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2019, Número 3

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Acta Med 2019; 17 (3)


Amplitud de distribución eritrocitaria como predictor de mortalidad al ingreso en la Unidad de Terapia Intensiva del Hospital Ángeles Pedregal

Ochoa SH, Martínez MI, Carrillo RSC, Esponda PJG

Idioma: Español
Referencias bibliográficas: 28
Paginas: 230-236
Archivo PDF: 189.43 Kb.


RESUMEN

La amplitud de distribución eritrocitaria (ADE) es una medida de la heterogeneidad de los eritrocitos, se eleva en anemia o estados de malnutrición. No obstante, su elevación se ha asociado con otros biomarcadores de inflamación. Se relacionan valores por arriba de 15% con incremento de la mortalidad en pacientes críticamente enfermos. Objetivo: Determinar la relación en nuestro medio de aumento de ADE y mortalidad de los pacientes en la Unidad de Terapia Intensiva. Material y métodos: Los pacientes admitidos fueron aquellos ingresados de marzo a agosto de 2018. Los datos incluidos en el análisis estadístico fueron: SOFA, SAPS 3, hemoglobina, hematocrito, leucocitos, plaquetas, ADE, creatinina, albúmina, así como datos demográficos. Los valores de laboratorios tomados como normales fueron los seńalados por el laboratorio de nuestra unidad. Resultados: De acuerdo con la prueba estadística χ2, al relacionar las defunciones en la UTI con los valores de ADE, se obtuvo un p valor de 0.048, lo que demuestra relación entre dichas variables. Conclusiones: El aumento de ADE se asocia significativamente con una mayor tasa de mortalidad y es útil para la estratificación del riesgo en pacientes críticos.


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