Resumen

HERNANDEZ RUIZ, Anabel; VINENT LLORENTE, Jorge Arístides; DELGADO FERNANDEZ, Rebeca Iracema  y  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.

Palabras clave : mortality; surgical; risk factors.

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