<?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>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092024000600490</article-id>
<article-id pub-id-type="doi">10.35366/119238</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Concordancia en la detección de vasoespasmo en pacientes críticos con hemorragia subaracnoidea por médicos residentes vs especialistas]]></article-title>
<article-title xml:lang="en"><![CDATA[Concordance in the detection of vasospasm in critically ill patients with subarachnoid hemorrhage by resident vs specialist physicians]]></article-title>
<article-title xml:lang="pt"><![CDATA[Concordância na detecção de vasoespasmo em pacientes em estado crítico com hemorragia subaracnóidea por médicos residentes versus especialistas]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Vargas]]></surname>
<given-names><![CDATA[María Lucía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Godínez García]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez González]]></surname>
<given-names><![CDATA[Ma. Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez Correa]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Carrillo]]></surname>
<given-names><![CDATA[Pedro Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital de Especialidades (HE) No. 1 Centro Médico Nacional (CMN) Bajío Unidad de Cuidados Intensivos, Unidad Médica de Alta Especialidad (UMAE)]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>38</volume>
<numero>6</numero>
<fpage>490</fpage>
<lpage>496</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092024000600490&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092024000600490&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092024000600490&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La hemorragia subaracnoidea (HSA) es considerada una de las patologías neurológicas más relevantes y representa 5% de la enfermedad cerebrovascular. Además, sus complicaciones como el vasoespasmo, se considera el determinante de morbilidad más importante posterior a una HSA. El Doppler transcraneal (DTC) es útil para su monitoreo y detección temprana; sin embargo, debido a que se trata de un método de estudio operador dependiente, es importante identificar la concordancia entre las mediciones realizadas por médicos en formación versus médicos especialistas entrenados en el área.  Objetivo:  Determinar la concordancia en la detección de vasoespasmo mediante ultrasonido Doppler transcraneal entre médicos residentes y médicos especialistas en medicina crítica.  Material y métodos:  Estudio de concordancia, observacional, longitudinal, analítico. Se compararon dos grupos: médicos residentes de primer y segundo año de la especialidad de medicina crítica versus médicos especialistas (ya titulados) ambos con entrenamiento adquirido durante su formación. Ambos grupos realizaron una medición en los pacientes que ingresaron a la Unidad de Cuidados Intensivos (UCI) en el periodo de enero a septiembre de 2024 con diagnóstico de hemorragia subaracnoidea aneurismática. A través de un muestreo no probabilístico por conveniencia, se incluyeron un total de 15 pacientes y participaron 30 médicos (15 en cada grupo). Se realizó un análisis de correlación entre las mediciones obtenidas del DTC y un análisis de concordancia para ambos grupos.  Resultados:  Se utilizó el índice de Lindegaard obtenido del DTC y se comparó con el resultado de la angiografía cerebral (utilizada como estándar de oro para la detección de vasoespasmo) con un CCI 0.714 IC95% 0.410-0.863 (p &lt; 0.000) y una correlación de r = 0.603 (p &lt; 0.0001) para la arteria cerebral media (ACM) derecha y CCI 0.899 IC95% 0.790-0.952 (p &lt; 0.0001) y correlación de r = 0.848 (p &lt; 0.0001) para la ACM izquierda. Además, de forma secundaria, se obtuvo un coeficiente Kappa la concordancia observada en la detección de hipertensión intracraneal (HIC) entre la medición de la vaina del nervio óptico (VNO) por DTC y VNO por angio-TAC de cráneo para los médicos residentes de 0.675 (p &lt; 0.0001) y para los médicos especialistas de 0.459 (p = 0.011).  Conclusiones:  Se encontró concordancia para el diagnóstico de vasoespasmo entre las mediciones obtenidas por médicos especialistas y residentes mediante DTC comparado con angiografía cerebral. Sin encontrar diferencia significativa entre ambos grupos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Subarachnoid hemorrhage (SAH) is considered one of the most relevant neurological pathologies and represents 5% of cerebrovascular disease. Moreover, its complications, such as vasospasm, are considered the most important determinant of morbidity following SAH. Transcranial Doppler (TCD) is useful for its monitoring and early detection, however, because it is an operator-dependent study method, it is important to identify the concordance between measurements performed by physicians in training vs. specialists trained in the area.  Objective:  To determine the concordance in the detection of vasospasm by transcranial Doppler ultrasound between residents and specialists in critical care medicine.  Material and methods:  Concordance study, observational, longitudinal, analytical. Two groups were compared: first and second year residents in the specialty of critical care medicine versus specialists (already qualified) both with training acquired during their training. Both groups performed a measurement in patients admitted to Intensive Care Unit (ICU) in the period from January to September 2024 with a diagnosis of aneurysmal subarachnoid hemorrhage. Through a non-probabilistic sampling by convenience, a total of 15 patients were included and 30 physicians participated (15 in each group). A correlation analysis was performed between the TCD measurements obtained and a concordance analysis for both groups.  Results:  The Lindegaard index obtained from TCD was used and compared with the result of cerebral angiography (used as the gold standard for the detection of vasospasm) with a CCI 0.714 CI 95% 0. 410-0.863 (p &lt; 0.000), and a correlation of r = 0.603 (p &lt; 0.0001) for the right middle cerebral artery (MCA) and CCI 0.899 CI 95% 0.790-0.952 (p &lt; 0.0001), and correlation of r = 0.848 (p &lt; 0.0001) for the left MCA. In addition, secondarily a Kappa coefficient was obtained the concordance observed in the detection of intracranial hypertension (ICH) between the measurement of the optic nerve sheath (ONV) by TCD and ONV by cranial angio-TAC for resident physicians of 0.675 (p &lt; 0.0001) and for specialist physicians of 0.459 (p = 0.011).  Conclusions:  Concordance was found for the diagnosis of vasospasm between measurements obtained by specialist and resident physicians by TCD compared to cerebral angiography. No significant difference was found between the two groups.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  A hemorragia subaracnóidea (HSA) é considerada uma das patologias neurológicas mais relevantes e representa 5% das doenças cerebrovasculares. Além disso, suas complicações, como o vasoespasmo, são consideradas o fator determinante mais importante da morbidade após a HSA. O Doppler transcraniano (DTC) é útil para seu monitoramento e detecção precoce; no entanto, por ser um método de estudo dependente do operador, é importante identificar a concordância entre as medições feitas por médicos residentes e por médicos especialistas treinados na área.  Objetivo:  Determinar a concordância na detecção de vasoespasmo por ultrassom Doppler transcraniano entre médicos residentes e médicos especializados em Medicina Intensiva.  Material e métodos:  Estudo de concordância, observacional, longitudinal e analítico. Dois grupos foram comparados: médicos residentes do primeiro e segundo ano na especialidade de Medicina Intensiva versus médicos especialistas (já qualificados), ambos com treinamento adquirido durante sua formação. Ambos os grupos mediram os pacientes admitidos na UTI de janeiro a setembro de 2024 com diagnóstico de hemorragia subaracnóidea aneurismática, usando amostragem de conveniência não probabilística. Um total de 15 pacientes foi incluído e 30 médicos participaram (15 em cada grupo). Foi realizada uma análise de correlação entre as medições obtidas de DTC e uma análise de concordância para ambos os grupos.  Resultados:  O índice de Lindegaard obtido da DTC foi usado e comparado com o resultado da angiografia cerebral (usada como padrão ouro para detecção de vasoespasmo) com um CCI 0.714 IC95% 0.410-0.863 (p &lt; 0.000) e uma correlação de r = 0.603 (p &lt; 0.0001) para a artéria cerebral média (ACM) direita e CCI 0.899 IC95% 0.790-0.952 (p &lt; 0.0001) e correlação de r = 0.848 (p &lt; 0.0001) para a ACM esquerda. Além disso, obteve-se secundariamente um coeficiente Kappa para a concordância observada na detecção de hipertensão intracraniana (HIC) entre a medição da bainha do nervo óptico (BNO) por DTC e a VNO por angio-TC cerebral para médicos residentes de 0.675 (p &lt; 0.0001) e para médicos especialistas de 0.459 (p = 0.011).  Conclusões:  Foi encontrada concordância para o diagnóstico de vasoespasmo entre as medidas obtidas por especialistas e residentes usando o DTC em comparação com a angio-TC cerebral. Não foi encontrada diferença significativa entre os dois grupos.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Doppler transcraneal]]></kwd>
<kwd lng="es"><![CDATA[vasoespasmo]]></kwd>
<kwd lng="es"><![CDATA[hemorragia subaracnoidea]]></kwd>
<kwd lng="es"><![CDATA[índice de Lindegaard]]></kwd>
<kwd lng="en"><![CDATA[transcranial Doppler]]></kwd>
<kwd lng="en"><![CDATA[vasospasm]]></kwd>
<kwd lng="en"><![CDATA[subarachnoid hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[Lindegaard index]]></kwd>
<kwd lng="pt"><![CDATA[doppler transcraniano]]></kwd>
<kwd lng="pt"><![CDATA[vasoespasmo]]></kwd>
<kwd lng="pt"><![CDATA[HSA]]></kwd>
<kwd lng="pt"><![CDATA[índice de Lindegaard]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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