Desenlaces clínicos a corto plazo de la cirugía reconstrucción traqueal en un hospital de referencia en Bogotá, Colombia

Introducción: La estenosis traqueal, un estrechamiento permanente de la vía respiratoria, puede derivar en complicaciones graves, incluyendo insuficiencia respiratoria. Diversas causas pueden originarla, como la intubación prolongada, procesos neoplásicos, inmunológicos, infecciosos, traumáticos o i...

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Autores:
Galvis Ordoñez, Jorge Roberto
Tipo de recurso:
https://purl.org/coar/resource_type/c_7a1f
Fecha de publicación:
2024
Institución:
Universidad El Bosque
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Repositorio U. El Bosque
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spa
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oai:repositorio.unbosque.edu.co:20.500.12495/13727
Acceso en línea:
https://hdl.handle.net/20.500.12495/13727
Palabra clave:
Cirugía torácica
Estenosis traqueal
Comorbilidad
Evaluación de resultados
COVID-19
Toracic surgery
Tracheal stenosis
Comorbidity
Outcome assessment
COVID-19
WO 100
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Attribution-ShareAlike 4.0 International
id UNBOSQUE2_2477a815b1ed2da1f6410c55038b9b8c
oai_identifier_str oai:repositorio.unbosque.edu.co:20.500.12495/13727
network_acronym_str UNBOSQUE2
network_name_str Repositorio U. El Bosque
repository_id_str
dc.title.none.fl_str_mv Desenlaces clínicos a corto plazo de la cirugía reconstrucción traqueal en un hospital de referencia en Bogotá, Colombia
dc.title.translated.none.fl_str_mv Short-term clinical outcomes of tracheal reconstruction surgery in a reference hospital in Bogotá, Colombia
title Desenlaces clínicos a corto plazo de la cirugía reconstrucción traqueal en un hospital de referencia en Bogotá, Colombia
spellingShingle Desenlaces clínicos a corto plazo de la cirugía reconstrucción traqueal en un hospital de referencia en Bogotá, Colombia
Cirugía torácica
Estenosis traqueal
Comorbilidad
Evaluación de resultados
COVID-19
Toracic surgery
Tracheal stenosis
Comorbidity
Outcome assessment
COVID-19
WO 100
title_short Desenlaces clínicos a corto plazo de la cirugía reconstrucción traqueal en un hospital de referencia en Bogotá, Colombia
title_full Desenlaces clínicos a corto plazo de la cirugía reconstrucción traqueal en un hospital de referencia en Bogotá, Colombia
title_fullStr Desenlaces clínicos a corto plazo de la cirugía reconstrucción traqueal en un hospital de referencia en Bogotá, Colombia
title_full_unstemmed Desenlaces clínicos a corto plazo de la cirugía reconstrucción traqueal en un hospital de referencia en Bogotá, Colombia
title_sort Desenlaces clínicos a corto plazo de la cirugía reconstrucción traqueal en un hospital de referencia en Bogotá, Colombia
dc.creator.fl_str_mv Galvis Ordoñez, Jorge Roberto
dc.contributor.advisor.none.fl_str_mv Toledo Arenas, José Daniel
Ramírez Pereira, Jorge
Perez Rivera, Carlos Jose
dc.contributor.author.none.fl_str_mv Galvis Ordoñez, Jorge Roberto
dc.contributor.orcid.none.fl_str_mv Galvis Ordoñez, Jorge Roberto [0000-0001-9281-771X]
Toledo Arenas, Jose Daniel [0000-0003-0681-9108]
Ramírez Pereira, Jorge [0000-0001-5670-171X]
Perez Rivera, Carlos José [0000-0001-7937-7676]
dc.subject.none.fl_str_mv Cirugía torácica
Estenosis traqueal
Comorbilidad
Evaluación de resultados
COVID-19
topic Cirugía torácica
Estenosis traqueal
Comorbilidad
Evaluación de resultados
COVID-19
Toracic surgery
Tracheal stenosis
Comorbidity
Outcome assessment
COVID-19
WO 100
dc.subject.keywords.none.fl_str_mv Toracic surgery
Tracheal stenosis
Comorbidity
Outcome assessment
COVID-19
dc.subject.nlm.none.fl_str_mv WO 100
description Introducción: La estenosis traqueal, un estrechamiento permanente de la vía respiratoria, puede derivar en complicaciones graves, incluyendo insuficiencia respiratoria. Diversas causas pueden originarla, como la intubación prolongada, procesos neoplásicos, inmunológicos, infecciosos, traumáticos o idiopáticos. El manejo puede implicar múltiples intervenciones, desde dilataciones por broncoscopia hasta cirugía reconstructiva, dependiendo de la etiología y la gravedad de la estenosis. Metodología El estudio siguió un diseño observacional descriptivo de corte transversal y abordó objetivos específicos: caracterizar sociodemográfica y clínicamente a los pacientes, describir las características de la estenosis traqueal y las complicaciones postoperatorias. La población objetivo incluyó todos los pacientes adultos sometidos a reconstrucción traqueal en el período del 1 de Enero de 2018 al 31 de Diciembre de 2023. Resultados Se identificaron 70 pacientes, 65.71% hombres. La edad promedio fue 44.1 años. El 32.9% tuvo antecedente de infección por covid-19 y el 94.3% antecedente de intubación orotraqueal. Al 71.4% se le realizó reconstrucción traqueal. El 22% de los pacientes operados tuvo complicaciones y hubo mortalidad del 6% Conclusiones La precoz y correcta identificación de síntomas, factores de riesgo, permitirá adecuada orientación diagnostica y enfoque terapéutico temprano en los pacientes con estenosis laringotraqueal. El número de dilataciones y el tiempo que transcurre entre estas y la realización de la reconstrucción traqueal es probable afecte en los desenlaces postoperatorios. Es necesario elaborar mayores estudios prospectivos, para compararlos con la literatura mundial y con nuestro estudio para concluir como la variable COVID19 afecta los desenlaces postoperatorios y la morbimortalidad de esta patología.
publishDate 2024
dc.date.issued.none.fl_str_mv 2024-12
dc.date.accessioned.none.fl_str_mv 2025-01-14T19:24:39Z
dc.date.available.none.fl_str_mv 2025-01-14T19:24:39Z
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.local.spa.fl_str_mv Tesis/Trabajo de grado - Monografía - Especialización
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dc.type.driver.none.fl_str_mv info:eu-repo/semantics/bachelorThesis
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dc.identifier.instname.spa.fl_str_mv instname:Universidad El Bosque
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spelling Toledo Arenas, José DanielRamírez Pereira, JorgePerez Rivera, Carlos JoseGalvis Ordoñez, Jorge RobertoGalvis Ordoñez, Jorge Roberto [0000-0001-9281-771X]Toledo Arenas, Jose Daniel [0000-0003-0681-9108]Ramírez Pereira, Jorge [0000-0001-5670-171X]Perez Rivera, Carlos José [0000-0001-7937-7676]2025-01-14T19:24:39Z2025-01-14T19:24:39Z2024-12https://hdl.handle.net/20.500.12495/13727instname:Universidad El Bosquereponame:Repositorio Institucional Universidad El Bosquerepourl:https://repositorio.unbosque.edu.coIntroducción: La estenosis traqueal, un estrechamiento permanente de la vía respiratoria, puede derivar en complicaciones graves, incluyendo insuficiencia respiratoria. Diversas causas pueden originarla, como la intubación prolongada, procesos neoplásicos, inmunológicos, infecciosos, traumáticos o idiopáticos. El manejo puede implicar múltiples intervenciones, desde dilataciones por broncoscopia hasta cirugía reconstructiva, dependiendo de la etiología y la gravedad de la estenosis. Metodología El estudio siguió un diseño observacional descriptivo de corte transversal y abordó objetivos específicos: caracterizar sociodemográfica y clínicamente a los pacientes, describir las características de la estenosis traqueal y las complicaciones postoperatorias. La población objetivo incluyó todos los pacientes adultos sometidos a reconstrucción traqueal en el período del 1 de Enero de 2018 al 31 de Diciembre de 2023. Resultados Se identificaron 70 pacientes, 65.71% hombres. La edad promedio fue 44.1 años. El 32.9% tuvo antecedente de infección por covid-19 y el 94.3% antecedente de intubación orotraqueal. Al 71.4% se le realizó reconstrucción traqueal. El 22% de los pacientes operados tuvo complicaciones y hubo mortalidad del 6% Conclusiones La precoz y correcta identificación de síntomas, factores de riesgo, permitirá adecuada orientación diagnostica y enfoque terapéutico temprano en los pacientes con estenosis laringotraqueal. El número de dilataciones y el tiempo que transcurre entre estas y la realización de la reconstrucción traqueal es probable afecte en los desenlaces postoperatorios. Es necesario elaborar mayores estudios prospectivos, para compararlos con la literatura mundial y con nuestro estudio para concluir como la variable COVID19 afecta los desenlaces postoperatorios y la morbimortalidad de esta patología.Hospital Santa ClaraEspecialista en Cirugía GeneralEspecializaciónIntroduction: Tracheal stenosis (TS), a permanent narrowing of the airway, can lead to serious complications, including respiratory failure, can be caused by various causes, such as prolonged intubation, neoplastic, immunological, infectious, traumatic or idiopathic processes. TS management may involve multiple interventions, from bronchoscopic dilation to reconstructive surgery, depending on the etiology and severity of stenosis. Methods The study followed a descriptive, observational, cross-sectional design and addressed specific objectives: characterize patients sociodemographically and clinically, describe characteristics of tracheal stenosis and postoperative complications. Target population included all adult patients undergoing tracheal reconstruction from January 1, 2018 to December 31, 2023. Results 70 patients were identified, 65.71% men, average age was 44.1 years. 32.9% had a history of COVID-19 infection and 94.3% had a history of orotracheal intubation. 71.4% underwent tracheal reconstruction. 22% of operated patients had complications and there was a 6% mortality rate. Conclusions The early and correct identification of symptoms and risk factors will allow for adequate diagnostic guidance and early therapeutic approach in patients with laryngotracheal stenosis. The number of dilatations and the time between these and performance of tracheal reconstruction is likely to affect postoperative outcomes. Further prospective studies are needed to compare them with the world literature and with our study to conclude how the COVID19 variable affects postoperative outcomes and morbidity and mortality of this pathology.application/pdfAttribution-ShareAlike 4.0 Internationalhttp://creativecommons.org/licenses/by-sa/4.0/Acceso abiertohttps://purl.org/coar/access_right/c_abf2http://purl.org/coar/access_right/c_abf2Cirugía torácicaEstenosis traquealComorbilidadEvaluación de resultadosCOVID-19Toracic surgeryTracheal stenosisComorbidityOutcome assessmentCOVID-19WO 100Desenlaces clínicos a corto plazo de la cirugía reconstrucción traqueal en un hospital de referencia en Bogotá, ColombiaShort-term clinical outcomes of tracheal reconstruction surgery in a reference hospital in Bogotá, ColombiaEspecialización en Cirugía GeneralUniversidad El BosqueFacultad de MedicinaTesis/Trabajo de grado - Monografía - Especializaciónhttps://purl.org/coar/resource_type/c_7a1fhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesishttps://purl.org/coar/version/c_ab4af688f83e57aa1. 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