2020, Number 3
Characterization of the patient with a history of chronic alcoholism in the intensive care unit
Language: Spanish
References: 21
Page:
PDF size: 258.72 Kb.
ABSTRACT
Objective: Characterization of alcoholic patients with admitted at the Intensive Care Unit.Method: A descriptive and retrospective study. The final sample was 123 patients. The statistical methods for the study included absolute and relative frequency distributions, central tendency measures, Chi-square and Student´s t tests.
Results: Average age was of 58, 5 ± 12,4 years old. The 40-59 (48, 8 %) prevailed as well as Males (92, 7 %). The proportion of male/female sex was of 12, 7:1, 0. More than half of the patients died (56, 1 %). The media age of this group was lightly high to that of the alive discharged patients (60,0 vs 56,6 years old). The clinic admittance cause was most frequent (67, 5 %). The mean of APACHE II value was 18, 1 and it was higher in the diseased than in the survivors (22, 0 vs 13, 1). Most patients ventilated (71, 5 %). The main stay was 6, 9 days, more extended in the dead (8, 1 vs 5, 4). The main causes of death were bacterial bronchopneumonia (28, 6 %).
Conclusion: Patients with antecedent of alcoholism have high mortality.
REFERENCES
Organización Panamericana de la Salud. Informe sobre la situación regional sobre el alcohol y la salud en las Américas. Washington, DC: OPS; 2015. [acceso: 28/05/2019]. Disponible en: Disponible en: https://docplayer.es/amp/15422496-Informe-de-situacion-regional-sobre-el-alcohol-y-la-salud-en-las-americas.html
Wood AM, Kaptoge S, Butterworth AS, Willeit P, Warnakula S, Bolton T, et al. Risk thresholds for alcohol consumption: combined analysis of individual-participant data for 599 912 current drinkers in 83 prospective studies. Lancet. 14 Abr 2018 acceso: 28/05/2019; 391(10129):1513-23. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899998/
Gili Miner M, López Méndez J, Béjar Prado L, Ramírez Ramírez G, Vilches Arenas A, Sala Turrens J. Trastorno por consumo de alcohol y neumonía neumocócica adquirida en la comunidad: mortalidad atribuible, prolongación de estancias y sobre costes hospitalarios. Arch Bronconeumol. 2015 [acceso: 28/05/2019]; 51(11):564-70. Disponible en: https://www.archbronconeumol.org/es-trastornos-por-consumo-alcohol-neumonia-articulo-S0300289615000551
León Ramos YA. Frecuencia y complicaciones clínico-laboratoriales en pacientes con intoxicación alcohólica atendidos en el servicio de emergencia del Hospital III Goyeneche, durante el año 2018. [tesis de especialidad]. Arequipa, Perú. 2019. [acceso: 28/05/2019]. Disponible en: https://repositorio.unsa.edu.pe/bitstream/handle/UNSA/8234
Slade T, Chapman C, Swift W, Keyes K, Tonks Z, Tee sson M. Birth cohort trends in the global epidemiology of alcohol use and alcohol-related harms in men and women: systematic review and metaregression. BMJ Open. 2016 Oct 24 [acceso: 28/05/2019]; 6(10): e011827. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5093369/
Hernández Ruiz A, Delgado Fernández RI, Castillo Cuello JJ, Monteagudo Aguilar J, Vinent Llorente JA, Monteagudo Aguilar AR. Pronóstico de mortalidad con la aplicación de APACHE II en pacientes graves. Rev Cub Med Int Emerg. 2015 [acceso: 28/05/2019];14(3):51-60. Disponible en: https://www.revmie.sld.cu/index.php/mie/article/view/104/pdf_2
Rocchetti NS, Bagilet DH, Settecase CJ, Quaglino M. Desempeño de los puntajes APACHE II y SAPS II para calcular la razón de mortalidad estandarizada en una Unidad de Cuidados Intensivos polivalente de la Argentina. Medicina Intensiva. 2016 [acceso: 28/05/2019]; 33(1): [aprox. 7 p.]. Disponible en: https://revista.sati.org.ar/index.php/MI/article/view/437
Marfil Garza BA, Belaunzarán Zamudio PF, Gulias Herrero A, Zuñiga AC, Caro Vega Y, Kershenobich Stalnikowitz D, et al. Risk factors associated with prolonged hospital lengthof-stay: 18-year retrospective study of hospitalizations in a tertiary healthcare center in Mexico. PLoS ONE. 2018 [acceso: 28/05/2019]; 13(11): e0207203. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224124/