Oximetria transcutânea na síndrome torácica aguda em pacientes com anemia falciforme

• Autor(a) principal: Araújo, Jerônimo Gonçalves de
• Data de Publicação: 2007
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFS
• Texto Completo: https://ri.ufs.br/handle/riufs/3720
• topic: Síndrome torácica aguda; Oximetria de pulso; Hipoxemia; Acute Chest Syndrome; Pulse oximetry; Hypoxemia; CNPQ::CIENCIAS DA SAUDE::MEDICINA

Searching to trace the clinical profile, epidemiologist, evolution and laboratorial of the internments of patients with Sickle Cell Disease (SCD); to identify factors that can be related with the sprouting and evolution of Acute Chest Syndrome (ACS), as well as; to evaluate if the average saturation of oxygen through the oximetry of pulse is diagnosis or prognostic of ACS; a study of coorte with 168 carrying patients was carried through of SCD. During all the year of 2006, 168 patients with SCD had been studied, had predominance of the males (51.8%) and of the age band between 5 and 15 years (53.3%), 81 (48.2%) patient ones had suffered at least a hospital internment, 34 (41.9%) had diagnosis of ACS in at least an internment and 47 (58.1%) had other causes internment as intense painful and anemia crisis. When we compare the ambulatorial accompaniment of the patients who had interned with of that they had not interned in 2006, perceive that the splenomegaly presence was more common between the patients whom they had interned (27.3%), with significance statistics (p = 0, 0006). The average saturation of oxygen through the oximetry of pulse also was significantly different (p = 0, 0092) between the two groups, a time that the patients who had suffered internment had gotten one better performance (95.6%) against 94,1 % of the patients who had not interned in 2006. When analyzing the variable hemoglobin and white cell count, we do not find differences significant. In relation to the patients with ACS, the fever complaint was more prevalent (70.6%), whereas the pain complaint more was related by the patients with other causes of internment (93.3%). With regard to the age band, it enters the older than 15 years, we notice minors indices (6.1%) of internment for ACS (p= 0, 04). It did not have significant difference with regard to the hemoglobin and the saturation of oxygen through the oximetry of pulse when compared the out results with the ones of the hospital admission. The total white globule counting was significantly superior in the occasion of the internment (p=0,001). One concludes that the average saturation of oxygen by pulse oximetry was not capable to identify the patients who would come to be interned with ACS.