Incidence and factors associated with delirium in an Emergency Department
DOI:
https://doi.org/10.5281/zenodo.14200009Keywords:
Neumonía, Tromboembolia, Tratamiento Farmacológico de COVID-19Abstract
Background: COVID-19 disease is an infectious pathology which provokes a severe respiratory syndrome and it is caused by SARS-CoV-2. On the other hand, pulmonary thromboembolism is one of the most serious and insidious complications, although with a real incidence that is still unknown, especially in patients with COVID-19 pneumonia. Therefore, it is imperative to carry out research to know more information, as well as the relationship it could have with other comorbidities, the most frequent in our population, in order to establish early diagnosis and proper therapy.
Objective: To determine the incidence of pulmonary thromboembolism by angiotomography in patients with COVID-19 pneumonia.
Material and methods: An analytical, observational, longitudinal, single-center, retrospective and homodemic study was carried out. A total of 71 patients from a public hospital located in the city of Puebla, Mexico, were included.
Results: It was determined a cumulative incidence of 0.09 of the patients studied. Male patients were the most affected, with an average age of 65 years. The trunk of the pulmonary artery was the most affected topographic site. Likewise, the most associated comorbidity was diabetes mellitus.
Conclusions: There was a similar incidence to that obtained in studies carried out in other parts of the world.
Downloads
References
Kwee C, Kwee M. Chest CT in COVID-19: What the Radiologist Needs to Know. RadioGraphics. 2020;40:1848-65. doi: 10.1148/rg.2020200159.
Adhikari SP, Meng S, Wu YJ, et al. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infect Dis Poverty. 2020;9(1):29. doi: 10.1186/s40249-020-00646-x.
Lazcano-Ponce E, Alpuche-Aranda C. Alfabetización en salud pública ante la emergencia de la pandemia por Covid-19. Salud Publica Mex. 2020;62:331-40. doi: 10.21149/11408.
Suarez V, Suarez M, Oros S. Epidemiología de COVID-19 en México: del 27 de febrero al 30 de abril de 2020. Rev Clin Esp. 2020;220:463-71. doi: 10.1016/j.rce.2020.05.007.
Alvarado I, Bandera J, Carreto L, et al. Etiología y fisiopatología del SARS-CoV-2. Rev Latin Infect Pediatr. 2020;33:s5-9. doi: 10.35366/96667.
Ashtari S, Vahedian A, Shojaee S, et al. Características en tomografía computarizada de la neumonía por coronavirus-2019 (COVID-19) en tres grupos de pacientes iraníes: estudio de un solo centro. Radiología. 63;2021:314-23. doi: 10.1016/j.rx.2021.03.002.
Yuanliang X, Xiang W, Pei Y, et al. COVID-19 Complicated by Acute Pulmonary Embolism. Rad J Thorac Imaging. 2020;2(2):e200067. doi: 10.1148/ryct.2020200067.
Martinez E, Revilla T, Perez M, et al. Tromboembolismo pulmonar en pacientes con COVID-19: estudio de prevalencia en un hospital terciario. Radiología. 63;2021:13-21. doi: 10.1016/j.rx.2020.09.010.
Lodigiani C, Giacomo I, Luca C, et al. Venous and arterial thromboembolic complications in COVID-19 patients admitted to an academic hospital in Milan, Italy. Thromb Res. 2020:9-14. doi: 10.1016/j.thromres.2020.04.024.
Léonard-Lorant I, Delabranche X, François S, et al. Acute Pulmonary Embolism in Patients with COVID-19 at CT Angiography and Relation shipto d-Dimer Levels. Radiology. 2020;296:E189-91. doi: 10.1148/radiol.2020201561.
Poissy J, Goutay J, Caplan M, et al.; Lille ICU Haemostasis COVID-19 Group. Pulmonary Embolism in Patients With COVID-19: Awareness of an Increased Prevalence. Circulation. 2020;142(2):184-6. doi: 10.1161/CIRCULATIONAHA.120.047430.
Klok F, Kruip M, van der Meer M, et al. Incidence of thrombotic complications in criticallyill ICU patients with COVID-19. Thromb Res. 2020:145-7. doi :10.1016/j.thromres.2020.04.013.
Gervaise A, Bouzad C, Peroux E, et al. Acute pulmonary embolism in non-hospitalized COVID-19 patients referred to CTPA by emergency department. Eur Radiol. 2020:6170-7. doi: 10.1007/s00330-020-06977-5.
Battista G, Loffi M, Galeazzi G, et al. Acute pulmonary embolism and COVID-19 pneumonia: a random association? Euro Heart J. 2020:1858. doi: 10.1093/eurheartj/ehaa254.
Grillet F, Behr J, Calame P, et al. Acute Pulmonary Embolism Associated with COVID-19 Pneumonia Detected with Pulmonary CT Angiography. Radiology. 2020;296:E186-8. doi: 10.1148/radiol.2020201544.
Fabre O, Rebet O, Carjaliu I, et al. Severe Acute Proximal Pulmonary Embolism and COVID-19: A Word of Caution. Ann Thorac Surg. 2020;110:e409-11. doi: 10.1016/j.athoracsur.2020.04.005.
Ioan M, Durante-Lopez A, Martinez J, et al. Tromboembolia pulmonar en la COVID-19. Cuando nada es lo que parece. Rev Esp Cardiol. 2020;73(8):665-87. doi: 10.1016/j.recesp.2020.04.013.
Dos Santos-Poleo Y, Pérez-Sánchez L, Ocanto A, et al. Elevated D-Dimer and acute pulmonary embolism in COVID-19 patients. Journal of Negative and No Positive Results. 2020;5:1516-27. doi: 10.19230/jonnpr.3960.
Franco A, Escribano J, Vicente N, et al. Tromboembolismo Pulmonar en los pacientes con COVID-19. Angiografía con tomografía computarizada: resultados preliminares. JONNPR. 2020;5:616-30. doi: 10.19230/jonnpr.3689.
Sosa-Frías A. Tromboembolismo pulmonar en paciente con escasa sintomatología por COVID-19 atendido en el hospital cubano en Catar. Rev Elec Dr. Zoilo E. MariVida. 2020;45:6. Disponible en: http://revzoilomarinello.sld.cu/index.php/zmv/article/view/2463.
García-Lledó A, del Palacio-Salgado M, Álvarez-Sanz C, et al. Tromboembolismo pulmonar durante la pandemia por SARS-CoV-2: características clínicas y radiológicas. Rev Clin Esp. 2022;222(6):354-8. doi: 10.1016/j.rce.2021.01.001.
Gil Mosquera M, Fernández-Ruiz M, Sanz Rodríguez E, et al. Predicción del desarrollo de tromboembolia pulmonar en pacientes con infección por SARS-CoV-2. Med Clin (Barc). 2022;158(5):206-10. doi: 10.1016/j.medcli.2021.03.028.
Vela Colmenero RM, Ruíz García MI, Gordillo Resina M. Tromboembolismo pulmonar periférico en neumonía bilateral por COVID-19. Med Intensiva. 2023;47(1):58-9. doi: 10.1016/j.medin.2020.07.009.
Harapan H, Itoh N, Yufika A, et al. Coronavirus disease 2019 (COVID-19): A literature review. Journal of Infection and Public Health. 2020;13(5):667-73. doi: 10.1016/j.jiph.2020.03.01.
Guapisaca Gaona JS, Guartambel Cajamarca EB, Muñoz Palomeque DG, et al. Factores de riesgo asociados al desarrollo de tromboembolismo pulmonar en pacientes adultos con diagnóstico de COVID-19. Salud Cienc Tecnol. 2022;2(S1):212. doi: 10.56294/saludcyt202221.
Published
Issue
Section
License
Copyright (c) 2024 Revista Médica del Instituto Mexicano del Seguro Social

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors retain their copyright and grant the Revista Médica del IMSS the right of first publication. Articles are distributed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which allows sharing as long as the author and the original source are properly credited.