Secondary erythrocytosis due to hypoxemia as prognosis in exacerbated chronic pulmonary diseases

Introduction: Even though exacerbations are the main cause of emergency consultation in patients suffering from lung diseases, erythrocyte parameters are not assessed in their prognosis. Thus, determining the implications of erythrocyte parameters might contribute to define the usefulness of phlebot...

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Autores:
Galindo, Javier Leonardo
Granados, Carlos Eduardo
Galeano, Adriana Catalina
Callejas, Ana Milena
Sánchez, Víctor Leonardo
Tipo de recurso:
Article of journal
Fecha de publicación:
2016
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/65189
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/65189
http://bdigital.unal.edu.co/66212/
Palabra clave:
61 Ciencias médicas; Medicina / Medicine and health
Policitemia
Enfermedades pulmonares
Flebotomía
Polycythemia
Lung Diseases
Phlebotomy
Rights
openAccess
License
Atribución-NoComercial 4.0 Internacional
id UNACIONAL2_8a9faa31d869f2fb6d7251d95a293a9d
oai_identifier_str oai:repositorio.unal.edu.co:unal/65189
network_acronym_str UNACIONAL2
network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Secondary erythrocytosis due to hypoxemia as prognosis in exacerbated chronic pulmonary diseases
title Secondary erythrocytosis due to hypoxemia as prognosis in exacerbated chronic pulmonary diseases
spellingShingle Secondary erythrocytosis due to hypoxemia as prognosis in exacerbated chronic pulmonary diseases
61 Ciencias médicas; Medicina / Medicine and health
Policitemia
Enfermedades pulmonares
Flebotomía
Polycythemia
Lung Diseases
Phlebotomy
title_short Secondary erythrocytosis due to hypoxemia as prognosis in exacerbated chronic pulmonary diseases
title_full Secondary erythrocytosis due to hypoxemia as prognosis in exacerbated chronic pulmonary diseases
title_fullStr Secondary erythrocytosis due to hypoxemia as prognosis in exacerbated chronic pulmonary diseases
title_full_unstemmed Secondary erythrocytosis due to hypoxemia as prognosis in exacerbated chronic pulmonary diseases
title_sort Secondary erythrocytosis due to hypoxemia as prognosis in exacerbated chronic pulmonary diseases
dc.creator.fl_str_mv Galindo, Javier Leonardo
Granados, Carlos Eduardo
Galeano, Adriana Catalina
Callejas, Ana Milena
Sánchez, Víctor Leonardo
dc.contributor.author.spa.fl_str_mv Galindo, Javier Leonardo
Granados, Carlos Eduardo
Galeano, Adriana Catalina
Callejas, Ana Milena
Sánchez, Víctor Leonardo
dc.subject.ddc.spa.fl_str_mv 61 Ciencias médicas; Medicina / Medicine and health
topic 61 Ciencias médicas; Medicina / Medicine and health
Policitemia
Enfermedades pulmonares
Flebotomía
Polycythemia
Lung Diseases
Phlebotomy
dc.subject.proposal.spa.fl_str_mv Policitemia
Enfermedades pulmonares
Flebotomía
Polycythemia
Lung Diseases
Phlebotomy
description Introduction: Even though exacerbations are the main cause of emergency consultation in patients suffering from lung diseases, erythrocyte parameters are not assessed in their prognosis. Thus, determining the implications of erythrocyte parameters might contribute to define the usefulness of phlebotomy or red blood cells transfusion in these patients.Objective: To establish a possible relationship between the different hematocrit levels with a 30-day prognosis in patients admitted with exacerbated chronic lung disease and hypoxemia.Materials and methods: A study based on a 30-day follow-up was conducted. Variables were described using an additional categorization by hematocrit levels and an adjustment in a multivariate model through logistic regression.Results: Follow-up was completed for 110 Patients. The frequency of anemia was 7.3% and of erythrocytosis, 14.5%. A significant association to the outcome using Anthonisen score (OR=10.45, 95%CI: 1.11-98.48, p=0.04), hypertension (OR=11.02, 95%CI: 1.32-91.75, p=0.026) and heart failure (OR=0.09, 95%CI: 0.01-0.82, p=0.032) was found.Conclusion: This research could not determine any relationship between erythrocyte parameters and prognosis of patients suffering from pulmonary diseases; nevertheless, extreme values of hematocrits tended to have adverse outcomes.
publishDate 2016
dc.date.issued.spa.fl_str_mv 2016-07-01
dc.date.accessioned.spa.fl_str_mv 2019-07-02T23:57:41Z
dc.date.available.spa.fl_str_mv 2019-07-02T23:57:41Z
dc.type.spa.fl_str_mv Artículo de revista
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dc.type.content.spa.fl_str_mv Text
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dc.identifier.issn.spa.fl_str_mv ISSN: 2357-3848
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/65189
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identifier_str_mv ISSN: 2357-3848
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dc.language.iso.spa.fl_str_mv spa
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dc.relation.spa.fl_str_mv https://revistas.unal.edu.co/index.php/revfacmed/article/view/52488
dc.relation.ispartof.spa.fl_str_mv Universidad Nacional de Colombia Revistas electrónicas UN Revista de la Facultad de Medicina
Revista de la Facultad de Medicina
dc.relation.references.spa.fl_str_mv Galindo, Javier Leonardo and Granados, Carlos Eduardo and Galeano, Adriana Catalina and Callejas, Ana Milena and Sánchez, Víctor Leonardo (2016) Secondary erythrocytosis due to hypoxemia as prognosis in exacerbated chronic pulmonary diseases. Revista de la Facultad de Medicina, 64 (3). pp. 485-491. ISSN 2357-3848
dc.rights.spa.fl_str_mv Derechos reservados - Universidad Nacional de Colombia
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.license.spa.fl_str_mv Atribución-NoComercial 4.0 Internacional
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dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
Derechos reservados - Universidad Nacional de Colombia
http://creativecommons.org/licenses/by-nc/4.0/
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad Nacional de Colombia - Sede Bogotá - Facultad de Medicina
institution Universidad Nacional de Colombia
bitstream.url.fl_str_mv https://repositorio.unal.edu.co/bitstream/unal/65189/1/52488-315263-1-PB.pdf
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spelling Atribución-NoComercial 4.0 InternacionalDerechos reservados - Universidad Nacional de Colombiahttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Galindo, Javier Leonardo92a815c7-3fc7-4fc6-9db9-c50b4724a554300Granados, Carlos Eduardo579de0ef-9a2b-4565-8915-d52dd8a449cf300Galeano, Adriana Catalinab9ea0bd2-6bad-49c1-8b29-6137b227d3df300Callejas, Ana Milena44870cb9-8df7-4a2a-9e51-eecedf967dcb300Sánchez, Víctor Leonardo7fd8e487-d8d6-4d20-9c2f-a979680536a43002019-07-02T23:57:41Z2019-07-02T23:57:41Z2016-07-01ISSN: 2357-3848https://repositorio.unal.edu.co/handle/unal/65189http://bdigital.unal.edu.co/66212/Introduction: Even though exacerbations are the main cause of emergency consultation in patients suffering from lung diseases, erythrocyte parameters are not assessed in their prognosis. Thus, determining the implications of erythrocyte parameters might contribute to define the usefulness of phlebotomy or red blood cells transfusion in these patients.Objective: To establish a possible relationship between the different hematocrit levels with a 30-day prognosis in patients admitted with exacerbated chronic lung disease and hypoxemia.Materials and methods: A study based on a 30-day follow-up was conducted. Variables were described using an additional categorization by hematocrit levels and an adjustment in a multivariate model through logistic regression.Results: Follow-up was completed for 110 Patients. The frequency of anemia was 7.3% and of erythrocytosis, 14.5%. A significant association to the outcome using Anthonisen score (OR=10.45, 95%CI: 1.11-98.48, p=0.04), hypertension (OR=11.02, 95%CI: 1.32-91.75, p=0.026) and heart failure (OR=0.09, 95%CI: 0.01-0.82, p=0.032) was found.Conclusion: This research could not determine any relationship between erythrocyte parameters and prognosis of patients suffering from pulmonary diseases; nevertheless, extreme values of hematocrits tended to have adverse outcomes.Introducción. Aunque las exacerbaciones de las neumopatías crónicas son las principales causas de consulta a urgencias de los pacientes que las padecen, los parámetros eritrocitarios no son evaluados en su pronóstico. Por tanto, determinar las implicaciones de los parámetros eritrocitarios podría ayudar a definir la utilidad de la flebotomía o la transfusión de eritrocitos en estos pacientes.Objetivo. Establecer si hay relación entre los distintos niveles de hematocrito con pronóstico a 30 días en pacientes con neumopatía crónica exacerbada e hipoxemia.Materiales y métodos. Estudio de seguimiento a 30 días. Se realizó la descripción de las variables con una categorización adicional por niveles de hematocrito y un ajuste en un modelo multivariado por regresión logística.Resultados. Se completó el seguimiento en 110 pacientes. La frecuencia de anemia fue de 7.3% y de eritrocitosis de 14.5%. Se encontró asociación significativa al desenlace con la clasificación Anthonisen (OR=10.45, IC95%: 1.11-98.48; p=0.04), hipertensión arterial (OR=11.02, IC95%: 1.32-91.75; p=0.026) y falla cardiaca (OR=0.09, IC95%: 0.01-0.82; p=0.032).Conclusión. Este estudio no pudo determinar relación alguna entre los parámetros eritrocitarios y el pronóstico de pacientes con enfermedades pulmonares crónicas; sin embargo, hubo una tendencia a que los valores extremos del hematocrito presentaran desenlaces adversos.application/pdfspaUniversidad Nacional de Colombia - Sede Bogotá - Facultad de Medicinahttps://revistas.unal.edu.co/index.php/revfacmed/article/view/52488Universidad Nacional de Colombia Revistas electrónicas UN Revista de la Facultad de MedicinaRevista de la Facultad de MedicinaGalindo, Javier Leonardo and Granados, Carlos Eduardo and Galeano, Adriana Catalina and Callejas, Ana Milena and Sánchez, Víctor Leonardo (2016) Secondary erythrocytosis due to hypoxemia as prognosis in exacerbated chronic pulmonary diseases. Revista de la Facultad de Medicina, 64 (3). pp. 485-491. ISSN 2357-384861 Ciencias médicas; Medicina / Medicine and healthPolicitemiaEnfermedades pulmonaresFlebotomíaPolycythemiaLung DiseasesPhlebotomySecondary erythrocytosis due to hypoxemia as prognosis in exacerbated chronic pulmonary diseasesArtículo de revistainfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85Texthttp://purl.org/redcol/resource_type/ARTORIGINAL52488-315263-1-PB.pdfapplication/pdf492688https://repositorio.unal.edu.co/bitstream/unal/65189/1/52488-315263-1-PB.pdf80e37761c532856bbd592cfd71001841MD51THUMBNAIL52488-315263-1-PB.pdf.jpg52488-315263-1-PB.pdf.jpgGenerated Thumbnailimage/jpeg8919https://repositorio.unal.edu.co/bitstream/unal/65189/2/52488-315263-1-PB.pdf.jpg14b5eaf57c060a1fc158cc2760848957MD52unal/65189oai:repositorio.unal.edu.co:unal/651892023-05-19 00:17:25.954Repositorio Institucional Universidad Nacional de Colombiarepositorio_nal@unal.edu.co