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Hemolysis in Hemodialysis, Secondary to Severe Vena Cava Stenosis / Dahyana Cadavid Aljure ; Sergio Álvarez Vallejo ; Gloria María Posada Álvarez ; Eliana María Ruiz Aguilar ; Lina Marcela Higuita Urrego ; Catalina María Guerra Álvarez ; Sandra Marcela Marín Durango ; Catalina Ocampo Kohn ; John Fredy Nieto Ríos ; Arbey Aristizabal Álzate ; Gustavo Adolfo Zuluaga Valencia
Título : Hemolysis in Hemodialysis, Secondary to Severe Vena Cava Stenosis Tipo de documento : documento electrónico Autores : Dahyana Cadavid Aljure, Autor asociado al HPTU ; Sergio Álvarez Vallejo, Autor asociado al HPTU ; Gloria María Posada Álvarez, Autor asociado al HPTU ; Eliana María Ruiz Aguilar, Autor asociado al HPTU ; Lina Marcela Higuita Urrego, Autor asociado al HPTU ; Catalina María Guerra Álvarez, Autor asociado al HPTU ; Sandra Marcela Marín Durango, Autor asociado al HPTU ; Catalina Ocampo Kohn, Autor asociado al HPTU ; John Fredy Nieto Ríos, Autor asociado al HPTU ; Arbey Aristizabal Álzate, Autor asociado al HPTU ; Gustavo Adolfo Zuluaga Valencia, Autor asociado al HPTU Fecha de publicación : 2021 Títulos uniformes : Cureus Idioma : Inglés (eng) Palabras clave : hemolysis anemia hemodialysis access stenosis blood circulation complications Resumen : Complications in hemodialysis patients are increasingly rare thanks to advances in technology, including more compatible membranes, more flexible lines, safety in water treatments, alarms in the circuit, and standardization in dialysate fluids plus exhaustive chemical and microbiological tests. In addition, it is highly unusual having hemolysis on hemodialysis; however, it is a life-threatening complication, so the cause must be identified and early managed. The etiology can be chemical or mechanical; however, so far, there are no reports in the literature of an association with severe stenosis of the vena cava, as it is described in the case reported here, where a patient presented hemolysis in two hemodialysis sessions, without initially being possible to find the cause; the only identifiable factor was that he had a dysfunctional tunneled jugular catheter, with a history of difficult vascular access. The patient underwent interventional radiology, finding 99% stenosis of the vena cava, which prevented the passage of the contrast agent to the atrium. Angioplasty and catheter replacement were performed, with a resolution of the complication; the subsequent dialysis therapies were satisfactory. Mención de responsabilidad : Dahyana Cadavid Aljure, Sergio Alvarez-Vallejo, Gloria Posada-Alvarez, Eliana Ruiz-Aguilar, Lina Higuita-Urrego, Catalina Guerra-Alvarez, Sandra Marin-Durango, Catalina Ocampo-Kohn, John Fredy Nieto-Rios, Arbey Aristizabal-Alzate, Gustavo Zuluaga-Valencia Referencia : Cureus. 2021 May 21;13(5):e15156. DOI (Digital Object Identifier) : 10.7759/cureus.15156 PMID : 34168923 En línea : https://www.cureus.com/articles/58087-hemolysis-in-hemodialysis-secondary-to-sev [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Hemolysis in Hemodialysis, Secondary to Severe Vena Cava Stenosis [documento electrónico] / Dahyana Cadavid Aljure, Autor asociado al HPTU ; Sergio Álvarez Vallejo, Autor asociado al HPTU ; Gloria María Posada Álvarez, Autor asociado al HPTU ; Eliana María Ruiz Aguilar, Autor asociado al HPTU ; Lina Marcela Higuita Urrego, Autor asociado al HPTU ; Catalina María Guerra Álvarez, Autor asociado al HPTU ; Sandra Marcela Marín Durango, Autor asociado al HPTU ; Catalina Ocampo Kohn, Autor asociado al HPTU ; John Fredy Nieto Ríos, Autor asociado al HPTU ; Arbey Aristizabal Álzate, Autor asociado al HPTU ; Gustavo Adolfo Zuluaga Valencia, Autor asociado al HPTU . - 2021.
Obra : Cureus
Idioma : Inglés (eng)
Palabras clave : hemolysis anemia hemodialysis access stenosis blood circulation complications Resumen : Complications in hemodialysis patients are increasingly rare thanks to advances in technology, including more compatible membranes, more flexible lines, safety in water treatments, alarms in the circuit, and standardization in dialysate fluids plus exhaustive chemical and microbiological tests. In addition, it is highly unusual having hemolysis on hemodialysis; however, it is a life-threatening complication, so the cause must be identified and early managed. The etiology can be chemical or mechanical; however, so far, there are no reports in the literature of an association with severe stenosis of the vena cava, as it is described in the case reported here, where a patient presented hemolysis in two hemodialysis sessions, without initially being possible to find the cause; the only identifiable factor was that he had a dysfunctional tunneled jugular catheter, with a history of difficult vascular access. The patient underwent interventional radiology, finding 99% stenosis of the vena cava, which prevented the passage of the contrast agent to the atrium. Angioplasty and catheter replacement were performed, with a resolution of the complication; the subsequent dialysis therapies were satisfactory. Mención de responsabilidad : Dahyana Cadavid Aljure, Sergio Alvarez-Vallejo, Gloria Posada-Alvarez, Eliana Ruiz-Aguilar, Lina Higuita-Urrego, Catalina Guerra-Alvarez, Sandra Marin-Durango, Catalina Ocampo-Kohn, John Fredy Nieto-Rios, Arbey Aristizabal-Alzate, Gustavo Zuluaga-Valencia Referencia : Cureus. 2021 May 21;13(5):e15156. DOI (Digital Object Identifier) : 10.7759/cureus.15156 PMID : 34168923 En línea : https://www.cureus.com/articles/58087-hemolysis-in-hemodialysis-secondary-to-sev [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001731 AC-2021-050 Archivo digital Producción Científica Artículos científicos Disponible Thrombosis in abdominal vessels associated with COVID-19 Infection: A report of three cases / Santiago Echeverri Isaza
Título : Thrombosis in abdominal vessels associated with COVID-19 Infection: A report of three cases Tipo de documento : documento electrónico Autores : Santiago Echeverri Isaza, Autor asociado al HPTU Fecha de publicación : 2021 Títulos uniformes : Radiology Case Reports Idioma : Inglés (eng) Palabras clave : COVID- 19 thrombosis complications mesenteric ischemia computed tomography Resumen : Hypercoagulability related to SARS-CoV-2 infection is one of the main extrapulmonary complications of COVID-19. We present three cases of intrabdominal thrombotic complications related to the state of hypercoagulability of COVID-19 and its tomographic features. Hypercoagulability state should be taking into account in the interpretation of radiological images in all infected patients with COVID-19. Mención de responsabilidad : Ana María Posada-Arango M.D., Joaquín García-Madrigal M.D., Santiago Echeverri-Isaza M.D., German Alberto-Castrillón M.D., David Martínez M.D., Andrea C. Gómez BS, Joseph A. Pinto Msc and Luis Pinillos M.D. Referencia : Radiol Case Rep. 2021 Oct;16(10):3044-3050. DOI (Digital Object Identifier) : 10.1016/j.radcr.2021.07.032 PMID : 34306276 Derechos de uso : CC BY-NC-ND En línea : https://linkinghub.elsevier.com/retrieve/pii/S1930043321004969 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Thrombosis in abdominal vessels associated with COVID-19 Infection: A report of three cases [documento electrónico] / Santiago Echeverri Isaza, Autor asociado al HPTU . - 2021.
Obra : Radiology Case Reports
Idioma : Inglés (eng)
Palabras clave : COVID- 19 thrombosis complications mesenteric ischemia computed tomography Resumen : Hypercoagulability related to SARS-CoV-2 infection is one of the main extrapulmonary complications of COVID-19. We present three cases of intrabdominal thrombotic complications related to the state of hypercoagulability of COVID-19 and its tomographic features. Hypercoagulability state should be taking into account in the interpretation of radiological images in all infected patients with COVID-19. Mención de responsabilidad : Ana María Posada-Arango M.D., Joaquín García-Madrigal M.D., Santiago Echeverri-Isaza M.D., German Alberto-Castrillón M.D., David Martínez M.D., Andrea C. Gómez BS, Joseph A. Pinto Msc and Luis Pinillos M.D. Referencia : Radiol Case Rep. 2021 Oct;16(10):3044-3050. DOI (Digital Object Identifier) : 10.1016/j.radcr.2021.07.032 PMID : 34306276 Derechos de uso : CC BY-NC-ND En línea : https://linkinghub.elsevier.com/retrieve/pii/S1930043321004969 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001789 AC-2021-101 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2021-101Adobe Acrobat PDF Completion thyroidectomy: is timing important for transcervical and remote access approaches? / Juan Pablo Dueñas Muñoz
Título : Completion thyroidectomy: is timing important for transcervical and remote access approaches? Tipo de documento : documento electrónico Autores : Juan Pablo Dueñas Muñoz, Autor asociado al HPTU Fecha de publicación : 2020 Títulos uniformes : World Journal of Otorhinolaryngology-Head and Neck Surgery Idioma : Español (spa) Palabras clave : Completion thyroidectomy Total thyroidectomy Complications Nerve monitoring Resumen : Completion thyroidectomy (CT) is employed after lobectomy when histopathological results mandates total removal of the gland as in case of well differentiated thyroid carcinoma (DTC). It is also employed as a second stage thyroid surgery when unfavorable events occur as in recurrent laryngeal nerve injury or when the surgeon finds out the case is beyond his/her expertise in an attempt to protect the contralateral side and allowing time for recovery or for an expert surgeon to help. Mención de responsabilidad : Juan Pablo Dueñas, Carlos Simón Duque, Laura Cristancho, Manuela Méndez Referencia : World J Otorhinolaryngol Head Neck Surg. 2020 Jun 30;6(3):165-170. DOI (Digital Object Identifier) : 10.1016/j.wjorl.2020.02.006 PMID : 33073211 Derechos de uso : CC BY-NC-ND En línea : https://linkinghub.elsevier.com/retrieve/pii/S2095881120300731 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Completion thyroidectomy: is timing important for transcervical and remote access approaches? [documento electrónico] / Juan Pablo Dueñas Muñoz, Autor asociado al HPTU . - 2020.
Obra : World Journal of Otorhinolaryngology-Head and Neck Surgery
Idioma : Español (spa)
Palabras clave : Completion thyroidectomy Total thyroidectomy Complications Nerve monitoring Resumen : Completion thyroidectomy (CT) is employed after lobectomy when histopathological results mandates total removal of the gland as in case of well differentiated thyroid carcinoma (DTC). It is also employed as a second stage thyroid surgery when unfavorable events occur as in recurrent laryngeal nerve injury or when the surgeon finds out the case is beyond his/her expertise in an attempt to protect the contralateral side and allowing time for recovery or for an expert surgeon to help. Mención de responsabilidad : Juan Pablo Dueñas, Carlos Simón Duque, Laura Cristancho, Manuela Méndez Referencia : World J Otorhinolaryngol Head Neck Surg. 2020 Jun 30;6(3):165-170. DOI (Digital Object Identifier) : 10.1016/j.wjorl.2020.02.006 PMID : 33073211 Derechos de uso : CC BY-NC-ND En línea : https://linkinghub.elsevier.com/retrieve/pii/S2095881120300731 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001345 AC-2020-049 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2020-049.pdfAdobe Acrobat PDF Cost-effectiveness of early nutritional therapy in malnourished adult patients in a high complexity hospital / Paula Andrea Roldán Cano
Título : Cost-effectiveness of early nutritional therapy in malnourished adult patients in a high complexity hospital Tipo de documento : documento electrónico Autores : Paula Andrea Roldán Cano, Autor asociado al HPTU Fecha de publicación : 2015 Títulos uniformes : Nutrición Hospitalaria Idioma : Inglés (eng) Palabras clave : Cost-effectiveness malnutrition nutritional therapy complications length of stay Resumen : Introduction: hospital malnutrition is a frequent worldwide problem and its potential issues related include increased complications, length of stay, mortality, and healthcare costs. Objectives: the aim of this study was to establish the cost-effectiveness of early nutritional therapy for malnourished patients in a high complexity hospital. Materials and methods: this analytical study with economic assessment included 227 adult hospitalised and malnourished according to the Subjective Global Assessment. The cohort prospective received Early Nutrition Therapy (ENT), whereas the cohort retrospective received Delayed Nutrition Therapy (DNT). The measures of cost-effectiveness included costs by: length of stay, complications and discharge condition. Results: the cohorts were similar in demographic and clinical characteristics, except that the median age, for the ENT was 61 years (interquartile range [IQR]: 48-71) and for the DNT was 55 years (IQR: 44-67) (p = 0.024). The median length of stay was lower in the ENT (11 days, IQR: 7-17) than in the DNT (18 days, IQR: 10-28) (p < 0.001). The cost per patient discharged alive was US $ 10,261.55 in the ENT and US $ 15,553.11 in the DNT (p=0.043); the cost per patient with complications was US $ 13,663.90 in the ENT and US $ 17,860.32 in the DNT (p= 0.058). ENT increased the likelihood of being discharged alive, RR adjusted=0.31; 95% confidence interval (CI): 0.1; 0.6; (p<0.001) and decreased the likelihood of complications RR crude=0.8; 95% CI: 0.6; 0.9; (p=0.006). Conclusion: early nutritional therapy for malnourished adult patients appears to be cost-effective because it can reduce the length of stay, complications, mortality and associated costs. Mención de responsabilidad : Nubia Amparo Giraldo Giraldo, Johanna Vásquez Velásquez, Paula Andrea Roldán Cano, Carolina Ospina Astudillo, Yuliet Paulina Sosa Cardona Referencia : Nutr Hosp. 2015 Dec 1;32(6):2938-47. DOI (Digital Object Identifier) : 10.3305/nh.2015.32.6.9859 PMID : 26667756 Derechos de uso : CC BY-NC-ND En línea : http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-1611201500120007 [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Cost-effectiveness of early nutritional therapy in malnourished adult patients in a high complexity hospital [documento electrónico] / Paula Andrea Roldán Cano, Autor asociado al HPTU . - 2015.
Obra : Nutrición Hospitalaria
Idioma : Inglés (eng)
Palabras clave : Cost-effectiveness malnutrition nutritional therapy complications length of stay Resumen : Introduction: hospital malnutrition is a frequent worldwide problem and its potential issues related include increased complications, length of stay, mortality, and healthcare costs. Objectives: the aim of this study was to establish the cost-effectiveness of early nutritional therapy for malnourished patients in a high complexity hospital. Materials and methods: this analytical study with economic assessment included 227 adult hospitalised and malnourished according to the Subjective Global Assessment. The cohort prospective received Early Nutrition Therapy (ENT), whereas the cohort retrospective received Delayed Nutrition Therapy (DNT). The measures of cost-effectiveness included costs by: length of stay, complications and discharge condition. Results: the cohorts were similar in demographic and clinical characteristics, except that the median age, for the ENT was 61 years (interquartile range [IQR]: 48-71) and for the DNT was 55 years (IQR: 44-67) (p = 0.024). The median length of stay was lower in the ENT (11 days, IQR: 7-17) than in the DNT (18 days, IQR: 10-28) (p < 0.001). The cost per patient discharged alive was US $ 10,261.55 in the ENT and US $ 15,553.11 in the DNT (p=0.043); the cost per patient with complications was US $ 13,663.90 in the ENT and US $ 17,860.32 in the DNT (p= 0.058). ENT increased the likelihood of being discharged alive, RR adjusted=0.31; 95% confidence interval (CI): 0.1; 0.6; (p<0.001) and decreased the likelihood of complications RR crude=0.8; 95% CI: 0.6; 0.9; (p=0.006). Conclusion: early nutritional therapy for malnourished adult patients appears to be cost-effective because it can reduce the length of stay, complications, mortality and associated costs. Mención de responsabilidad : Nubia Amparo Giraldo Giraldo, Johanna Vásquez Velásquez, Paula Andrea Roldán Cano, Carolina Ospina Astudillo, Yuliet Paulina Sosa Cardona Referencia : Nutr Hosp. 2015 Dec 1;32(6):2938-47. DOI (Digital Object Identifier) : 10.3305/nh.2015.32.6.9859 PMID : 26667756 Derechos de uso : CC BY-NC-ND En línea : http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-1611201500120007 [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000515 AC-2015-068 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2015-068.pdfAdobe Acrobat PDF Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study / Sandra Milena Alzate Jaramillo
Título : Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study Tipo de documento : documento electrónico Autores : Sandra Milena Alzate Jaramillo, Autor asociado al HPTU Fecha de publicación : 2012 Títulos uniformes : Colombia Médica Idioma : Inglés (eng) Palabras clave : Nutritional support enteral nutrition parenteral nutrition complications adults hospitalization Resumen : Introduction: Nutritional support generates complications that must be detected and treated on time. Objective: To estimate the incidence of some complications of nutritional support in patients admitted to general hospital wards who received nutritional support in six high-complexity institutions. Methods: Prospective, descriptive and multicentric study in patients with nutritional support; the variables studied were medical diagnosis, nutritional condition, nutritional support duration, approach, kind of formula, and eight complications. Results: A total of 277 patients were evaluated; 83% received enteral nutrition and 17% received parenteral nutrition. Some 69.3% presented risk of malnourishment or severe malnourishment at admittance. About 35.4% of those receiving enteral nutrition and 39.6% of the ones who received parenteral nutrition had complications; no significant difference per support was found (p = 0.363). For the enteral nutrition, the most significant complication was the removal of the catheter (14%), followed by diarrhea (8.3%); an association between the duration of the enteral support with diarrhea, constipation and removal of the catheter was found (p < 0.05). For parenteral nutrition, hyperglycemia was the complication of highest incidence (22.9%), followed by hypophosphatemia (12.5%); all complications were associated with the duration of the support (p < 0.05). Nutritional support was suspended in 24.2% of the patients. Conclusions: Complications with nutritional support in hospital-ward patients were frequent, with the removal of the catheter and hyperglycemia showing the highest incidence. Duration of the support was the variable that revealed an association with complications. Strict application of protocols could decrease the risk for complications and boost nutritional support benefits. Mención de responsabilidad : Gloria María Agudelo, Nubia Amparo Giraldo, Nora Luz Aguilar, Beatriz Elena Restrepo, Marcela Vanegas, Sandra Alzate, Mónica Martínez, Sonia Patricia Gamboa, Eliana Castaño, Janeth Barbosa, Juliana Román, Angela María Serna, Gloria Marcela Hoyos Referencia : Colomb Med (Cali). 2012 Jun 30;43(2):147-53 DOI (Digital Object Identifier) : 10.25100/cm.v43i2.830 PMID : 24893056 Derechos de uso : CC BY En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/830 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study [documento electrónico] / Sandra Milena Alzate Jaramillo, Autor asociado al HPTU . - 2012.
Obra : Colombia Médica
Idioma : Inglés (eng)
Palabras clave : Nutritional support enteral nutrition parenteral nutrition complications adults hospitalization Resumen : Introduction: Nutritional support generates complications that must be detected and treated on time. Objective: To estimate the incidence of some complications of nutritional support in patients admitted to general hospital wards who received nutritional support in six high-complexity institutions. Methods: Prospective, descriptive and multicentric study in patients with nutritional support; the variables studied were medical diagnosis, nutritional condition, nutritional support duration, approach, kind of formula, and eight complications. Results: A total of 277 patients were evaluated; 83% received enteral nutrition and 17% received parenteral nutrition. Some 69.3% presented risk of malnourishment or severe malnourishment at admittance. About 35.4% of those receiving enteral nutrition and 39.6% of the ones who received parenteral nutrition had complications; no significant difference per support was found (p = 0.363). For the enteral nutrition, the most significant complication was the removal of the catheter (14%), followed by diarrhea (8.3%); an association between the duration of the enteral support with diarrhea, constipation and removal of the catheter was found (p < 0.05). For parenteral nutrition, hyperglycemia was the complication of highest incidence (22.9%), followed by hypophosphatemia (12.5%); all complications were associated with the duration of the support (p < 0.05). Nutritional support was suspended in 24.2% of the patients. Conclusions: Complications with nutritional support in hospital-ward patients were frequent, with the removal of the catheter and hyperglycemia showing the highest incidence. Duration of the support was the variable that revealed an association with complications. Strict application of protocols could decrease the risk for complications and boost nutritional support benefits. Mención de responsabilidad : Gloria María Agudelo, Nubia Amparo Giraldo, Nora Luz Aguilar, Beatriz Elena Restrepo, Marcela Vanegas, Sandra Alzate, Mónica Martínez, Sonia Patricia Gamboa, Eliana Castaño, Janeth Barbosa, Juliana Román, Angela María Serna, Gloria Marcela Hoyos Referencia : Colomb Med (Cali). 2012 Jun 30;43(2):147-53 DOI (Digital Object Identifier) : 10.25100/cm.v43i2.830 PMID : 24893056 Derechos de uso : CC BY En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/830 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000163 AC-2012-003 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2012-003.pdfAdobe Acrobat PDF