Edema agudo de pulmón de reentrada a gran altitud

Viruez-Soto, Antonio; Solórzano, Amílcar Tinoco

doi:10.24265/horizmed.2020.v20n3.14

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…Finally, 35 articles were selected and included in this systemic review (Table 1). 1,4–12,15,22–45 These articles contain data describing 210 cases of HAPE, of which 56.6% occurred in the US and 23.8% in Colombia. Table 1 details the demographic characteristics by age, sex, country, altitude, and year of publication.…”

Section: Resultsmentioning

confidence: 99%

High altitude pulmonary edema in children: A systematic review

Ucrós

Aparicio

Castro-Rodriguez

et al. 2022

Pediatric Pulmonology

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Introduction High altitude pulmonary edema (HAPE) is a form of acute noncardiogenic pulmonary edema caused by altitude‐related hypoxia seen in children as well as in adults. In this systematic review we focus in HAPE occurring in children and adolescents. Methods A systematic review was conducted including publications in children 0–18 years of age from three databases up to June 2022. Results Thirty‐five studies representing 210 cases were found. The mean age was 9.8 ± 3.6 years with a male/female ratio of 2.6. The peak age incidence was seen in children between 6 and 10 years old. Only two children (0.9%) were ≤2 years old. The mean altitude in 166 cases was 2861 masl. Only 17 cases (8.1%) occurred at altitudes below 2500 masl. Regarding the different HAPE subtypes there was a predominance of re‐entry HAPE (R‐HAPE) with 58%, followed by classic HAPE (C‐HAPE) with 37.6%. The mean time between arrival and onset of symptoms was 16.5 h. The mortality rate was 1.4%. In 10/28 (36%) of C‐HAPE cases there was a structural cardiac/pulmonary anomaly compared to 1/19 (5%) in R‐HAPE (p < 0.01). HAPE recurrence was found in 46 cases (21.9%). The involvement in the chest X‐rays was seen predominantly in the apices and in the right lung. Conclusions R‐HAPE was the most common HAPE subtype; HAPE peak age was found between 6 and 10 years of age; HAPE was more frequent in males and was rare in children under 2 years old; associated HAPE structural abnormalities were more common in C‐HAPE than in R‐HAPE.

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Section: Resultsmentioning

confidence: 99%

High altitude pulmonary edema in children: A systematic review

Ucrós

Aparicio

Castro-Rodriguez

et al. 2022

Pediatric Pulmonology

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Acute Lung Edema as a Presentation of Severe Acute Reentry High-Altitude Illness in a Pediatric Patient

Merino-Luna

Vizcarra-Anaya²

2020

Case Reports in Pediatrics

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Acute high-altitude pulmonary edema (HAPE) is a pathology involving multifactorial triggers that are associated with ascents to altitudes over 2,500 meters above sea level (m). Here, we report two pediatric cases of reentry HAPE, from the city of Huaraz, Peru, located at 3,052 m. The characteristics of both cases were similar, wherein acclimatization to sea level and a subsequent return to the city of origin occurred, and we speculate that it was caused by activation of predisposing factors to HAPE. The diagnosis and management associated with pulmonary hypertension became a determining factor for therapy.

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