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dc.contributor | Niño Mantilla, María Eugenia [0000535885] | |
dc.contributor | Torres Dueñas, Diego [0000066885] | |
dc.contributor | Cárdenas Angelone, María Eugenia [0000066761] | |
dc.contributor | Sanabria Pinillos, Vivian [0000885185] | |
dc.contributor | Ospina Galeano, Ana María [0001078844] | |
dc.contributor | Niño Mantilla, María Eugenia [1R_FcOoAAAAJ] | |
dc.contributor | Niño Mantilla, María Eugenia [0000-0003-2945-5175] | |
dc.contributor | Torres Dueñas, Diego [0000-0002-8006-7461] | |
dc.contributor | Niño Mantilla, María Eugenia [14029145400] | |
dc.contributor | Torres Dueñas, Diego [24282065800] | |
dc.contributor | Grupo de Investigación en Ciencias y Educación en Salud | |
dc.creator | Niño Mantilla, María Eugenia | |
dc.creator | Torres Dueñas, Diego | |
dc.creator | Cárdenas Angelone, María Eugenia | |
dc.creator | Godoy Díaz, Andrea Paola | |
dc.creator | Moreno Díaz, Nataly | |
dc.creator | Sanabria Pinillos, Vivian | |
dc.creator | Ospina Galeano, Ana María | |
dc.creator | Vásquez Cardona, Lina Maria | |
dc.creator | Parra Moncada, Diana Carolina | |
dc.creator | Jaimes Peñaranda, Carlos Jesús | |
dc.creator | Ordóñez Blanco, Ivonne Tatiana | |
dc.creator | Ortiz Gualdrón, César Augusto | |
dc.date | 2020-10-27T14:20:22Z | |
dc.date | 2020-10-27T14:20:22Z | |
dc.date | 2012-08-10 | |
dc.date.accessioned | 2022-03-14T20:09:37Z | |
dc.date.available | 2022-03-14T20:09:37Z | |
dc.identifier | 2382-4603 | |
dc.identifier | 0123-7047 | |
dc.identifier | http://hdl.handle.net/20.500.12749/10195 | |
dc.identifier | instname:Universidad Autónoma de Bucaramanga UNAB | |
dc.identifier | repourl:https://repository.unab.edu.co | |
dc.identifier.uri | http://biblioteca-repositorio.clacso.edu.ar/handle/CLACSO/22304 | |
dc.description | El objetivo del presente artículo fue evaluar los factores de riesgo para mortalidad por sepsis severa en cuatro instituciones de cuidado crítico de la ciudad, estudiando variables socio-demográficas, clínicas y microbiológicas. Materiales y métodos: Estudio de cohorte de 150 pacientes admitidos a unidad de cuidado crítico de cuatro unidades del área metropolitana de Bucaramanga, con diagnóstico de sepsis severa o choque séptico. Fueron estudiados mediante un cuestionario sobre variables socio-económicas, clínicas y microbiológicas. Se realizó análisis bivariado con pruebas t de student y chi cuadrado. El análisis multivariado mediante regresión de Cox con el tiempo al evento como variable de desenlace. Resultados: Los pacientes sobrevivientes tuvieron un promedio de edad de 64 años y los no sobrevivientes de 67 años, sin que se demostraran diferencias estadísticas entre los dos grupos de pacientes. No se encontraron diferencias en cuanto al género. El factor de riesgo más importante asociado a mortalidad por sepsis fueron las complicaciones durante la hospitalización, incluso luego de ajustar por el puntaje SOFAinicial, el sitio de infección y los indicadores de respuesta inflamatoria como la hiperlactatemia e hiperbilirrubinemia. Conclusiones:Se encontraron tres modelos de riesgo para mortalidad por sepsis con otras complicaciones durante la hospitalización como el factor de riesgo más relevante y el control glicémico como el factor de protección más importante. [Niño ME, Torres D, Cárdenas ME, Godoy AP, Moreno N, Sanabria V, et al. Factores pronósticos de mortalidad por sepsis severa en unidades de cuidado critico del área metropolitana de Bucaramanga. | |
dc.description | The objective of this article was to evaluate the risk factors for mortality due to severe sepsis in four critical care institutions in the city, studying socio-demographic, clinical and microbiological variables. Materials and methods: Cohort study of 150 patients admitted to a critical care unit of four units in the metropolitan area of Bucaramanga, diagnosed with severe sepsis or septic shock. They were studied by means of a questionnaire on socio-economic, clinical and microbiological variables. Bivariate analysis was performed with Student's t and chi square tests. Multivariate analysis using Cox regression with time to event as an outcome variable. Results: The surviving patients had an average age of 64 years and the non-survivors of 67 years, without statistical differences between the two groups of patients. No differences were found regarding gender. The most important risk factor associated with mortality from sepsis was complications during hospitalization, even after adjusting for the initial SOFA score, the site of infection, and indicators of inflammatory response such as hyperlactatemia and hyperbilirubinemia. Conclusions: Three risk models were found for mortality from sepsis with other complications during hospitalization as the most relevant risk factor and glycemic control as the most important protective factor. [Niño ME, Torres D, Cárdenas ME, Godoy AP, Moreno N, Sanabria V, et al. Prognostic factors for mortality due to severe sepsis in critical care units in the metropolitan area of Bucaramanga. | |
dc.format | application/pdf | |
dc.format | Application/vnd.openxmlformats-officedocument.wordprocessingml.document | |
dc.format | application/pdf | |
dc.language | spa | |
dc.publisher | Universidad Autónoma de Bucaramanga UNAB | |
dc.publisher | Facultad Ciencias de la Salud | |
dc.publisher | Pregrado Medicina | |
dc.relation | https://revistas.unab.edu.co/index.php/medunab/article/view/1586/1520 | |
dc.relation | Https://revistas.unab.edu.co/index.php/medunab/article/view/1586/2684 | |
dc.relation | https://revistas.unab.edu.co/index.php/medunab/article/view/1586 | |
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dc.rights | info:eu-repo/semantics/openAccess | |
dc.rights | Atribución-NoComercial-SinDerivadas 2.5 Colombia | |
dc.source | MedUNAB; Vol. 15 Núm. 1 (2012): Aneurisma Cerebral, Imágenes Diagnósticas, Accidentes Biológicos; 7-13 | |
dc.subject | Epidemiology | |
dc.subject | Intensive care unit | |
dc.subject | Mortality | |
dc.subject | Prognosis factors | |
dc.subject | Pandemia | |
dc.subject | Microorganismo | |
dc.subject | Biología | |
dc.subject | Epidemiologia | |
dc.subject | Sepsis | |
dc.subject | Cuidados intensivos | |
dc.subject | Mortalidad | |
dc.subject | Factores pronóstico | |
dc.title | Factores pronósticos de mortalidad por sepsis severa en unidades de cuidado crítico del área metropolitana de Bucaramanga | |
dc.title | Association between prognosis factorsand mortality in Bucaramanga | |
dc.type | info:eu-repo/semantics/article | |
dc.type | Artículo | |
dc.type | http://purl.org/coar/resource_type/c_7a1f | |
dc.type | Info:eu-repo/semantics/publishedVersion | |
dc.type | http://purl.org/redcol/resource_type/CJournalArticle |
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