Utilidad y rendimiento diagnóstico de la punción lumbar en el servicio de urgencias
| Autor: | Gustavo Barrios, Camilo Alfonso Espinosa Jovel, Marta L Ramos, Fidel Ernesto Sobrino Mejía, Claudia M Moreno, Alejandra Guerrero, Luisa Echavarria, Andrés M. Betancourt, Daniel Hedmont, Adriana Casallas |
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| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | Acta Neurológica Colombiana. 31:39-48 |
| ISSN: | 2422-4022 0120-8748 |
| DOI: | 10.22379/242240226 |
| Popis: | Introduction: Lumbar puncture is a diagnostic and therapeutic procedure necessary for many illnesses of the nervous system. Its usefulness in the emergency service has not yet been completely explored in the literature. Objectives: To describe the frequency of lumbar puncture in the emergency department, its usefulness for diagnosing illnesses of the nervous systems, and to describe the most relevan demographic and clinical characteristics of the patients on whom the procedure was done. Materials and methods: We did an observational, descriptive and transversal study. All data was prospectively recorded, relating to patients treated in the emergency service of the department of Neurology in the Hospital Occidente de Kennedy in Bogota Colombia. Patients considered were given a lumbar puncture within a period between January 2012 and July 2013. Results: 3.161 patients were diagnosed in the Neurology emergency service and 630 lumbar punctures were done (19.9%). The main indications for doing this procedure were: headaches with warning signs (40.6%) and suspected neuroinfection (27.5%). 32.2% (IC 95%: 28.5-35.8) of lumbar punctures had an abnormal result. The usefulness of lumbar punctures went down in the group of patients over the age of 65 (24.5% n=26). When a lumbar puncture is done because a neuroinfection is clinically suspected, its usefulness can reach 40.46% (IC 95%: 33.1-48.1). A history of HIV has a significant association with abnormal lumbar punctures (p |
| Databáze: | OpenAIRE |
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