Elguea EPA, Prado BOA, Barradas AJ

Idioma: Español
Referencias bibliográficas: 25
Paginas: 98-103
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RESUMEN

A la falta de detección oportuna del deterioro clínico y de una respuesta terapéutica deficiente se le conoce como falla para rescatar, lo cual conlleva eventos adversos como: ingreso urgente a la UCI, paro cardiorrespiratorio y muerte. En 1995 fueron creados en Australia los Equipos de Respuesta Rápida (ERR), cuyo sistema consiste en la activación de un código de emergencia ante la presencia de datos clínicos de deterioro. Se ha demostrado en varios estudios clínicos un impacto positivo al disminuir la incidencia de paro cardiorrespiratorio intrahospitalario. Se ha propuesto la implementación de escalas de gravedad para la detección del paciente con deterioro, la cual facilita que se desencadene una respuesta para que el paciente reciba atención en el momento oportuno y por personal entrenado en reanimación avanzada. Existen a nivel internacional alrededor de 33 escalas, de las cuales NEWS (National Early Warning Score) ha demostrado el mejor valor predictivo de eventos adversos.

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