Accidente Cerebro Vascular en Infectados por Covid-19 derivados a la UCI en una Institución Hospitalaria de Barranquilla durante el 2020
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Fecha
2021
Autores
Mohamed Osman, Ahmad
Paz Machacón, Rafael Antonio
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
El virus Covid-19, causa un síndrome denominado síndrome respiratorio agudo
severo coronavirus 2 (SARS-CoV-2). Identificado por primera vez en diciembre de
2019, en Wuhan, China, desde entonces se ha convertido en una pandemia global.
Dentro de los aspectos más relevante es que los pacientes infectados es que
algunos desarrollan ictus isquémico y/o hemorrágico agudo.
Objetivo: Caracterizar a los pacientes con accidente cerebro vascular infectados
con Covid-19 severos derivados a la Unidad de Cuidados intensivos de una clínica
de Barranquilla durante el año 2020.
Metodología: Se realizó un estudio longitudinal, retrospectivo y analítico de
pacientes que desarrollaron ACV durante la internación en la UCI por infección por
Covid-19 con una manifestación severa. Se estudiaron 582 pacientes de los cuales
48 sufrieron ACV. Las pruebas estadísticas utilizadas fueron utilizadas, análisis de
frecuencias, test de Student, test de χ², Comparación de proporciones.
Resultados: La edad promedio fue de 54.3±19.9 años y los hombres fueron el 58%
de los afectados (p > 0.05). La mayoría de los pacientes con ACV eran mayores de
40 años, siendo diferencial para los hombres, donde el fenómeno estuvo más
acentuado. El ACV desarrollado entre la UCI no se asoció con los signos y síntomas
de interés neurológico en los pacientes con Covid-19 (p > 0.05). Se encontró
asociación la ocurrencia de ACV-UCI de acuerdo a la necesidad de Soporte vital (p
> 0.0000) a excepción de los que requirieron Inotrópico.
Conclusión: El ACV posterior a infección por Covid-19 es un factor importante en
la sobrevivencia del paciente, y más aún si hay un ACV como antecedente, factor
determinante en la mortalidad.
The Covid-19 virus causes a syndrome called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). First identified in December 2019, in Wuhan, China, it has since become a global pandemic. Among the most relevant aspects is that infected patients are that some develop ischemic and / or acute hemorrhagic stroke. Objective: To characterize stroke patients infected with severe Covid-19 referred to the Intensive Care Unit of a Barranquilla clinic during 2020. Methodology: A longitudinal, retrospective and analytical study was carried out of patients who developed stroke during admission to the ICU due to Covid-19 infection with a severe manifestation. 582 patients were studied, of whom 48 suffered strokes. The statistical tests used were used, frequency analysis, Student's test, χ² test, Comparison of proportions. Results: The average age was 54.3 ± 19.9 years and men were 58% of those affected (p> 0.05). Most of the stroke patients were older than 40 years, being differential for men, where the phenomenon was more accentuated. The stroke developed between the ICU was not associated with the signs and symptoms of neurological interest in patients with Covid-19 (p> 0.05). An association was found between the occurrence of CVA-ICU according to the need for Life Support (p> 0.0000), except for those that required Inotropic medicine. Conclusion: Stroke after Covid-19 infection is an important factor in patient survival, and even more so if there is a stroke as a precedent, a determining factor in mortality.
The Covid-19 virus causes a syndrome called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). First identified in December 2019, in Wuhan, China, it has since become a global pandemic. Among the most relevant aspects is that infected patients are that some develop ischemic and / or acute hemorrhagic stroke. Objective: To characterize stroke patients infected with severe Covid-19 referred to the Intensive Care Unit of a Barranquilla clinic during 2020. Methodology: A longitudinal, retrospective and analytical study was carried out of patients who developed stroke during admission to the ICU due to Covid-19 infection with a severe manifestation. 582 patients were studied, of whom 48 suffered strokes. The statistical tests used were used, frequency analysis, Student's test, χ² test, Comparison of proportions. Results: The average age was 54.3 ± 19.9 years and men were 58% of those affected (p> 0.05). Most of the stroke patients were older than 40 years, being differential for men, where the phenomenon was more accentuated. The stroke developed between the ICU was not associated with the signs and symptoms of neurological interest in patients with Covid-19 (p> 0.05). An association was found between the occurrence of CVA-ICU according to the need for Life Support (p> 0.0000), except for those that required Inotropic medicine. Conclusion: Stroke after Covid-19 infection is an important factor in patient survival, and even more so if there is a stroke as a precedent, a determining factor in mortality.
Descripción
Palabras clave
Accidente Cerebrovascular, Covid-19 (Enfermedad), Mortalidad, Signos y síntomas, Unidad de cuidados intensivos, cerebrovascular accident, Mortality, Signs and symptoms, Intensive Care Unit