| Journal: | Revista de la Asociación Mexicana de Medicina Crítica y Terapia Intensiva |
| Database: | PERIÓDICA |
| System number: | 000390900 |
| ISSN: | 0187-8433 |
| Authors: | Alvarez Maldonado, Pablo1 Pérez Rosales, Abel1 Núñez Pérez-Redondo, Carlos1 Navarro Reynoso, Francisco1 Cicero Sabido, Raúl1 |
| Institutions: | 1Secretaría de Salud, Hospital General de México, México, Distrito Federal. México |
| Year: | 2015 |
| Season: | Jul-Sep |
| Volumen: | 29 |
| Number: | 3 |
| Pages: | 133-137 |
| Country: | México |
| Language: | Español |
| Document type: | Estadística o encuesta |
| Approach: | Descriptivo |
| Spanish abstract | Objetivo: Comparar resultados del postoperatorio de urgencia de cirugía de tórax versus cirugía no torácica en una Unidad de Cuidados Intensivos Respiratorios (UCIR). Material y métodos: Estudio de cohortes, retrospectivo, transversal. Se incluye a los pacientes ingresados a una UCIR en postoperatorio de urgencia de marzo de 2010 a octubre de 2014. Resultados: En el periodo de estudio fueron postoperados de urgencia 126 pacientes (cirugía torácica en 70 y cirugía no torácica en 56). Los diagnósticos para cirugía torácica fueron: mediastinitis (81.5%), herida penetrante de tórax (8.6%), empiema (7.1%) y otros (2.8%); y para cirugía no torácica: perforación de víscera hueca (55.4%), apendicitis/colecistitis (14.3%), trombosis mesentérica (8.9%), oclusión intestinal (7.1%), fascitis abdominopélvica (7.1%) y otros (7.2%). El sexo no difirió entre grupos (mujeres 30% versus 41%, p = 0.27), pero sí la edad (39.4 ± 11.6 versus 55 ± 16.4 años, p < 0.001), el puntaje Simplified Acute Physiology Score 3 (36 ± 11 versus 59 ± 17, p < 0.001), la escala Sequential Organ Failure Assessment (3.4 ± 3.5 versus 7.9 ± 4.9, p < 0.001), los días de ventilación mecánica (5.9 ± 5.2 versus 11.5 ± 12.1, p < 0.001), y la mortalidad en terapia intensiva (21.4% versus 57.1%, p < 0.001). No hubo diferencia en días de estancia en terapia intensiva (9.4 ± 6.6 versus 12.6 ± 13.8, p = 0.08). Conclusiones: En la UCIR, los postoperados de urgencia no torácica son pacientes de mayor edad, más graves, consumen más recursos y tienen mortalidad tres veces mayor comparados con postoperados de urgencia torácica |
| English abstract | Purpose: To compare the outcomes in a Respiratory Intensive Care Unit (RICU) between thoracic and nonthoracic emergency surgery. Material and methods: Retrospective and transversal cohort study. All patients admitted to a RICU who underwent emergency surgery between March of 2010 and October of 2014 were included. Results: In the study period, emergency surgery was the reason for admission in 126 patients (thoracic surgery in 70; non-thoracic surgery in 56). Diagnoses of thoracic surgery patients were: mediastinitis (81.5%), penetrating thoracic wound (8.6%), empyema (7.1%), and other (2.8%). Diagnoses of non-thoracic surgery patients were: intestinal perforation (55.4%), appendicitis/cholecystitis (14.3%), mesenteric thrombosis (8.9%), intestinal occlusion (7.1%), abdominopelvic fasciitis (7.1%), and other (7.2%). Sex did not differed among groups (woman 30% versus 41%, p 0.27); but, a difference in age was observed (39.4 ± 11.6 versus 55 ± 16.4 years, p < 0.001), as well as in Simplifi ed Acute Physiology Score 3 (36 ± 11 versus 59 ± 17, p < 0.001), Sequential Organ Failure Assessment score (3.4 ± 3.5 versus 7.9 ± 4.9, p < 0.001), mean days on mechanical ventilation (5.9 ± 5.2 versus 11.5 ± 12.1, p < 0.001) and mortality in the intensive care unit (21.4% versus 57.1%, p < 0.001). There was no difference in the length of stay in intensive care (9.4 ± 6.6 versus 12.6 ± 13.8, p 0.08). Conclusions: When comparing thoracic versus nonthoracic emergency surgery patients in the RICU, non-thoracic surgery patients were older, had worst prognosis, spend more resources and had three times more mortality compared to thoracic surgery patients |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Diagnóstico, Urgencias, Cirugía torácica, Terapia intensiva, Mortalidad, Postoperatorio |
| Keyword: | Medicine, Diagnosis, Surgery, Emergencies, Thoracic surgery, Intensive care, Mortality, Postoperative period |
| Full text: | Texto completo (Ver PDF) |
