Abstract

HERNANDEZ RUIZ, Anabel; VINENT LLORENTE, Jorge Arístides; DELGADO FERNANDEZ, Rebeca Iracema  and  CASTILLO CUELLO, José Julián. Factors influencing mortality in critically ill patients with abdominal surgery. Rev Cubana Cir [online]. 2014, vol.53, n.2, pp.134-144. ISSN 0034-7493.

Introduction: surgical patient is one of the pronest patients to intensive medical care. Objective: to determine factors influencing morbidity and mortality in critically-ill surgical patients. Methods: prospective and descriptive study of 193 surgical patients admitted to the Intensive Care Unit of "Joaquin Albarran Dominguez" hospital in Havana during 2012. Results: of 193 patients, 34 died (17.6 %), being those patients with emergency surgery (14 patients) predominant. Age over 60 years, acute renal failure (p = 0.0011) and need of vasoactive amina support (p < 0001) were the influential factors on the rise of mortality rate, with a highly significant association between albumin and physical condition on discharge (p < 0.0001). The fluid requirement above 5 liters was related with improved survival rate (p = 0.0002). Conclusions: the main risk factors for the critically-ill surgical patients mortality are hypovolemic shock, the need for amine support, hypoalbuminemia and the presence of acute renal failure; their prevention or early detection will allow intensifying or customizing the therapeutic actions to each patient, all of which may contribute to reduce mortality in this group of patients.

Keywords : mortality; surgical; risk factors.

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