RESUMEN
OBJECTIVE: The outbreak of Severe Acute Respiratory Syndrome-CoronaVirus 2 (SARS-CoV-2) has rapidly spread throughout the world straining health care systems. Several biomarkers indicate the presence of hyper-inflammation and evaluate the severity of the disease. Our aim was to investigate the prognostic value of pancreatic stone protein plasma concentration in patients with SARS-CoV-2 pneumonia. PATIENTS AND METHODS: We prospectively studied 55 patients with acute SARS-CoV-2 pneumonia admitted to our tertiary hospital. Sepsis biomarkers, including pancreatic stone protein (PSP), were measured on admission. The role of these biomarkers in the prediction of in-hospital mortality (28 day) and length of hospital stay was investigated. RESULTS: Although Pancreatic stone protein did not have significant prognostic value for in-hospital mortality, there was a moderate accuracy for prolonged length of stay. The optimal cut-off value for prolonged hospital stay was 51 ng/dL (Sensitivity: 0.65, Specificity: 0.913). CONCLUSIONS: Pancreatic Stone Protein on admission could accurately identify patients requiring prolonged hospitalization. The results of this study can serve as a strong early basis for future validation studies of such an innovative approach.
Asunto(s)
COVID-19 , Litostatina , Biomarcadores , COVID-19/diagnóstico , Humanos , Litostatina/química , Litostatina/metabolismo , Pronóstico , SARS-CoV-2Asunto(s)
Verrugas/epidemiología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Distribución de Chi-Cuadrado , Niño , Preescolar , Estudios Transversales , Femenino , Humanos , Lactante , Masculino , Persona de Mediana Edad , Prevalencia , Verrugas/virologíaRESUMEN
The authors report their experience in the use of the reversed fascio-subcutaneous flap of the leg in 11 cases for covering soft tissue defects of the distal third of the leg, the malloli and the posterior heel. An anatomical study has been performed on fifteen fresh cadavers (30 legs), in order to precise the indications and limits in the dissection of the flap pedicle. The authors report six necrosis (2 superficial, 4 total) of the distal part of the flap. Despite these complications, they consider that this flap is an interesting procedure due to its advantages: the respect to anatomical structures, an easy dissection, a supple pedicle and an aesthetic aspect of the donor area.
