Utilidad de la ultrasonografía doppler en reumatología Hospital Luis Vernaza, período 2015 - 2018.

Abstract

Introduction: In the last decade, musculoskeletal ultrasonography (USME) has become a fundamental tool for the diagnosis and monitoring of rheumatic diseases associated with osteoarticular disorders. Objective: To determine the usefulness of musculoskeletal Doppler ultrasonography in Arthritic Syndrome Material and method: A relational level study of retrospective cohort design of longitudinal analytical observational. We accessed the database of patients treated in the rheumatology department of the Luis Vernaza Hospital (HLV), selecting as study population all those diagnosed with arthritic syndrome during the period from January 01, 2015 to January 31, 2018 .Results: In the period between January 1, 2015 and January 31, 2018, 143 patients with Arthritic Syndrome were clinically diagnosed in HLV. Of which 40 patients were included. In 65% (n = 26) there was a change in the diagnosis after the USME. While 35% (n = 14) there was no change in diagnosis. In addition, in 72.5% (n = 29) there was a change in the treatment after the USME and in 27.5% (n = 11) the initial therapy did not change. The usefulness of the USME in arthritic syndrome is demonstrated with a probability of error of 3.7% p = 0.037 (p <0.05 = <5%). The change in the diagnosis after Doppler ultrasound causes a change in the treatment of the patient. (RR): 2.06. Confidence Interval 95% (95% CI): 1.10 - 3.83. Conclusion: We conclude that the USME generates a great impact in the diagnosis, treatment and monitoring of the activity of arthritic syndrome rheumatology. In addition it is also a tool that decreases patient costs.