Cardiopulmonary exercise test of Colombian military with war thoracic trauma
Keywords:
war-related injuries, combat disorders, oxygen consumption, exercise tolerance, cardiopulmonary exercise test.Abstract
Introduction: There are few publications related to cardiopulmonary stress tests in soldiers wounded in combat, and the various complications cause war trauma.Objective: To describe the cardiopulmonary variables in patients with war thoracic trauma submitted to stress tests.
Methods: A descriptive study was carried out between 2010 and 2016, at the Hospital Militar Central de Bogotá, D.C., Colombia. The study population consisted of 27 patients with a history of war-derived thoracic trauma, who were submitted to cardiopulmonary stress tests. The variables of age, sex, symptoms, oxygen consumption, cardiopulmonary variables measured by spirometry, type of surgery, trauma and weapon were explored.
Results: A total of 27 participants were included. Mean oxygen consumption peak ml / min was 2 891,8 (SD: 621,86), oxygen consumption peak mL/kg/min 43,25 (DS: 9,72), forced vital capacity pre-bronchodilator (L) 4,5 (DS: 1, 3) and post-bronchodilator (L) 4,3 (DS: 1,01). Exploratory analysis found significant differences among those who had a high velocity firearm wounds against other types of weapons.
Conclusions: In patients with a history of trauma, peak oxygen consumption ml / min, peak oxygen mL/kg/min and forced vital capacity is lower than in the healthy population; Apparently, the type of high-velocity firearm wound has a greater effect on these variables evaluated by cardiopulmonary stress tests.
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References
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3. Keene DD, Penn-Barwell JG, Wood PR, Hunt N, Delaney R, Clasper J, et al. Died of wounds: a mortality review. J R Army Med Corps. 2016 [acceso: 20/10/2020];162(5):355-60. Disponible en: https://dx.doi.org/10.1136/jramc-2015-000490
4. Wasserman K, Hansen J, Sue D, Stringer W, Whipp B (Eds). Principles of Exercise Testing and Interpretation. Fourth Edition. Philadelphia, USA: Lippincott Williams & Wilkins; 2005. [acceso: 12/10/2020]. Disponible en: https://doi.org/10.1016/S0012-3692(15)50998-7
5. ATS/ACCP. Statement on Cardiopulmonary Exercise Testing. American Journal of Respiratory and Critical Care Medicine. 2003[acceso: 10/10/2020];167(2):211-77. Disponible en: https://doi.org/10.1164/rccm.167.2.211
6. Pihlainen K, Santtila M, Häkkinen K, Lindholm H, Kyröläinen H. Cardiorespiratory responses induced by various military field tasks. Mil Med. 2014[acceso: 20/10/2020];179(2):218-24. Disponible en: https://doi.org/10.7205/MILMED-D-13-00299
7. Mundie TG, Dodd KT, Lagutchik MS, Morris JR, Martin D. Effects of blast exposure on exercise performance in sheep. J Trauma. 2000 [acceso: 20/10/2020];48(6):1115-21. Disponible en: https://doi.org/10.1097/00005373-200006000-00019
8. Cid-Juárez S, Miguel-Reyes JL, Cortes-Télles A, Gochicoa-Rangel L, Mora-Romero UJ, Silvia-Cerón M, et al. Prueba Cardiopulmonar de ejercicio. Recomendaciones y procedimiento, Nemol Cir Torax. 2015[acceso: 20/10/2020];74(3):207-21. Disponible en: https://www.medigraphic.com/pdfs/neumo/nt-2015/nt153h.pdf
9. Hirshberg B, Oppenheim EA, Pizov R, Sklair M, Rivkin A, Bardach E, et al. Recovery from Blast Lung Injury. Chest. 1999 [acceso: 20/10/2020];116(6):1683-8. Disponible en: https://doi.org/10.1378/chest.116.6.1683
10. Amital A, Shitrit D, Fox BD, Raviv Y, Fuks L, Terner I, et al. Long-term Pulmonary Function after recovery from Pulmonary contusion due to Blunt chest trauma. Isr Med Assoc J. 2009 [acceso: 20/10/2020];11(11):673-6. Disponible en: https://www.ima.org.il/MedicineIMAJ/viewarticle.aspx?year=2009&month=-11&page=673
11. Borander AK, Voie ØA, Longva K, Danielsen TE, Grahnstedt S, Sandvik L, et al. Military small arms fire in association with acute decrements in lung function. Occup Environ Med. 2017[acceso: 02/10/2020];74(9):639-44. Disponible en: https://doi.org/10.1136/oemed-2016-104207
12. Neff TA, Stocker R, Frey HR, Stein S, Russi EW. Long-term assessment of lung function in survivors of severe ARDS. Chest. 2003 [acceso: 19/10/2020];123(3):845-53. Disponible en: https://doi.org/10.1378/chest.123.3.845
13. Navarro Suay R, Bartolomé Cela E, Jara Zozaya I, Hernández Abadía de Barbará A, Gutiérrez Ortega C, García Labajo JD, et al. Medicina aún más crítica: análisis retrospectivo de las bajas atendidas en la UCI del Hospital Militar español de Herat (Afganistán). Med. Intensiva. 2011[acceso: 15/10/2020];35(3):157-65. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0210-56912011000300004&lng=es
14. Wade AL, Dye JL, Mohrle CR, Galarneau MR. Head, face, and neck injuries during Operation Iraqi Freedom II: results from the US Navy-Marine Corps Combat Trauma Registry. J Trauma. 2007 [acceso: 20/10/2020];63(4):836-40. Disponible en: https://doi.org/10.1097/01.ta.0000251453.54663.66
15. Mackenzie IM, Tunnicliffe B. Blast injuries to the lung: epidemiology and management. Philos Trans R Soc Lond B Biol Sci. 2011 [acceso: 11/10/2020];366(1562):295-9. Disponible en: https://doi.org/10.1098/rstb.2010.0252
16. Kirkman E, Watts S. Characterization of the response to primary blast injury. Philos Trans R Soc Lond B Biol Sci. 2011 [acceso: 12/10/2020];366(1562):286-90. Disponible en: https://doi.org/10.1098/rstb.2010.0249
17. Ramasamy A, Harrisson SE, Clasper JC, Stewart MP. Injuries from roadside improvised explosive devices. The Journal of Trauma, Injury, Infection, and Critical Care. 2008 [acceso: 20/10/2020];65(4):910-4. Disponible en: https://doi.org/10.1097/ta.0b013e3181848cf6
Published
2021-05-22
How to Cite
1.
Bastidas Goyes A, Tuta-Quintero E, Gutierrez-Morales C, Pantoja-Fierro J, Rodríguez-Rojas S, Forero-Martínez Y, et al. Cardiopulmonary exercise test of Colombian military with war thoracic trauma. Rev Cubana Med Milit [Internet]. 2021 May 22 [cited 2025 Mar. 14];50(2):e02101108. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1108
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