Fasciotomía diferida como factor de riesgo para amputación de miembro inferior en pacientes con síndrome compartimental en Hospital Belén de Trujillo
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Date
2023-07-26
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Universidad Nacional de Trujillo
Abstract
El síndrome compartimental agudo es una complicación observada con frecuencia en los servicios de emergencia traumatológica y su detección oportuna y abordaje precoz se han considerado como el paradigma para poder garantizar la viabilidad de la extremidad o segmento corporal afectado a fin de minimizar la morbilidad y garantizar la calidad de vida del paciente, en este sentido consideramos pertinente verificar la influencia de la estrategia que promueve diferir la aplicación de la fasciotomía en los pacientes con este diagnóstico, toda vez que existe reportes que describen una evolución desfavorable en el grupo de pacientes expuestos a este retraso. Ingresarán al estudio todos los pacientes con diagnóstico de síndrome compartimental agudo de miembro inferior que fueron atendidos en el Servicio de Traumatología del Hospital Belén de Trujillo durante el periodo 2017 – 2021 y que cumplan con los criterios de selección correspondientes. Se realizará la revisión del expediente clínico a fin de verificar si el paciente pertenece al grupo expuesto o no expuesto, en función del periodo de isquemia aproximado en horas, a la vez se valorará la necesidad de amputación por medio de la revisión del reporte operatorio correspondiente.
Abstract Acute compartment syndrome is a complication frequently observed in trauma emergency services and its timely detection and early approach have been considered as the paradigm to guarantee the viability of the affected limb or body segment in order to minimize morbidity and guarantee the patient's quality of life. In this sense, we consider it pertinent to verify the influence of the strategy that promotes deferring the application of fasciotomy in patients with this diagnosis, since there are reports that describe an unfavorable evolution in the group of patients exposed to this delay. All patients diagnosed with acute compartment syndrome of the lower limb who were treated in the Traumatology Service of the Belén de Trujillo Hospital during the period 2017 - 2021 and who meet the corresponding selection criteria will be included in the study. The clinical record will be reviewed to verify whether the patient belongs to the exposed or non-exposed group, based on the approximate ischemia period in hours. At the same time, the need for amputation will be assessed by reviewing the corresponding surgical report.
Abstract Acute compartment syndrome is a complication frequently observed in trauma emergency services and its timely detection and early approach have been considered as the paradigm to guarantee the viability of the affected limb or body segment in order to minimize morbidity and guarantee the patient's quality of life. In this sense, we consider it pertinent to verify the influence of the strategy that promotes deferring the application of fasciotomy in patients with this diagnosis, since there are reports that describe an unfavorable evolution in the group of patients exposed to this delay. All patients diagnosed with acute compartment syndrome of the lower limb who were treated in the Traumatology Service of the Belén de Trujillo Hospital during the period 2017 - 2021 and who meet the corresponding selection criteria will be included in the study. The clinical record will be reviewed to verify whether the patient belongs to the exposed or non-exposed group, based on the approximate ischemia period in hours. At the same time, the need for amputation will be assessed by reviewing the corresponding surgical report.
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Keywords
Síndrome Compartimental, Amputación, Fasciotomía