Concentración de la cirugía de aneurisma de aorta abdominal roto en centros especializados calificados

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dc.catalogadorjlo
dc.contributor.authorMariné Massa, Leopoldo Ario Fernando
dc.contributor.authorMertens Martin, Renato Alfonso
dc.contributor.authorValdés Echenique, José Francisco
dc.contributor.authorTorrealba Fonck, José Ignacio
dc.contributor.authorBergoeing Reid, Michel Paul
dc.contributor.authorVargas Serrano, José Francisco
dc.contributor.authorVillarroel, Ricardo
dc.date.accessioned2025-03-18T15:21:45Z
dc.date.available2025-03-18T15:21:45Z
dc.date.issued2022
dc.description.abstractRuptured abdominal aortic aneurysm (RAAA) is an arterial emergency with an overall mortality of 80%-90% secondary to massive hemorrhage. If a patient with RAAA presents in a primary hospital without resolution capacity, survival will depend on early transfer to a center with adequately trained specialists. This article reviews the evidence supporting the centralization of AAAR treatment in qualified centers, specifying the criteria used for the selection of referral centers and the role of a coordinating unit. Our current referral system, which is based primarily on costs, is also described. Patients with AAAR who consult in non-resolving centers should be rapidly transferred to a qualified referral center, following a transfer protocol, and guided by a coordinating unit acting according to technical and established criteria based on results, quality, and costs. Qualified referral centers should have an accredited vascular surgeon and a high institutional aortic surgery volume, adequate infrastructure, endovascular resolution capacity, support services (intensive care, hemodialysis, etc.) and specialized personnel permanently available.
dc.fechaingreso.objetodigital2025-03-18
dc.format.extent14 páginas
dc.identifier.doi10.4067/S0034-98872022000600788
dc.identifier.eissn0717-6163
dc.identifier.issn0034-9887
dc.identifier.scopusidSCOPUS_ID:85145450336
dc.identifier.urihttps://doi.org/10.4067/S0034-98872022000600788
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/102733
dc.information.autorucEscuela de Medicina; Mariné Massa, Leopoldo Ario Fernando; 0000-0002-2135-4559; 4085
dc.information.autorucEscuela de Medicina; Mertens Martin, Renato Alfonso; 0000-0001-6929-4850; 75745
dc.information.autorucEscuela de Medicina; Valdés Echenique, José Francisco; S/I; 23979
dc.information.autorucEscuela de Medicina; Torrealba Fonck, José Ignacio; S/I; 127519
dc.information.autorucEscuela de Medicina; Bergoeing Reid, Michel Paul; 0000-0002-8900-1645; 92603
dc.information.autorucEscuela de Medicina; Vargas Serrano, José Francisco; S/I; 121516
dc.issue.numero6
dc.language.isoes
dc.nota.accesocontenido completo
dc.pagina.final801
dc.pagina.inicio788
dc.revistaRevista Médica de Chile
dc.rightsacceso abierto
dc.subjectAneurysm
dc.subjectHospitals
dc.subjectMortality
dc.subjectTreatment Outcome
dc.subjectVascular Surgical Procedures
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleConcentración de la cirugía de aneurisma de aorta abdominal roto en centros especializados calificados
dc.title.alternativeConcentrating ruptured abdominal aortic aneurysm surgery in specialized centers
dc.typeartículo de revisión
dc.volumen150
sipa.codpersvinculados4085
sipa.codpersvinculados75745
sipa.codpersvinculados23979
sipa.codpersvinculados127519
sipa.codpersvinculados92603
sipa.codpersvinculados121516
sipa.trazabilidadSCOPUS;02-03-2023
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