Intraoperative factors and admission to the intensive care unit in postoperative juvenile nasoangiofibroma patients from a peruvian institute
DOI:
https://doi.org/10.58597/rpe.v2i1.45Keywords:
Angiofibroma, Nasopharyngeal neoplasms, Operative surgical procedures, Pediatric hospitalsAbstract
Objective: To determine the distribution that exists between intraoperative factors
upon admission to the Intensive Care Unit (ICU) in patients post-operative for juvenile
nasoangiofi broma of the otolaryngology service of the National Institute of Child Health,
2013-2018. Materials and methods: Retrospective cohort-type observational design
study, made up of a sample of 46 medical records of patients operated on for juvenile
nasoangiofi broma with the endoscopic technique. The data collection form collected
information related to tumor grade, surgical time, and number of units of blood transfused.
Results: The mean age was 13.0 years (±8.2), where 97.8% were male. All patients who
were classifi ed with tumor grades 2B, 2C, 3A, and 3B were admitted to the ICU. 75% of the
patients with a surgical time greater than 3 hours were admitted to the ICU. The patients with
4 or more transfused units were admitted in their entirety to the ICU. Conclusions: There
are signifi cant distributions between the intraoperative factors associated
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References
Cherekaev VA, Golbin DA, Kapitanov DN, Roginsky VV, Yakovlev SB, Arustamian SR: Advanced craniofacial juvenile nasopharyngeal angiofibroma. Description of surgical series, case report, and review of literature. Acta Neurochir (Wien). 2011;153(3):499-508. doi:10.1007/s00701-010-0922-0.
Gupta S, Gupta S, Ghosh S, Narang P. Juvenile nasopharyngeal angiofibroma: case report with review on role of imaging in diagnosis. Contemp Clin Dent. 2015;6(1):98–102. doi: 10.4103/0976-237X.149301.
Martins MB, Lima FV, Mendoca CA, Jesus EP. Nasopharyngeal Angiofibroma: Our experience and literature review. Int Arch Otorhinolaryngol. 2013;17(1):14-9.doi:10.7162/S1809-97772013000100003.
Safadi A, Schreiber A, Fliss DM, Nicolai P. Juvenile Angiofibroma: Current Management Strategies. J Neurol Surg B Skull Base. 2018;79(1):21–30. doi: 10.1055/s-0037-1615810.
Mas N, Olaechea P, M. Palomar, Alvarez-Lerma F, Rivas R, Nubials X, et al. Analisis comparativo de pacientes ingresados en unidades de cuidados intensivos españoles por causa médica y quirúrgicas. Med Intensiva. 2015;39(5):279-89. doi: 10.1016/j.medin.2014.07.006.
Alvear S, Canteros J, Jara J, Rodríguez P. Costos reales de tratamientos intensivos por paciente y día cama. Rev Med Chile. 2013; 141: 202-08. doi: 10.4067/S0034-98872013000200009.
Murthy S, Leligdowicz A, Adhikari NKJ. Intensive care unit capacity in low-income countries: a systematic review. PLoS One. 2015;24;10(1):e0116949. doi: 10.1371/journal.pone.0116949.
Sen-Crowe, Sutherland M, McKenney M, Elkbuli A. A Closer Look Into Global Hospital Beds Capacity and Resource Shortages During the COVID-19 Pandemic. J Surg Res. 2021; 260: 56–63. doi: 10.1016/j.jss.2020.11.062.
Gallo Acosta CM, Cunha Ferré MF, Elizondo CM, Muedra B, Schapira MC, Martínez B, Garfi LG, Perman G, Saimovici JM. Planificación anticipada de los cuidados y del uso de recursos hospitalarios en pacientes con COVID-19 en un programa de atención integrada para adultos mayores frágiles en residencias. Rev Esp Geriatr Gerontol. 2023; 58(1): 31–4.
Instituto Nacional de Salud del Niño San Borja. Hospitalización [Internet]. Perú: INSN; 2015 [citado 10 de febrero de 2023]. Disponible en: https://www.insnsb.gob.pe/hospitalizacion/
Instituto Nacional de Salud del Niño. Análisis Situacional de Salud de los Servicios de Salud INSN-Breña [Internet]. Oficina de Epidemiologia. 2021 [citado 10 de febrero de 2023]. http://www.insn.gob.pe/sites/default/files/publicaciones/ASIS%20TOMO%20I%20-%202021.pdf
Lugo-Machado J, Sepúlveda-Martínez M, Méndez-Cázares J. Riesgos Asociados en Cirugía de Angiofibroma Juvenil Nasofaríngeo: Evaluación de la Técnica Endoscópica Contra la Técnica Abierta. Revista de Medicina Clínica 2022;06(01):e17012206003. doi: 10.5281/zenodo.5866370.
Oré JF, Saavedra J, Pasache L, Iwaki R, Avello F, Cárdenas J. Manejo quirúrgico del angiofibroma nasofaríngeo juvenil. An Fac Med. 2007; 68(3):254-63. doi: 10.1016/j.otorri.2018.06.003.
Predictivas de Riesgo Perioperatorio. Cuidados Intensivos [Internet]. 2016 Diciembre 13 [citado 28 de Oct 2020]. Disponible en: https://www.wfsahq.org/components/com_virtual_library/media/7afd2bd25c39e1b0259ff4f408873616-343-Escalas-de-Riesgo-Perioperatorio.pdf
Costa ADS Jr. Assessment of operative times of multiple surgical specialties in a public university hospital. Einstein (Sao Paulo). 2017;15(2):200-5. doi: 10.1590/S1679-45082017GS3902.
Radkowski D, McGill T, Healy GB, Ohlms L, Jones DT. Angiofibroma: Changes in staging and treatment. Arch Otolaryngol Head Neck Surg. 1996; 122(2):122-9. doi: 10.1001/archotol.1996.01890140012004.
Liu Z, Hua W, Zhang H, et al. The risk factors for residual juvenile nasopharyngeal angiofibroma and the usual residual sites. Am J Otolaryngol. 2019;40(3):343-6. doi:10.1016/j.amjoto.2018.11.010.
Oré Acevedo JF, et al. Tratamiento quirúrgico del angiofibroma nasofaríngeo juvenil en pacientes pediátricos. Acta Otorrinolaringol Esp. 2019;70(5):279-85 doi:10.1016/j.otorri.2018.06.003.
Pamuk AE, Özer S, Süslü AE, Akgöz A, Önerci M. Juvenile nasopharyngeal angiofibroma: a single centre's 11-year experience. The Journal of Laryngology & Otology. Cambridge University Press. 2018;132(11):978–83. doi: 10.1017/S0022215118001779.
Onerci M, Ogretmenoglu 0, Yucel T. Juvenile nasopharyngeal angiofibroma: a revised staging system. Rhinology 2006; 44(1): 39-45. Disponible en: https://pubmed.ncbi.nlm.nih.gov/16550949/.
Gołąbek W, Szymańska A, Szymański M, Czekajska-Chehab E, Jargiełło T. Juvenile nasopharyngeal angiofibroma with intracranial extension - diagnosis and treatment. Otolaryngol Pol. 2019;74(2):1-7. doi:10.5604/01.3001.0013.5275.
McLaughlin EJ, Cunningham MJ, Kazahaya K, Hsing J, Kawai K, Adil EA. Endoscopic Radiofrequency Ablation-Assisted Resection of Juvenile Nasopharyngeal Angiofibroma: Comparison with Traditional Endoscopic Technique. Otolaryngol Head Neck Surg. 2016;154(6):1145-8. doi:10.1177/0194599816630942.
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