Abstract

PADRON SANCHEZ, Armando et al. Respuesta inflamatoria sistémica inespecífica infecciosa y no infecciosa en los pacientes críticos. Rev Cub Med Mil [online]. 2004, vol.33, n.1. ISSN 0138-6557.

The localized inflamation is a protection response closely controlled by the organism in the place of the lesion. The loss of this local control or the appearance of a hyperactive response conditions a systemic response that is known as systemic inflammatory reponse syndrome (SIRS). The sample was composed of 90 patients that were divided into 2 groups: group A, patients with criteria of SIRS of non infectious cause, and group B, patients with criteria of SIRS of infectious cause. The severity level within the first 48 hours was determined by the APACHE II system. The score for the multiple organ dysfunction syndrome (MODS) was also used. The chi square test was used for the association of the categoric variables, whereas the comparison of means was made by the t Student test or the unidirectional variance analysis. The SIRS of infectious cause showed the highest mortality and the poorest prognosis (p< 0.05).

Keywords : MULTIPLE ORGAN FAILURE [mortality]; SEPSIS SYNDROME; CRITICAL CARE; SHOCK, SEPTIC; INTENSIVE CARE UNITS; BACTERIAL INFECTIONS; PROGNOSIS.