Introducción: Los traumatismos representan el 8% de las muertes mundiales según las estimaciones globales de salud de la Organización Mundial de la Salud (OMS). Asimismo, el lactato se ha convertido en un examen prometedor para la mortalidad en diferentes enfermedades. Existen revisiones sistemáticas que relacionan el lactato y la mortalidad en pacientes con trauma, pero no se enfoca en pacientes politraumatizados. Por lo cual, se propone una revisión sistemática y metaanálisis que asocien el lactato elevado y la mortalidad en pacientes politraumatizados. Objetivo: Determinar si el lactato elevado es un factor de mortalidad en pacientes politraumatizados. Metodología: Se hizo una revisión sistemática y metaanalisis de estudios observacionales que asocien el lactato elevado y la mortalidad en pacientes politraumatizados. La búsqueda se realizó en 4 bases de datos: PUBMED, Emba...

Introduction: According to global health estimates from the World Health Organization (WHO) injuries represent 8% of world deaths. There are systematic reviews that relate lactate and mortality in trauma patients but do not focus on multiple trauma patients. Objective: To determine if elevated lactate is a mortality factor in multiple trauma patients. Methodology: A systematic review and meta-analysis of observational studies were carried out. The search was carried out in 4 databases: PUBMED, Embase, Scopus, and Web of Science. Data were pooled using a random effects model and summary statistics were calculated using odds ratios (ORs) with their respective 95% confidence intervals (95% CI). Results: Nine studies were included (n=5302). A significant association was found between elevated admission lactate with mortality (OR: 1.80; 95% CI 1.11 to 2.91) and 72-hour mortality (OR: 1.24; 95...

Introduction: Obstructive sleep apnea syndrome (OSAHS) is a common disease. However, its diagnosis and treatment are underestimated. The main reason is that the upper airway completely or partially collapses, leading to repeated sleep apnea episodes. In addition, atrial fibrillation(AF) is the most frequent arrhythmia in the world, these two entities may be related and are important public health problems.Objective: To determine the association between obstructive sleep apnea syndrome and atrial fibrillation in adult patients.Materials and Methods: A systematic review and meta-analysis of observational studies that associate obstructive sleep apnea syndrome and atrial fibrillation was carried out. The search was carried out in 4 databases: PUBMED, Web of Science, Embase, Scopus.Results: Eight studies were included (n=562241). A significant association was found between obstructive sleep ...