Hallazgos por tomografía computada en pacientes de nuevo ingreso con diagnóstico de COVID-19. Estudio en un Instituto de la Seguridad Social en Tabasco Tomographic findings in newly admitted patients diagnosed with COVID-19. Study at a Social Security Institute in Tabasco
Pseudoaneurisms are arterial wounds that affect all layers of an artery; although very rare they are mostly lethal and most of them are iatrogenic. Herein, we present two different cases of hepatic artery pseudoaneurysms derived from previous surgeries which were assessed by computed tomography angiographies and consequent conservative endovascular approaches with arteriographies, posterior cannulations and the placement of Amplatzer Vascular Plug 4 (AVP 4) systems in order to treat the pseudoaneurysm. Computed control tomographies were conducted showing no later complications. The purpose of this article is to demonstrate the importance and current clinical applications of AVP in the field of interventional radiology.
According to various studies, it has been found that due to the lack of reagents for the RT-PCR test for the accurate diagnosis of SARS-CoV-2 infection, tomography began to be used as a criterion to achieve diagnostic support in patients with lack of a definitive diagnosis. The objective of this work is to describe the tomographic findings in patients with COVID-19 and their relationship with the clinical presentation in each of the radiological patterns. According to the Feinstein Criteria, the analytical type of study, with quantifiable, non-experimental data, was cross-sectional from October 2020 to June 2021, obtaining a sample of 227 patients hospitalized in the UAER of the CMJPP. Statistical analysis was performed using Microsoft Excel (2021) and SPSS. According to the radiological classifications, 6.17% ( 14) presented in the Initial (early) phase of the disease, 46.7% (106) were in progression and 47.14% (107) in the advanced phase of the latter with a higher percentage in the CORADS classification at level 3 with 74.5% in both; Similarly, in advanced onset, the extension with the greatest presentation was severe with 86.96% (93). Tomographic studies played an important role during the COVID-19 pandemic, together with the application of international classifications such as CO-RADS and the classification issued by INER, being considered diagnostic support tools for COVID-19 and patient evolution.
Objetivo: determinar las características epidemiológicas de casos de COVID-19 presentados en el ISSET en el periodo comprendido del 01 de marzo de 2020 al 18 de enero de 2021.
Material y método: estudio de tipo descriptivo, trasversal y retrospectivo en el Instituto de Seguridad Social del Estado de Tabasco (ISSET), México. En el periodo de 01 marzo de 2020 al 18 de enero de 2021.
Resultados: se registraron 4,283 casos positivos para SARS-CoV-2, por rt-PCR, siendo la mayor incidencia de casos en mujeres con el 51.04% de casos en edad de 50 a 54 años, y el 21% correspondiendo a personal de salud derechohabiente. La tasa de mortalidad fue mayor en hombres en edad de 60 a 64 años, asociadas a comorbilidades, como hipertensión, diabetes y obesidad.
Conclusión: La incidencia de casos por SARS-CoV-2 ha ido en incremento. en el periodo comprendido del 1 de marzo de 2020 al 18 de enero de 2021, fueron reportados 4,283 casos positivos de SARS-CoV-2, con afectación al personal de salud. Se observó una mayor tasa de mortalidad en adultos mayores de 60 años, la cual se incrementa al asociarse con diversas comorbilidades.
Palabras claves: SARS-CoV-2; COVID-19; comorbilidad; incidencia; mortalidad.
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