Jesús Cenobio-García, Alejandro Efraín Benítez-Herrera","doi":"10.35366/100989","DOIUrl":"https://doi.org/10.35366/100989","url":null,"abstract":"","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125021814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fortunato Juárez-Hernández, Marina Patricia García-Benítez, Alda Marcela Hurtado-Duarte, Randall Rojas-Varela, Juan Pablo Farías-Contreras, Lya Edith Pensado Piedra, Aloisia Paloma Hernández Moralesa, Roberto Sotelo Robledo, Julio César Gómez Penagos
www.medigraphic.com/neumología www.medigraphic.org.mx RESUMEN. Introducción: La pandemia por SARS-CoV-2 es un importante problema de salud pública a nivel mundial, con altas tasas de morbimortalidad. La tomografía computarizada es fundamental en el proceso diagnóstico dada su alta sensibilidad. Objetivo: Describir los hallazgos tomográficos en la afectación pulmonar por COVID-19. Material y métodos: Estudio transversal analítico. Pacientes atendidos en el Instituto Nacional de Enfermedades Respiratorias, Ciudad de México, con definición operacional vigente de caso sospechoso para COVID-19, que contaran con prueba de RT-PCR específica y tomografía computarizada de tórax en la valoración inicial. Se realizó un análisis descriptivo y analítico mediante la prueba de χ2 y t de Student. Se empleó el programa Epi-Info versión 7. Resultados: Se analizaron 56 pacientes, con una edad promedio de 51 años, 61% fue del sexo masculino. 52% presentaron comorbilidades, siendo la diabetes mellitus la más frecuente. Los síntomas que principalmente se observaron fueron fiebre, tos y cefalea. El patrón tomográfico que predominó fue mixto, con localización subpleural y bilateral. Conclusión: El espectro tomográfico pulmonar de la población estudiada se caracterizó por dos patrones principales: tipo mixto (áreas de consolidación con vidrio deslustrado) y empedrado.
{"title":"Hallazgos tomográficos en afectación pulmonar por COVID-19, experiencia inicial en el Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Ciudad de México","authors":"Fortunato Juárez-Hernández, Marina Patricia García-Benítez, Alda Marcela Hurtado-Duarte, Randall Rojas-Varela, Juan Pablo Farías-Contreras, Lya Edith Pensado Piedra, Aloisia Paloma Hernández Moralesa, Roberto Sotelo Robledo, Julio César Gómez Penagos","doi":"10.35366/94630","DOIUrl":"https://doi.org/10.35366/94630","url":null,"abstract":"www.medigraphic.com/neumología www.medigraphic.org.mx RESUMEN. Introducción: La pandemia por SARS-CoV-2 es un importante problema de salud pública a nivel mundial, con altas tasas de morbimortalidad. La tomografía computarizada es fundamental en el proceso diagnóstico dada su alta sensibilidad. Objetivo: Describir los hallazgos tomográficos en la afectación pulmonar por COVID-19. Material y métodos: Estudio transversal analítico. Pacientes atendidos en el Instituto Nacional de Enfermedades Respiratorias, Ciudad de México, con definición operacional vigente de caso sospechoso para COVID-19, que contaran con prueba de RT-PCR específica y tomografía computarizada de tórax en la valoración inicial. Se realizó un análisis descriptivo y analítico mediante la prueba de χ2 y t de Student. Se empleó el programa Epi-Info versión 7. Resultados: Se analizaron 56 pacientes, con una edad promedio de 51 años, 61% fue del sexo masculino. 52% presentaron comorbilidades, siendo la diabetes mellitus la más frecuente. Los síntomas que principalmente se observaron fueron fiebre, tos y cefalea. El patrón tomográfico que predominó fue mixto, con localización subpleural y bilateral. Conclusión: El espectro tomográfico pulmonar de la población estudiada se caracterizó por dos patrones principales: tipo mixto (áreas de consolidación con vidrio deslustrado) y empedrado.","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127172638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brian Carrera-De la Cruz, A. Orea-Tejeda, Dulce González-Islas, Rocío Sánchez-Santillán
{"title":"Disfunción endotelial como consecuencia de COVID-19","authors":"Brian Carrera-De la Cruz, A. Orea-Tejeda, Dulce González-Islas, Rocío Sánchez-Santillán","doi":"10.35366/111088","DOIUrl":"https://doi.org/10.35366/111088","url":null,"abstract":"","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124081782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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