Chávez-Pérez JP, Sánchez-Velázquez LD

Language: Spanish
References: 30
Page: 182-186
PDF size: 118.11 Kb.

ABSTRACT

Background. The patients in the ICU that are surgically reintervened create an immunological response that increase their morbi-mortality and the use of resources. Objective: Known the prognostic factors that determine increase in the mortality in patients severely ill that are surgically reintervened and its consequences. Place: Two public hospitals in Mexico City. Design: Study of prolective cohort. Patients: Were included 131 patients. Methods: Demographic, clinical, scales of severity of the disease (APACHE II, NEMS, Brusels), and Charlson score were collected. The statistical analysis consisted in multiple logistic regresion considering significative a p ‹ 0.05. Results: Of 131 surgical patients, 32 required surgical reintervention. In they the use of resources evaluated with NEMS (OR 1.092, IC _95% 1.020-1.169) and the presence of bacterial multiresistance (OR 5.306, IC _{95 %} 1.603-17.569) were predictor factors of mortality. Conclusions: The major use or resources and the appearance of bacterial multiresistance are considered predictor factors of mortality in patients severely ill that required a surgical reintervention.

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