Prevalencia de enfermedad pulmonar intersticial en pacientes con colagenopatías del Hospital IESS Ceibos del año 2018 al 2023.

Abstract

Introduction: Diffuse Interstitial lung Diseases are a group of pathologies characterized by affecting the pulmonary interstitium and its vasculature; in addition, it is the most frequently recognized lung condition in autoimmune connective tissue diseases or collagenopathies. Our research aims to determine the prevalence of ILD in patients with autoimmune connective tissue diseases at the IESS Los Ceibos General Hospital from 2018 to 2023. Materials and methods: A descriptive, retrospective and cross-sectional study was carried out, data were collected from 108 clinical records with a diagnosis of ILD in patients with collagenopathies. Results: The frequency of the female sex was found with 62% and 38% for the male, the collagenopathies present were rheumatoid arthritis and systemic sclerosis with 33.3% each, Sjögren's syndrome with 16.7%, systemic lupus erythematosus with 13%, mixed connective tissue disease with 2.8% and dermatopolymyositis with 0.9%. Dry cough was present in 55.6%, MMRC 1 dyspnea in 33%, crackles on auscultation in 79.6%, the NINE tomographic pattern in 54.6% and UIP in 45.4%, 78% of the patients did not require supplemental oxygen and the average oxygen saturation was 95%. The most frequent spirometric pattern was the moderate restrictive pattern with 38%. Conclusions: The sex with the highest prevalence was female, most patients presented rheumatoid arthritis and systemic sclerosis, the most important clinical characteristics were dyspnea, dry cough, dry crackles, the NINE tomographic pattern and the restrictive spirometric pattern with an FVC between 50-64%.