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2012, Number 1

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Med Crit 2012; 26 (1)

3rd place Winner to Prize «Dr. Mario Shapiro»
Impact of the implementation of the FastHug protocol with mortality in patients with organ failure

Sánchez NVM, Muñoz RMR, Chávez PCE, Flores MP, Ocegueda PC, Flores CJC

Language: Spanish
References: 16
Page: 21-25
PDF size: 71.65 Kb.


ABSTRACT

Introduction: The mnemonic FASTHUG, that includes the minimal care of critically ill patients has shown improvement in prognosis. The study aimed to identify the association between the application of the criteria for FASTHUG and mortality in critically ill patients to determine its severity using the scale of SOFA.
Material and methods: Descriptive, retrospective, transversal. Included patients admitted to adult intensive care units during June 2010 to July 2011. Through daily monitoring sheets of patients were obtained: age, sex, admission diagnosis, type of diagnosis, mortality, SOFA initial compliance FASTHUG, and attention intensive care physician. Subsequently, associations were sought.
Results: 672 patients, 451 male (67.1%), female 221 (32.9%), age 59.8 SD ± 17.3; diagnostic, medical 366 (54.5%), surgical 296 (44%) and polytrauma 10 (1.5%) treated 306 by intensivist physicians (45.5%) and non intensivists 366 (54.3%), mortality 59 patients (8.8%). It was found that the higher organ dysfunction by SOFA › 7 points had lower mortality risk › of 4 components FASTHUG protocol (OR 0.31, p0.61).
Conclusions: FASTHUG implementation of the protocol in critically ill patients with organ failure reduces the risk of mortality.


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