ABSTRACT
Introducción. La fascitis plantar (FP) es la principal causa de dolor en la parte inferior del talón y la proloterapia es una de las posibles opciones terapéuticas.Objetivo. Determinar el efecto de la proloterapia con dextrosa al 25% en la disminución del nivel de dolor en pacientes con FP.Metodología. Estudio de cohorte retrospectivo realizado en 70 pacientes con FP sometidos a proloterapia con dextrosa al 25% en una institución médica de Colombia en 2021. El nivel de dolor con el pie en reposo se midió con la escala visual análoga (EVA) en cada sesión de proloterapia, las cuales se realizaron a los 0, 1, 4, 7. 10 y 13 meses. Se realizó un análisis de varianza (ANOVA) con la prueba de Friedman y un análisis multivariado mediante modelos lineales mixtos para determinar la asociación entre variables. Resultados. Se realizaron 245 sesiones de proloterapia. La edad promedio fue 53 años y 80% de los pacientes eran mujeres. Las medianas de puntaje en la EVA fueron 9, 8, 6, 5, 4 y 2 en las 6 sesiones de proloterapia, respectivamente. Se evidenció una disminución progresiva del nivel de dolor a lo largo del tratamiento; sin embargo, solo hubo diferencias estadísticamente significativas desde la primera hasta la tercera sesión (p<0,05). Conclusiones. La proloterapia con dextrosa al 25% tuvo buenos resultados, ya que el nivel de dolor del pie en reposo disminuyó progresivamente, especialmente desde la primera sesión hasta la tercera
Introduction. Plantar fasciitis (PF) is the main cause of pain in the bottom of the heel and prolotherapy is one of the possible therapeutic options. Objective. Determine the effect of prolotherapy with 25% dextrose in reducing the level of pain in patients with PF.Methodology. Retrospective cohort study conducted in 70 patients with PF undergoing prolotherapy with 25% dextrose in a medical institution in Colombia in 2021. The level of pain with the foot at rest was measured with the visual analogue scale (VAS) in each session of prolotherapy, which were performed at 0, 1, 4, 7, 10 and 13 months. An analysis of variance (ANOVA) with the Friedman test and a multivariate analysis using linear mixed models were performed to determine the association between variables. Results. 245 prolotherapy sessions were carried out. The average age was 53 years and 80% of the patients were women. The median VAS scores were 9, 8, 6, 5, 4 and 2 in the 6 prolotherapy sessions, respectively. A progressive decrease in the level of pain is evident throughout the treatment; However, there were only statistically significant differences from the first to the third session (p<0.05). Conclusions. Prolotherapy with 25% dextrose had good results, since the level of foot pain at rest progressively decreased, especially from the first session to the third.
ABSTRACT
INTRODUCTION: About one in ten patients experiences iatrogenic events, and more than half of these occur in the perioperative environment. The objective of this study was to develop a complete and functional checklist for aesthetic plastic surgery and test it in patients who would undergo elective plastic surgeries. METHODS: Patient data were collected from a general hospital and the particular clinic between October 2013 and October 2015, through history, physical examination, diagnosis, laboratory tests, pre-, during, and postoperatively, and complications. An expanded safety checklist was developed and optimized for aesthetic plastic surgery based on the model presented by the WHO in 2009 with reference to the information related to the prevention of more frequent complications in this specialty. RESULTS: The tool was applied to 486 patients, of whom 430 (88 %) were women and 56 (12 %) were men. The most frequently performed procedure was liposuction with 30 % of cases, and the most widely used type of anesthesia (39 %) was local anesthesia + sedation. The greater adherence of professionals to the checklist was the group of residents (98 %). The observed complications were seromas (7 %), other complications unrelated to the wound (3 %), and hematoma (0.2 %) in only one patient who underwent facelift. CONCLUSION: The use of the checklist in addition to allowing data collection and the identification of potential risks promoted favorable changes in the attitudes of some professionals and generated interest in patient safety and teamwork. LEVEL OF EVIDENCE IV: This journal requires that the authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .