Suárez DR, Mirabal EN, Navarro RZ, Planas RM, Carbonell CRÁ

Language: Spanish
References: 17
Page: 5001-5008
PDF size: 418.90 Kb.

ABSTRACT

An observational and analytic cases and controls study of 77 patients with acute secondary peritonitis, admitted in the Intensive Care Unit of "Dr. Ambrosio Grillo Portuondo" University Clinical Surgical Hospital in Santiago de Cuba was carried out, in the period of January, 2014 to same month of 2016, to identify the prognosis factors of mortality in them. A prevalence of perforations as cause of death and prevalence of the female sex in the dead patients were obtained among the main results. A high specificity for the Mannheim index was found and association didn't exist between the age, the necessity to repeat laparotomy, the sepsis presence and the metabolic and immunosuppressive diseases with the probability of dying. The prognosis factors with statistical significance related to the probability of dying due to a secondary peritonitis were the physical status, the preoperative time and the multiple organs dysfunction.

REFERENCES

1. Vintimilla Moscoso AM. Validación del índice pronóstico de Mannheim en pacientes con peritonitis secundaria en el Hospital Regional Vicente Corral Moscoso y Hospital José Carrasco Arteaga IESS, Cuenca 2009-2010 [tesis]. Cuenca: Universidad de Cuenca; 2010.

2. Agrawal CS, Niranjan M, Adhikary S, Karki BS, Pandey R, Chalise PR. Quality assurance in the management of peritonitis: a prospective study. Nepal Med Coll J. 2009; 11(2): 83-87.

3. Berreta J, Kociak D, Balducci A, De Feo F, Laplacette MV, Bellido F, et al. Peritonitis secundaria generalizada: predictores de mortalidad y sobrevida, y vinculantes evolutivos de mortalidad. Acta Gastroenterol Latinoam. 2010; 40(2): 105-16.

4. Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ, et al. Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. Clin Infect Dis. 2010; 50(2): 133-64.

5. González Aguilera JC. Pronóstico de la peritonitis generalizada según el índice de Mannheim. Cir Ciruj. 2004; 70(3): 125-9.

6. Fletcher WS, Mahnke DE, Dunphy JE. Complete division of the common bile duct due to blunt trauma. J Trauma. 1961; 1(2): 87.

7. American Society of Anesthesiologists Task Force on Preanesthesia Evaluation: Practice advisory for preanesthesia evaluation: An updated report by the American Society of Anesthesiologists Task Force on Preanesthesia Evaluation. Anesthesiology. 2012; 116: 522–38.

8. González Aguilera JC, Jiménez Paneque RE. Factores pronósticos en pacientes con peritonitis difusa secundaria en una unidad de cuidados intensivos. Cir Ciruj. 2008; 76(5): 399-407.

9. Fuentes Díaz Z. Modelos multidimensionales pronósticos de mortalidad quirúrgica en intervenciones electivas no cardiacas [tesis doctoral]. Camagüey: Universidad de Ciencias Médicas “Carlos J. Finaly”; 2014 [citado 22 May 2016]. Disponible en: http://tesis.repo.sld.cu/866/1/Zaily_Fuentes_D%C3%ADaz.pdf

10. 10.Villa Valdés M, García Vega ME, Sáez Zúñiga G. Comportamiento de la reintervención abdominal en una unidad de cuidados intermedios quirúrgicos. Rev Cub Med Int Emerg. 2010; 9(4): 1962-74.

11. 11.Díaz G, Torreblanca P. Factores relacionados con la mortalidad en la unidad de terapia intensiva. Arequipa: Universidad Católica de Santa María; 2009 [citado 22 May 2016]. Disponible en: http://biblio.unsa.edu.pe/biomed/tesis.pdf

12. 12.Rodríguez Jiménez D, Pérez A, Rowan K, Londoño D, Metcalfe A, Gómez C, et al. Factores asociados con la mortalidad hospitalaria en pacientes admitidos en cuidados intensivos en Colombia. Arch Bronconeumol. 2010; 38(3): 117-22.

13. 13.Rivero León A. Manejo del paciente con peritonitis grave. Evaluación en dos años. Mediciego. 2008 [citado 22 May 2016]; 14(1). Disponible en: http://bvs.sld.cu/revistas/mciego/vol14_01_08/articulos/a2_v14_0108.htm

14. 14.Oliveros R, Martínez P, Lobelo R, Santrich D. Factores de riesgo determinantes de mortalidad posoperatoria en UCI en los pacientes quirúrgicos de alto riesgo. Rev Coloma Anestesiol. 2010; 33 (1):1-7.

15. 15.Biondo S, Ramos E, Deiros M, Rague JM, De Oca J, Moreno P, et al. Prognostic factors for mortality in left colonic-peritonitis: a new scoring system. J Am Coll Surg. 2010; 191(6): 635-42.

16. 16.Lombardo TA, Lezcano E. Morbilidad y mortalidad por peritonitis bacteriana secundaria. Rev Cubana Med Milit. 2001; 30(3): 145-50.

17. 17.Koperna T, Schulz F. Relaparotomy in peritonitis: prognosis and treatment of patients with persisting intraabdominal infection. World J Surg. 2000; 24: 32-37.