Etiología del dolor en pacientes que acuden a una clínica del dolor

Meesam Mirza, Irfan Bashir Malik, Tauyiba Farooq Mir

Texto completo:

PDF (English) XML (English)

Resumen

Introducción: la causa del dolor es multifactorial y puede deberse a traumatismos, infecciones, afecciones autoinmunes, etc. En este estudio, se describe la etiología del dolor en los pacientes que acuden a una clínica del dolor de reciente creación.

Objetivos: describir las causas del dolor en los pacientes que acuden a la clínica.

Material y métodos: el estudio se realizó en la clínica del dolor del Hospital Shri Maharaja Hari Singh bajo la supervisión del Departamento de Anestesia y Cuidados Críticos. Se seleccionaron 100 pacientes y se incluyeron en el estudio. Se recogieron las variables edad, sexo y causa(s) del dolor. Se eligieron los pacientes con dolor crónico y se registró la cronicidad del dolor mediante la interacción con los sujetos y a partir de sus registros anteriores.

Resultados: la principal causa de dolor en los pacientes que acudieron a la clínica fue un accidente de tráfico en 34 pacientes, 27 pacientes no recordaban la causa antecedente de su dolor. Los datos sugieren que, en general, 33 pacientes tomaban algún opioide cuando acudieron a la clínica. La codeína y la hidrocodona fueron los dos opioides más consumidos

Conclusiones: un mayor número de pacientes consumen fármacos no opiáceos para el dolor crónico al acudir a la clínica. La principal causa de consulta es un accidente de tránsito.

Palabras clave

dolor; anestesia; clínica del dolor; etiología; dolor crónico; opiodes

Referencias

Singer M, Deutschman CS, Warren Seymour C, Shankar Hari M, Annane D, Bauer M, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA [Internet]. 2016 [cited 23 Sep 2021];315(8):801-10. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4968574/pdf/nihms794087.pdf

Jarczak D, Kluge S, Nierhaus A. Sepsis-Pathophysiology and Therapeutic Concepts. Front. Med [Internet]. 2021 [cited 23 Sep 2021];8:[aprox. 22 p.]. Available from: https://www.frontiersin.org/articles/10.3389/fmed.2021.628302/pdf

Sakr Y, Jaschinski U, Wittebole X, Szakmany T, Lipman J, Ñamendys Silva SA, et al. Sepsis in Intensive Care Unit Patients: Worldwide Data From the Intensive Care over Nations Audit. Open Forum Infect Dis [Interne]. 2018 [cited 23 Sep 2021];5(12):[aprox. 9 p.]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6289022/pdf/ofy313.pdf

Abera Mulatu H, Bayisa T, Worku Y, Lazarus JJ, Woldeyes E, Bacha D, et al. Prevalence and outcome of sepsis and septic shock in intensive care units in Addis Ababa, Ethiopia: A prospective observational study. Afr J Emerg Med [Internet]. 2021 [cited 23 Sep 2021];11(1):188-95. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7910175/pdf/main.pdf

Fleischmann Struzek C, Mellhammar L, Rose N, Cassini A, Rudd KE, Schlattmann P, Allegranzi B, et al. Incidence and mortality of hospital- and ICU-treated sepsis: results from an updated and expanded systematic review and meta-analysis. Intensive Care Medicine [Internet]. 2020 [cited 23 Sep 2021];46:1552-62. Available from: https://link.springer.com/article/10.1007/s00134-020-06151-x

Shankar Har M, Harrison DA, Rubenfeld GD, Rowan K. Epidemiology of sepsis and septic shock in critical care units: comparison between sepsis-2 and sepsis-3 populations using a national critical care database. British Journal of Anaesthesia [Internet]. 2017 [cited 23 Sep 2021];119(4):626-36. Available from: https://www.sciencedirect.com/science/article/pii/S0007091217538003

Lee J, Levy MM. Treatment of Patients with Severe Sepsis and Septic Shock: Current Evidence-Based Practices. Rev RIMJ [Internet]. 2019 [cited 23 Sep 2021];102(10):18-21. Available from: http://rimed.org/rimedicaljournal/2019/12/2019-12-18-ccm-lee.pdf

Ramachandran G. Gram-positive and gram-negative bacterial toxins in sepsis. Virulence [Internet]. 2014 [cited 23 Sep 2021];5(1):213-8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3916377/pdf/viru-5-213.pdf

Kline KA, Lewis AL. Gram-Positive Uropathogens, Polymicrobial Urinary Tract Infection, and the Emerging Microbiota of the Urinary Tract. Microbiol Spectr [Internet]. 2016 [cited 23 Sep 2021];4(2):10-21. Available from: https://journals.asm.org/doi/epub/10.1128/microbiolspec.UTI-0012-2012

UpToDate [Internet]. USA: UpToDate, Inc; 2021 [cited 23 Sep 2021]. Schmidt GA, Mandel J. Evaluation and management of suspected sepsis and septic shock in adults. Available from: https://www.uptodate.com/contents/evaluation-and-management-of-suspected-sepsis-and-septic-shock-in-adults/print

Chelkeba L, Melaku T, Mega TA. Gram-Negative Bacteria Isolates and Their Antibiotic-Resistance Patterns in Patients with Wound Infection in Ethiopia: A Systematic Review and Meta-Analysis. Infection and Drug Resistance [Internet]. 2021 [cited 23 Sep 2021];14:277-30. Available from: https://www.dovepress.com/getfile.php?fileID=66082

Zhang H, Johnson A, Zhang G, Yang y, Zhang J, Li D, et al. Susceptibilities of Gram-negative bacilli from hospital- and community-acquired intra-abdominal and urinary tract infections: a 2016-2017 update of the Chinese SMART study. Infect Drug Resist [Internet]. 2019 [cited 23 Sep 2021];12:905-14. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6503304/pdf/idr-12-905.pdf

Puca V, Marulli RZ, Grande R, Vitale I, Niro A, Molinaro G, Prezioso S, et al. Microbial Species Isolated from Infected Wounds and Antimicrobial Resistance Analysis: Data Emerging from a Three-Years Retrospective Study. Antibiotics [Internet]. 2021 [cited 23 Sep 2021];10(10):1162-76. Available from: https://www.mdpi.com/2079-6382/10/10/1162

Evans L, Rhodes A, Levy M. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Intensive Care Med [Interne]. 2021 [cited 23 Sep 2021];47:1181-1247. Available from: https://link.springer.com/content/pdf/10.1007/s00134-021-06506-y.pdf

Rhee C, Jones TM, Hamad Y. Prevalence, Underlying Causes, and Preventability of Sepsis-Associated Mortality in US Acute Care Hospitals. JAMA Netw Open [Interne]. 2019 [cited 23 Sep 2021];2(2):[aprox. 14 p.]. Available from: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2724768

Rudd KE, Johnson SC, Agesa KM, Shackelford KA, Tsoi D, Kievlan DR. Global, regional, and national sepsis incidence and mortality, 1990-2017: analysis for the Global Burden of Disease Study. The Lancet [Internet]. 2020 [cited 23 Sep 2021];395(10219):200-11 Available from: https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(19)32989-7.pdf

Paary TTS, Kalaiselvan ST, Renuka MK, Arunkumar AS. Clinical profile and outcome of patients with severe sepsis treated in an intensive care unit in India. Ceylon Medical Journal [Internet]. 2016 [cited 23 Sep 2021];61(4):181-4. Available from: https://www.researchgate.net/publication/312302937_Clinical_profile_and_outcome_of_patients_with_severe_sepsis_treated_in_an_intensive_care_unit_in_India

Healy M. National Sepsis Outcome Report 2018 [Internet]. Ireland: Sepsis Steering Committee; 2019 [cited 23 Sep 2021]. Available from: https://www.hse.ie/eng/about/who/cspd/ncps/sepsis/resources/national-sepsis-report-2018.pdf

Shankar Hari M. Harrison DA, Rubenfeld GD, Rowan K. Epidemiology of sepsis and septic shock in critical care units: comparison between sepsis-2 and sepsis-3 populations using a national critical care database. British Journal of Anaesthesia [Internet]. 2017 [cited 23 Sep 2021];119(4):626-36. Available from: https://www.bjanaesthesia.org/action/showPdf?pii=S0007-0912%2817%2953800-3

Lin GL, McGinley JP, Drysdale SB, Pollard AJ. Epidemiology and Immune Pathogenesis of Viral Sepsis. Front Immunol [Internet]. 2018 [cited 23 Sep 2021];9:2147-68. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6170629/pdf/fimmu-09-02147.pdf

Responsible management of sepsis, severe infection and antimicrobial stewardship [Internet]. En: The Sepsis Manual. 4th ed. Birmingham: United Kingdom Sepsis Trust; 2017 [cited 23 Sep 2021]. Available from: https://sepsistrust.org/wp-content/uploads/2018/06/Sepsis_Manual_2017_web_download.pdf

Divatia VJ, Pravin RA, Ramakrishnan N, Kapadia FN, Todi S, Sahu S, et al. Intensive care in India: The Indian intensive care case mix and practice patterns study. Indian J Crit Care Med [Internet]. 2016 [cited 23 Sep 2021];20(4):216-25. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4859158/

Enlaces refback

  • No hay ningún enlace refback.


Copyright (c) 2021 Meesam Mirza, Irfan Bashir Malik, Tauyiba Farooq Mir

Licencia de Creative Commons
Esta obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial 4.0 Internacional.