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      Morbilidad y mortalidad en colaboradores cubanos en un Centro de Diagnóstico Integral en la República Bolivariana de Venezuela Translated title: Morbidity and mortality in Cuban collaborators in an Integral Diagnostic Center in the Bolivarian Republic of Venezuela

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          Abstract

          RESUMEN Introducción: la medicina del enfermo en estado crítico o no se orienta a la atención de enfermos con alteraciones fisiopatológicas agudas y graves que pueden comprometer la vida y son potencialmente reversibles. Objetivo: describir el comportamiento de la morbilidad y la mortalidad en colaboradores cubanos en un Centro de Diagnóstico Integral en la República Bolivariana de Venezuela. Métodos: se realizó un estudio descriptivo, de corte transversal, en las Salas de Terapia Intensiva y de Hospitalización de un Centro de Diagnóstico Integral del Distrito Capital en la República Bolivariana de Venezuela en el período desde enero de 2019 hasta noviembre de 2020; la muestra estuvo conformada por 282 colaboradoes que demandaron ingreso en ese período. Resultados: el mayor número de pacientes ingresados en Terapia Intensiva tenían diagnóstico de enfermedades clínicas -hipertensión arterial crónica descompensada (21%)-, el grupo de edad más representativo fue el de 50 a 59 años (32,17%) y el sexo masculino (65,73%), con mayor estadía entre cuatro y seis días (28%), se ventilaron 17 enfermos (11,90%) y se informó un fallecido con el diagnóstico de infarto cerebral aterotrombótico. Entre los ingresados en hospitalización fueron mayoritarios los ingresos quirúrgicos (25,18%), las edades entre 30 y 39 años (34,53%) y el sexo femenino (65,47%), sobresaliendo la estadía entre uno y tres días (43,17%). La hipertensión arterial (34,75%) fue la comorbilidad más relevante, mientras que el mayor número de ingresos fueron del perfil ocupacional médico (34,75%). Conclusiones: la morbilidad de los colaboradores se comportó parecida a sus similares del país venezolano. Solo hubo un fallecido en el grupo de enfermos ventilados.

          Translated abstract

          ABSTRACT Introduction: critical or non-critically ill patients' medicine is oriented to the care of patients with acute and severe pathophysiological alterations that may compromise life and are potentially reversible. Objective: to describe the behavior of morbidity and mortality in Cuban collaborators in an Integral Diagnostic Center in the Bolivarian Republic of Venezuela. Methods: a descriptive, cross-sectional study was carried out in the Intensive Care and Hospitalization Wards of an Integral Diagnostic Center of the Capital District in the Bolivarian Republic of Venezuela from January 2019 to November 2020; the sample consisted of 282 collaborators who requested admission during that period. Results: the largest number of patients admitted to Intensive Care had a diagnosis of clinical disease -chronic decompensated arterial hypertension (21%)-, the most representative age group was 50 to 59 years old (32.17%) and male sex (65.73%), with a longer stay between four and six days (28%), 17 patients were ventilated (11.90%) and one death was reported with a diagnosis of atherothrombotic cerebral infarction. Among those admitted to hospital, surgical admissions (25.18%), age between 30 and 39 years (34.53%) and female sex (65.47%) were the most common, with a stay of between one and three days (43.17%). Arterial hypertension (34.75%) was the most relevant comorbidity, while the greatest number of admissions were of the medical occupational profile (34.75%). Conclusions: the morbidity of the collaborators was similar to that of their Venezuelan counterparts. There was only one death in the group of ventilated patients.

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          To better define the incidence of sepsis and the characteristics of critically ill patients in European intensive care units. Cohort, multiple-center, observational study. One hundred and ninety-eight intensive care units in 24 European countries. All new adult admissions to a participating intensive care unit between May 1 and 15, 2002. None. Demographic data, comorbid diseases, and clinical and laboratory data were collected prospectively. Patients were followed up until death, until hospital discharge, or for 60 days. Of 3,147 adult patients, with a median age of 64 yrs, 1,177 (37.4%) had sepsis; 777 (24.7%) of these patients had sepsis on admission. In patients with sepsis, the lung was the most common site of infection (68%), followed by the abdomen (22%). Cultures were positive in 60% of the patients with sepsis. The most common organisms were Staphylococcus aureus (30%, including 14% methicillin-resistant), Pseudomonas species (14%), and Escherichia coli (13%). Pseudomonas species was the only microorganism independently associated with increased mortality rates. Patients with sepsis had more severe organ dysfunction, longer intensive care unit and hospital lengths of stay, and higher mortality rate than patients without sepsis. In patients with sepsis, age, positive fluid balance, septic shock, cancer, and medical admission were the important prognostic variables for intensive care unit mortality. There was considerable variation between countries, with a strong correlation between the frequency of sepsis and the intensive care unit mortality rates in each of these countries. This large pan-European study documents the high frequency of sepsis in critically ill patients and shows a close relationship between the proportion of patients with sepsis and the intensive care unit mortality in the various countries. In addition to age, a positive fluid balance was among the strongest prognostic factors for death. Patients with intensive care unit acquired sepsis have a worse outcome despite similar severity scores on intensive care unit admission.
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            Guía ESC/ESH 2018 sobre el diagnóstico y tratamiento de la hipertensión arterial

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              To determine whether the Acute Physiology and Chronic Health Evaluation III (APACHE III), an updated version of APACHE II that contains a larger number of postoperative patients in the normative database, offers better prediction in critical surgical illness.
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                Author and article information

                Journal
                amdc
                Acta Médica del Centro
                Acta méd centro
                Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro (Santa Clara, , Cuba )
                2709-7927
                March 2023
                : 17
                : 1
                : 60-72
                Affiliations
                [1] Santa Clara Villa Clara orgnameHospital Provincial Clínico Quirúrgico Universitario “Arnaldo Milián Castro” Cuba
                Article
                S2709-79272023000100060 S2709-7927(23)01700100060
                bdf94931-52df-4959-834a-2639ae825e9f

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 18 October 2022
                : 25 January 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 19, Pages: 13
                Product

                SciELO Cuba

                Categories
                ARTÍCULOS ORIGINALES

                hospitalization,morbilidad,critical care,mortality,morbidity,hospitalización,cuidados críticos,mortalidad

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