Tendencias de la tasa de egreso hospitalario por Derrame Pericárdico No Inflamatorio en Chile (2020-2023)

Nicolás  Barillas Otero; Benjamín  Carrasco Fernández; Francisca González González; Julián Ignacio Letzkus Lagos; Maximiliano Palma Salgado

doi:10.5281/zenodo.17309218

Authors

Nicolás Barillas Otero Médico Cirujano, Servicio de Urgencias, Hospital San Juan de Dios, Santiago de Chile Author https://orcid.org/0009-0003-1511-3710
Benjamín Carrasco Fernández Interno de Medicina, Universidad Autónoma de Chile. Author https://orcid.org/0009-0002-9540-6013
Francisca González González Interna de Medicina, Universidad Autónoma de Chile. Author
Julián Ignacio Letzkus Lagos Interno de Medicina, Universidad Autónoma de Chile. Author https://orcid.org/0009-0009-3355-2438
Maximiliano Palma Salgado Interno de Medicina, Universidad Autónoma de Chile. Author https://orcid.org/0009-0000-9684-9970

DOI:

https://doi.org/10.5281/zenodo.17309218

Keywords:

chile, Hospitalization, Pericardial effusion, Cardiology

Abstract

Introduction: Pericardial effusion is defined as the abnormal accumulation of fluid in the pericardial cavity; there is no clear epidemiological data in Chile. Objective: To determine the hospital discharge rate (HED) due to non-inflammatory pericardial effusion during the period 2020-2023 in Chile. Methodology: Observational, descriptive, and quantitative study with statistical data from the Department of Health Statistics and Information and the National Institute of Statistics. The analysis was carried out with measures of central tendency, supported by graphs and tables with Excel analytical software. Ethics committee approval was not required. Results: The highest HED was during 2023 with a value of 1.71/100,000 inhabitants. The female sex presented the highest HED of the period with 1.85/100,000 inhabitants. In relation to the average number of days of hospitalization, 2020 was the year with the highest average, being 12.92 days. Discussion: The increase in EH could be related to the consequences of the COVID-19 pandemic. The highest EH was in women and adults over 65 years of age. This could be associated with a higher presence of endocrine pathologies and comorbidities, which are one of the main causes of pericardial effusion. Conclusion: It is evident that there are risk groups associated with this pathology; we recommend conducting further research that addresses a greater number of variables.

Downloads

Download data is not yet available.

References

[1] Manea M, Bratu OG, Bacalbasa N, Diaconu CC. Diagnosis and management of pericardial effusion. [Internet] J Mind Med Sci. 2020;7(2):148-155. [citado 7 de abril 2025]. Disponible en: https://doi.org/10.22543/7674.72.P148155

[2] Miller AJ, Pick R, Katz LN. The production of acute pericardial effusion. The effects of varying degrees of interference with venous blood and lymph drainage from the heart muscle in the dog. [Internet] Am J Cardiol 1971;28:463–6. [citado 7 de abril 2025]. Disponible en: https://doi.org/10.1016/0002-9149(71)90011-7

[3] Yamani N, Abbasi A, Almas T, Mookadam F, Unzek S. Diagnosis, treatment, and management of pericardial effusion - review. [Internet] Ann Med Surg. 2022;80:104142. [citado 10 de mayo 2025]. Disponible en :https://doi.org/10.1016/j.amsu.2022.104142

[4] Willner D, Goyal A, Grigorova Y, Sharma S, Kiel J. Pericardial Effusion. [Updated 2024 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. [citado 29 de septiembre 2025]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK431089/

[5] Hori K, Kato Y, Suzuki S, Hirota N, Arita T, Yagi N, et al. Descriptions of Etiology, Clinical Course, and Prognosis of Patients Presenting with Pericardial Effusion. [Internet] Int Heart J. 2024;65(3):452-457. [citado 29 de septiembre 2025]. Disponible en: https://doi.org/10.1536/ihj.23-511

[6] Clavería C, Vergara L, Negrón S, López C, Zelada P, Carrasco A. Clinical Approach to Pericardial Effusion. [Internet] Rev. chil. pediatr. 2009;80(3):267-273.[citado 29 de septiembre 2025]. Disponible en: http://dx.doi.org/10.4067/S0370-41062009000300009

[7] Sahiti F, Cejka V, Schmidbauer L, Albert J, Kerwagen F, Frantz S, et al. Prognostic Utility of Pericardial Effusion in the General Population: Findings From the STAAB Cohort Study. [Internet] J Am Heart Assoc. 2024;13(12):e035549.[citado 29 de septiembre 2025]. Disponible en: https://doi.org/10.1161/JAHA.124.035549

[8] Hoit BD. Pericardial effusion and cardiac tamponade pathophysiology and new approaches to treatment. [Internet] Curr Cardiol Rep. 2023;25(8):1003-1014. [citado 10 de mayo 2025]. Disponible en :https://doi.org/10.1007/s11886-023-01920-8

[9] Jain CC, Reddy YNV. Pericardial effusions: perspective of the acute cardiac care physician. [Internet] Eur Heart J Acute Cardiovasc Care. 2023 Jul 7;12(7):467-474.[citado 29 de septiembre 2025]. Disponible en: https://doi.org/10.1093/ehjacc/zuad050

[10] Lazaros G, Vlachopoulos C, Lazarou E, Tsioufis K. New Approaches to Management of Pericardial Effusions. [Internet] Curr Cardiol Rep. 2021;23(8):106. [citado 10 de mayo 2025]. Disponible en: https://doi.org/10.1007/s11886-021-01539-7

[11] Velibey Y, Mollaalioğlu F, Eren S, Parsova KE. Water-bottle heart. [Internet] Anatol J Cardiol. 2021 Jun;25(6):E24-E25. [citado 10 de mayo 2025]. Disponible en: https://doi.org/10.5152/AnatolJCardiol.2021.25274

[12] Salenger R, Etchill E, Ad N, Matthew T, Alejo D, Whitman G, et al. The Surge After the Surge: Cardiac Surgery Post-COVID-19. [Internet] Ann Thorac Surg. 2020;110(6):2020-2025. [citado 10 de mayo 2025]. Disponible en: https://doi.org/10.1016/j.athoracsur.2020.04.018

[13] Peña R, Rivano P, Quiroz O, Quiroz S, Gómez A, Martín AS, et al. Perfil previsional de pacientes operados por patología cardiovascular de un hospital público en la macro zona norte, análisis de una década. [Internet] Rev Med Chil. 2024;152(4):444-453. [citado 10 de mayo 2025]. Disponible en: https://doi.org/10.4067/s0034-98872024000400444

[14] López I, Hidalgo A, Pérez E, González ME, Bellido C, Pérula LA. Hipotiroidismo adulto en una zona básica de salud. [Internet] Semergen. 2018;44(3):174-179. [citado 10 de mayo 2025]. Disponible en: https://doi.org/10.1016/j.semerg.2017.06.003

[15] Offenbacher J, Kim P, Nguyen V, Meltzer J. Association of thoracic cage fractures and pericardial effusion in blunt trauma. [Internet] Am J Emerg Med. 2021;50:729-732. [citado 29 de septiembre 2025]. Disponible en: https://doi.org/10.1016/j.ajem.2021.08.052

[16] Gaur A, Gaur R, Meena S. A hospital based prospective study to find out a correlation between severity of disease and presence of pericardial effusion in adult hypothyroid patients at tertiary care center. [Internet] International Journal of Academic Medicine and Pharmacy. 2025; 7(2):302-305. [citado 29 de septiembre 2025]. Disponible en: https://www.academicmed.org/Uploads/Volume7Issue2/61.%20[4928.%20JAMP_Rohin]%20302-305.pdf

[17] Ebrahimi P, Taheri H, Bahiraie P, Rader F, Siegel RJ, Mandegar MH, Hosseini K, Shahid F. Incidence of secondary pericardial effusions associated with different etiologies: a comprehensive review of literature. [Internet] J Cardiothorac Surg. 2025;20(1):141. [citado 29 de septiembre 2025]. Disponible en: https://doi.org/10.1186/s13019-025-03370-5

[18] Malik J, Zaidi SMJ, Rana AS, Haider A, Tahir S. Post-cardiac injury syndrome: An evidence-based approach to diagnosis and treatment. [Internet] Am Heart J Plus. 2021;12:100068. [citado 29 de septiembre 2025]. Disponible en: https://doi.org/10.1016/j.ahjo.2021.100068

[19] Backhouse C, Sandoval J, Martínez G, Maluenda G, Veas N, Carvajal N, et al. Repercusión de la pandemia COVID-19 en la práctica de la cardiología intervencional en Chile. Datos aportados por la encuesta del grupo Stent-Save a Life! LATAM working group. [Internet] Revista chilena de cardiología. 2021; 40(2):121-126. [citado 29 de septiembre 2025] Disponible en: https://dx.doi.org/10.4067/S0718-85602021000200121