EQ-5D como herramienta para evaluar calidad de vida de osteosíntesis costal

Contenido principal del artículo

Miguel Alejandro Kees
https://orcid.org/0009-0003-9275-8424
Gregorio Kohan
https://orcid.org/0009-0003-4662-9891
Gonzalo Fernandez Sily
https://orcid.org/0009-0007-0786-0328
Pedro Antonio Bollea
https://orcid.org/0009-0007-6100-5971
Ivanna Giselle Chalfoun
https://orcid.org/0009-0008-5618-1783
Hector Eduardo Roldan
Juan Jose Anastasio
https://orcid.org/0009-0005-7999-2544

Resumen

Objetivo: Se ha demostrado que la fijación de costillas para el tórax inestable mejora el resultado hospitalario, pero se sabe poco sobre el tratamiento de las fracturas costales múltiples y el resultado a largo plazo es escaso. El objetivo de este estudio fue describir la seguridad y la calidad de vida a largo plazo después de la fijación de costillas.


Métodos: Se realizó un trabajo prospectivo que incluyó a todos los pacientes adultos con traumatismo torácico cerrado que se sometieron a fijación de costillas por tórax inestable o fracturas costales  múltiples entre marzo de 2021 y  marzo de 2024 en el servicio de cirugía de tórax.


Resultados: De los 140 pacientes ingresados ​​con fracturas costales múltiples o tórax inestable, 69 (49,2%) se sometieron a fijación costal; 14 pacientes con tórax inestable (volet costal) y 55 pacientes con fractura costal múltiple con un ISS de 29  y 22, respectivamente; 71 (50,7%) pacientes quedaron en grupo de control. El EQ-5D del grupo operado fue de 0,87 en comparación con el grupo control que fue de 0,71. Tres (4,3%) pacientes tuvieron complicaciones relacionadas con el implante y a 3 (4,3 %) se les extrajo la prótesis.


Conclusiones: Demostramos que la fijación de costillas es un procedimiento seguro y que los pacientes reportaron una calidad de vida a largo plazo superior en el grupo operado en comparación al control.

Detalles del artículo

Sección

Artículos Originales

Cómo citar

EQ-5D como herramienta para evaluar calidad de vida de osteosíntesis costal . (2025). Respirar, 17(1), 39-52. https://doi.org/10.55720/respirar.17.1.3

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