Cardiopulmonary exercise test of Colombian military with war thoracic trauma

• Main Authors: Alirio Bastidas Goyes, Eduardo Tuta-Quintero, Carol Gutierrez-Morales, Jaime Pantoja-Fierro, Sandra Rodríguez-Rojas, Yency Forero-Martínez, Alba Pachon-Pardo
• Format: Article
• Language: Spanish
• Published: ECIMED 2021-05-01
• Series: Revista Cubana de Medicina Militar
• Subjects: lesiones relacionadas con la guerra; trastornos de combate; consumo de oxígeno; tolerancia al ejercicio; prueba de esfuerzo cardiopulmonar.
• Online Access: http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1108

Introduction: There are few publications related to cardiopulmonary stress tests in soldiers wounded in combat, and the various complications cause war trauma. Objective: To describe the cardiopulmonary variables in patients with war thoracic trauma submitted to stress tests. Methods: A descriptive study was carried out between 2010 and 2016, at the Hospital Militar Central de Bogotá, D.C., Colombia. The study population consisted of 27 patients with a history of war-derived thoracic trauma, who were submitted to cardiopulmonary stress tests. The variables of age, sex, symptoms, oxygen consumption, cardiopulmonary variables measured by spirometry, type of surgery, trauma and weapon were explored. Results: A total of 27 participants were included. Mean oxygen consumption peak ml / min was 2 891,8 (SD: 621,86), oxygen consumption peak mL/kg/min 43,25 (DS: 9,72), forced vital capacity pre-bronchodilator (L) 4,5 (DS: 1, 3) and post-bronchodilator (L) 4,3 (DS: 1,01). Exploratory analysis found significant differences among those who had a high velocity firearm wounds against other types of weapons. Conclusions: In patients with a history of trauma, peak oxygen consumption ml / min, peak oxygen mL/kg/min and forced vital capacity is lower than in the healthy population; Apparently, the type of high-velocity firearm wound has a greater effect on these variables evaluated by cardiopulmonary stress tests.