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2002, Número 2

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Med Crit 2002; 16 (2)


Estancia prolongada en terapia intensiva: predicción y consecuencias

Sánchez VLD, Reyes SME

Idioma: Español
Referencias bibliográficas: 46
Paginas: 41-47
Archivo PDF: 77.28 Kb.


RESUMEN

Antecedentes: Los enfermos con estancia prolongada en terapia intensiva (UTI) consumen hasta el 50% de los recursos.
Objetivo: Determinar los factores de riesgo y consecuencias de la permanencia prolongada en UTI.
Lugar: Un hospital privado de la Ciudad de México.
Diseño: Estudio de cohorte prolectiva.
Pacientes: Se incluyeron setenta y tres pacientes.
Métodos: Se colectaron variables demográficas, clínicas y APACHE II, Bruselas y TISS-28. El análisis consistió en regresión logística múltiple, considerando significativa una p ‹ 0.05.
Resultados: La estancia en la UCI fue de ≥ 6 días. Los factores de riesgo fueron: género femenino OR 2.1 (IC95% 1.1-3.9), falla orgánica al ingreso OR 4.6 (IC95% 1.9-10.9) APACHE II > 10 OR 3.1 (IC95% 1.4-6.6) y TISS-28 › 25 OR 5.1 (IC95% 2.7-9.5). Tuvieron mayor frecuencia de complicaciones (morbilidad 60% y mortalidad 23%); p › 0.05.
Conclusiones: La estancia prolongada en terapia se acompaña de mortalidad elevada.


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