Implementation of the lake louise questionarie in a group military with the altitude induced illness
Aplicación del cuestionario de Lake Louise en un grupo de militares con enfermedad inducida por la altura
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Lake Louise questionnaire was validated for diagnosis of diseases induced by altitude and can be useful as the score to assess the severity. However, the development of the questionnaire implies a simultaneous assessment in time, is difficult to obtain initial scores of patients develop these diseases, because us have wanted to describe the application of this scale in a group of patients with disease induced by high applied retrospectively and to time present at to arrive a emergency room.
Objective: To describe the data obtained from the implementation of the Lake Louise questionnaire for the diagnosis and severity of altitude illness induced by a group of soldiers treated at the emergency department in Bogota.
Materials and methods: Case series of nine patients diagnosed with height induced was applied, the Lake Louise questionnaire on admission to the emergency, assess its condition at altitude retrospectively and its amendment to the current time. Conducted in September 2008 in the Hospital Militar Central, Bogotá, Colombia. Were followed for each patient during hospital stay.
Results: Nine male patients with mean age 19 years were diagnosed with altitude-induced illness, the rise was carried out in an average of 16 hours from sea level up to 3705 meters, remaining 106 hours at altitude.
The application of the scale retrospectively score showed a range from 2 to 15 points with dyspnea as the main symptom in all patients, to apply the scale to the current range of scores was 2 to 14 points, persisting dyspnea and most common symptom in eight patients.
Two patients required mechanical ventilation, those who presented the highest scores when applying scale.
Conclusion: The implementation of the Lake Louise questionnaire can be used in the emergency department in patients with induced high considering that their score and variation can guide about the severity of the disease. However, the study results should be evaluated with caution due to the limited number of patients.
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