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2018, Número 4

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Rev Med MD 2018; 9.10 (4)


Ancho de distribución eritrocitario como factor de riesgo independiente de mortalidad en neumonía nosocomial

Lambraño-Castillo D, Lambraño-Castillo J, Cruz-Domínguez MP

Idioma: Español
Referencias bibliográficas: 24
Paginas: 311-316
Archivo PDF: 631.37 Kb.


RESUMEN

Introducción La neumonía nosocomial (NN) es una de las causas principales de muerte por infección, el pronóstico es importante en los pacientes con NN, un ancho de distribución eritrocitario (RDW) aumentado es asociado con mayor morbimortalidad. El objetivo del presente estudio fue calcular el riesgo que proporciona un RDW › 14.5% en pacientes con NN a las 72 horas del diagnóstico.
Material y Métodos Análisis retrospectivo de pacientes con diagnóstico de NN, con mediciones de RDW al momento del diagnóstico y en 72 horas, la severidad de la enfermedad se evaluó a través de APACHE II, se calculó el riesgo que de forma independiente proporciona el valor del RDW › 14.5 % en pacientes con NN a las 72 horas del diagnóstico.
Resultados 88 pacientes se incluyeron, el RDW › 14.5 % fue mayor en el grupo de los casos 32 (71.1 %) que en el grupo control 16 (37.2 %), (p= 0.001, IC 95 %), 72 pacientes presentaron neumonía complicada (81.1 %), un APACHE II › 18 fue mayor en el grupo de los casos 31 (68.9 %), al igual la falla a tratamiento antibiótico 34 (75,6 %) (p= 0,001, IC 95 %), un RDW a las 72 horas › 14.5 %, otorgó un OR: 4.16 (IC 95 % 1.70 - 10.14 p= 0.001).
Discusión El RDW a las 72 horas del diagnóstico de neumonía nosocomial › 14.5 % fue asociado como un factor independiente de mortalidad en NN.


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