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2014, Number 4

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Revista Cubana de Cirugía 2014; 53 (4)

Characteristics of the high risk surgical patients in the intensive care unit

Delgado FRI, Hernández RA, Castillo CJJ, Hernández VJA, Vinent LJA, Alcalde MGR

Language: Spanish
References: 20
Page: 388-396
PDF size: 104.72 Kb.


ABSTRACT

Introduction: the need of intensive care for high risk surgical patients is out of discussion.
Objective: to characterize the high risk surgical patients by demographic features, diagnosis on admission and mortality.
Methods: descriptive, prospective and longitudinal ofn394 high risk surgical patients admitted to the intensive care unit of "Joaquín Albarrán Domínguez" Hospital during 2012 and 2013.
Results: ninety eight percent of the hospitalized surgical patients were classified as high risk. The fatality rate was 19. 2 %. In this group, 31.5 % of the dead people was in the 80 to 89 year age group, no significant association between age and mortality was found. Male sex prevail (52.7 %) over female (47.2 %), being females prevalent in mortality and there was significant association. Secondary peritonitis was present in 30.3 % of the deceased people and neoplastic digestive system diseases in 19.2 % with significant statistical association. The first cause of death was the multi-organ failure with 44. 7 %.
Conclusions: the mortality rate in the high risk surgical patients was acceptable; aged females prevailed; secondary peritonitis and neoplastic diseases predominated and led to multi-organ failure. It is therefore necessary to stratify the risk of every patient to intensify or customize the treatment intervention.


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