<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1726-8958</journal-id>
<journal-title><![CDATA[Revista Médica La Paz]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. La Paz]]></abbrev-journal-title>
<issn>1726-8958</issn>
<publisher>
<publisher-name><![CDATA[Colegio Médico de La Paz]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1726-89582023000200030</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[ICTUS EN CUIDADO INTENSIVO A MUY ALTA ALTITUD]]></article-title>
<article-title xml:lang="en"><![CDATA[STROKE IN CRITICAL CARE AT VERY HIGH ALTITUDE]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Viruez-Soto]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chambi-Quilla]]></surname>
<given-names><![CDATA[Gary]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chambi-Quilla]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quispe-Ticona]]></surname>
<given-names><![CDATA[Neyda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiris-Quinteros]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vera Carrasco]]></surname>
<given-names><![CDATA[Oscar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Médico Intensivista  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Bolivia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Carrera de Medicina  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Bolivia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Director Médico Médico de Emergencias ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Bolivia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Mayor de San Andrés Facultad de Medicina ]]></institution>
<addr-line><![CDATA[La Paz ]]></addr-line>
<country>Bolivia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>29</volume>
<numero>2</numero>
<fpage>30</fpage>
<lpage>37</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S1726-89582023000200030&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S1726-89582023000200030&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S1726-89582023000200030&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo: Describir la casuística de los pacientes con ictus atendidos en la Unidad de Cuidados Intensivos del Centro de Trauma &#8220;Hospital Corazón de Jesús&#8221; a 4150 metros sobre el nivel del mar.  Metodología (casuística): Estudio retrospectivo transversal descriptivo. Se incluyen todos los pacientes residentes permanentes a muy alta altitud, ingresados en el periodo Enero 2019-Enero 2022. Para el análisis de los datos se utilizó estadística descriptiva y creación de una base de datos en el programa Excel v16.  Resultados: Se ingresaron 74 pacientes, 39 mujeres (53%), edad promedio de 64.82 (± 10.53 años), 51 casos (69%) por ictus isquémico y 23 casos (31%) por ictus hemorrágico, con una mortalidad de 18% para ictus isquémico y 17% para ictus hemorrágico. La escala de coma de Glasgow, el nivel del hemoglobina, la presión parcial arterial de dióxido de carbono, hiperoxemia y depuración de lactato al ingreso se constituyen en factores pronósticos de mortalidad. Así también se evidencia que, la hipertensión arterial sistémica así como la eritrocitosis son comorbilidades asociadas a la presentación de ictus a muy alta altitud.  Discusión: La mortalidad en el presente estudio fue similar a la literatura consultada, constatando que la altitud, por sí sola, no produce mortalidad ni ofrece algún tipo de protección, al menos en pacientes neurocríticos con ictus a muy alta altitud. De igual manera se verifica la edad de presentación del ictus en concordancia a la literatura internacional.  Conclusiones: Resulta imperativo describir la casuística concerniente a nuestros Centros Asistenciales para conocer las características propias de la patología de altitud destacando la presión parcial de dióxido de carbono, la hiperoxemia y la depuración de lactato como factores pronóstico en nuestro medio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective: To describe the casuistry of stroke patients treated in the Intensive Care Unit of the Trauma Center &#8220;Hospital Corazón de Jesús&#8221;.  Methodology (casuistry): Retrospective cross-sectional descriptive study. All permanent resident patients at very high altitude, admitted in the period January 2019-January 2022, were included. For the analysis of the data, descriptive statistics and creation of a database in the Excel v16 program were used.  Results: 74 patients were admitted, 39 women (53%), mean age 64.82 (± 10.53 years), 51 cases (69%) due to ischemic stroke and 23 cases (31%) due to hemorrhagic stroke, with a mortality of 18%. The Glasgow coma scale, hemoglobin level, arterial partial pressure of carbon dioxide, hyperoxemia, and lactate clearance on admission are prognostic factors for mortality. Thus, it is also evident that systemic arterial hypertension as well as erythrocytosis are comorbidities associated with the presentation of stroke at very high altitude.  Discussion: Mortality in this study was similar to the literature consulted, confirming that altitude alone does not cause mortality or offer any type of protection, at least in neurocritical patients with stroke at very high altitude. In the same way, the age of presentation of the stroke is concordant with the international literature.  Conclusion: It is imperative to describe the casuistry concerning our Health Centers to know the characteristics of the altitude pathology.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Ictus]]></kwd>
<kwd lng="es"><![CDATA[cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[altitud]]></kwd>
<kwd lng="en"><![CDATA[Stroke]]></kwd>
<kwd lng="en"><![CDATA[critical care]]></kwd>
<kwd lng="en"><![CDATA[altitude]]></kwd>
</kwd-group>
</article-meta>
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