Tamayo BE, Fernández CB, Matos MA, Estopiñan ZD, Romero OY

Idioma: Español
Referencias bibliográficas: 19
Paginas: 10-17
Archivo PDF: 97.00 Kb.

RESUMEN

Se realizó un estudio descriptivo y retros pectivo de 109 paciente s, atendidos en la Unidad de Cuidados Intensivos del Hospital General Universitario “Vladimir Ilich Lenin” de Holguín, desde septiembre de 2006 hasta igual mes de 2007, con vistas a determinar la frecuencia de los ingresos no planificados en ese Servicio. La información necesaria se obtuvo de los expedientes clínicos y del libro de registro de hospitalización. En la casuística predominaron los integrantes que se encontraban en el periodo posquirúrgico (39, 4 %), en tanto la sepsis/disfunción múltiple de órganos (25,7 %) constituyeron las causas más comunes del internamiento urgente. La aparición de complicaciones no esperadas incrementó su frecuencia (43,0 %), con predictores de gravedad (APACHE II) superiores (66,0 %) respecto a los programados.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Halpern NA, Pastores SM, Greenstein RJ. Critical care medicine in the United States 1985–2000; an analysis of bed numbers, use and costs. Crit Care Med. 2004;32(6):1254–9.

2. Haller G, Myles PS, Wolfe R, Weeks AM, Stoelwinder J, McNeil J. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesth esiology. 2005;103(6):1121-9.

3. Bos MM, de Keizer NF, Meynaar IA, Bakhsh i-Raiez F, de Jonge E. Outcomes of cancer patients after unplanned admission to general intensive care units. Acta Oncol. 2012;51(7):897-905.

4. Considine J, Botti M. Who, when and where? Identi fi cation of patients at risk of an in-hospital adverse event: implications for nursing practice. Int J Nurs Pract. 2004;10(1):21–31.

5. DeVita MA, Schaefer J, Lutz J, Dongilli T, Wang H. Improving medical crisis team performance. Crit Care Med. 2004;32(2 Supply):S61–5.

6. Buist M, Bernard S, Nguyen TV, Moore G, Anderson J. Association between clinically abnormal observations and subsequent in-hospital mortality: a prospective study. Resusci tation. 2004;62(2):137–41.

7. Devita MA, Bellomo R, Hillman K, Kellum J, Rotondi A, Teres D. Findings of the first consensus conference on medical emergency teams. Crit Care Med. 2006; 34(12):3070.

8. Harrison GA, Jacques TC, Kilborn G, McLaws ML. The prevalence of recordings of the signs of critical conditions and emergency responses in hospital wards: the SOCCER study. Resuscit ation. 2005;65(2):149–57.

9. McMillan TR, Hyzy RC. Bringing quality improvement into the intensive care unit. Crit Care Med. 2007;35(2 Suppl):s59-65.

10. Tam V, Frost SA, Hillman KM, Salamonson Y. Using administrative data to develop a nomogram for individualising risk of unplanned admission to intensive care. Resuscitation. 2008;79(2):241–8.

11. Cuthbertson BH, Boroujerdi M, Mc Kie L, Aucott L, Prescott G. Can physiological variables and early warning scoring systems allow early recognition of the deteriorating surgical patient? Cr it Care Med. 2007;35(2):402-9.

12. Garcea G, Thomasset S, McClelland L, Leslie A, Berry DP. Impact of a critical care outreach team on critical care readmissions and mortality. Acta Anaesthesiol Scand. 2004;48(9):1096–100.

13. Higgins TL, McGee WT, Steingrub JS, Rapoport J, Lemeshow S, et al. Early indicators of prolonged intensive care unit stay: impact of illness, physician staffing, and pre-intensive care unit leng th of stay. Crit Care Med. 2003;31:45-51.

14. Ledoux D, Finfer S, McKinley S. Impact of operator expertise on collection of the APACHE II score and on the derived risk of death and standardized mortality ratio. Anaesth Intensive Care. 2005;33(5):585–90.

15. American Thoracic Society Documents. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med. 2005;171:388–416.

16. Hovaguimian F, Lübbeke A, Barea C, Hoffmeyer P, Clergue F, et al. Intra-operative safety checklist-no effects on postoperat ive morbidity and mortality in high-risk surgical patients. European Journal of Anaesthesiolog y. 2011;28(17):4-8.

17. Laupland KB, Kirkpatrick AW, Kortbeek JB, Zuege DJ. Long-term mortality outcome associated with prolonged admission to the ICU. Chest. 2006;129(4):954-9.

18. Dasta JF, McLaughlin TP, Mody SH, Piech C T. Daily cost of an intensive care unit day: the contribution of mechanical vent ilation. Crit Care Med. 2005;33(6):1266– 71.

19. Bracht H, Hänggi M, Jeker B, Wegmüller N, Porta F, et al. Incidence of low central venous oxygen saturation during unplanned admissions in a multidisciplinary intensive care unit: an observational study. Critical Care. 2007;11(1):R2.