Quintero IA, Díaz MJ, Lurencio VY, Pérez AAI, Valledor TRB, Pérez SL

Language: Spanish
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ABSTRACT

Introduction: Many surgical patients need intensive medical assistance. Every year is lifted the number of people that enters in intensive cares right after a surgical treatment.
Objective: To characterize the patients with abdominal surgery.
Methods: A descriptive and prospective study was accomplished. Each patient’s history was hand-searched of 97 patients admitted in the Intensive Care Unit from “Enrique Cabrera” Hospital, with abdominal surgery, during 2015. The variables used were age, sex, stay, discharge status, diagnosis at admission, complications, artificial mechanical ventilation, septic shock, multiple organ dysfunction and the score in the Acute Physiology and Chronic Health Evaluation II. The information was processed from a database. Descriptive statistics was used to summarize the variables.
Results: 26.8 % of all patients died. 31.9 % of the admitted patients were older than 74 years. In both sexes, there was an equal number of deaths. The diagnosis of high digestive bleeding had the highest mortality (62.5 %). 31,7 % of all patients died due to some type of complication. The variables septic shock, multiple organ dysfunction syndrome and artificial mechanical ventilation had mortality higher than 60 %.
Conclusions: The majority of patients with abdominal surgery were elderly. About one third died and there were no significant differences in sex. The most frequent diagnosis at admission was peritonitis. However, there were more deaths among those with high digestive bleeding. At least half of the sample presented some type of complication. Septic shock, multiple organ dysfunction syndrome, the need for mechanical ventilation and Acute Physiology and Chronic Health Evaluation II at admission higher than 16 points were the main causes of mortality among patients.