Revista médica de Chile
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Revista médica de Chile · Feb 2024
Case Reports[Extracorporeal membrane oxygenation (ECMO) in severe acute respiratory distress syndrome due to blunt chest trauma: A case report].
We report a case of a patient with chest trauma (TT) complicated with severe acute respiratory distress syndrome (ARDS) who required extracorporeal membrane oxygenation (ECMO) as ventilatory support. Clinical case: A 48-year-old man, with no relevant history, after a high-energy vehicle collision admitted with severe TT. He evolved with respiratory failure that required intubation and connection to mechanical ventilation (MV). ⋯ Discussion: ECMO support is complex, expensive, and is performed in high-risk patients. The use of this resource requires trained health workers. Its use must be highly selective, constituting a valuable support tool in some patients with severe ARDS secondary to TT.
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Revista médica de Chile · Feb 2024
[Prevalence of prediabesity and diabesity. Analysis of data from the 2016-17 Chilean National Health Survey].
Diabesity is defined as the coexistence of obesity and type 2 diabetes (T2D), either with or without additional cardiovascular risk factors. Despite its significance, its prevalence has not yet been investigated in Chile. The objective of this study was to determine the prevalence of prediabesity and diabesity in Chilean adults. ⋯ 9.3% of the population presented pre or diabesity, with a higher proportion of diabesity cases in women and people with lower education. Considering the projections of obesity and T2DM in Chile, it is urgent to generate actions and strategies since a large proportion of the cases of these diseases can be preventable.
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Revista médica de Chile · Feb 2024
[Prevalence and clinical associations of steatotic liver disease in a Preventive Medicine Unit: A cross-sectional study].
Steatotic Liver Disease is the most frequent chronic hepatic disease worldwide. Its prevalence is 30-38% and is associated with progression to steatohepatitis, fibrosis, cirrhosis, and Hepatocellular Carcinoma. A new terminology for this condition was recently published, classifying it into five groups. ⋯ The prevalence of hepatic steatosis in our sample was 26.8%, with a significant difference between men and women. In 94.3% of cases, it was associated with metabolic dysfunction.
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Revista médica de Chile · Feb 2024
[Epidemiology of the COVID-19 pandemic in chilean children and cdolescents].
The COVID-19 pandemic is the largest public health crisis worldwide in recent times. ⋯ Covid-19 mainly affects the adult population, however the epidemiological curve described in children is very similar to that of adults. Differences by sex are observed depending on the age group.
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Revista médica de Chile · Feb 2024
Case Reports[High risk syncope in a young patient: An uncommon cause].
Syncope is a frequent consult. It's responsible for 1 to 3% of consults to the emergency room in the United States. The cause is generally benign; however, high-risk cases are potentially deadly and must be identified. ⋯ During the first 48 hours, she presented multiple episodes of non-sustained polymorphic ventricular tachycardia. The patient evolved with diminished QTc interval and regression of the wall motion abnormalities. At the 6-month follow-up the patient was asymptomatic, without new episodes.