<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932020000100004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores que al ingreso influyen en la evolución de pacientes con diagnóstico de pancreatitis aguda]]></article-title>
<article-title xml:lang="en"><![CDATA[Factor that, upon Hospitalization, Influence the Evolution of Patients with a Diagnosis of Acute Pancreatitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gorgoso Vázquez]]></surname>
<given-names><![CDATA[Ariadna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Capote Guerrero]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ricardo Martínez]]></surname>
<given-names><![CDATA[Daimí]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casado Méndez]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Gómez]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente Provincial &#8220;Carlos Manuel de Céspedes&#8221;  ]]></institution>
<addr-line><![CDATA[Bayamo, Granma ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>59</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932020000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932020000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932020000100004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La pancreatitis aguda es un proceso inflamatorio que daña reversiblemente el parénquima pancreático. Es una enfermedad engañosa y variable en el tiempo; una identificación oportuna de los signos de gravedad mejora el pronóstico y reduce la mortalidad.  Objetivos: Establecer los factores que al ingreso influyen en la evolución de pacientes con diagnóstico de pancreatitis aguda e identificar la relación de los hallazgos tomográficos y ecográficos al ingreso, con la evolución de estos pacientes.  Métodos:  Se realizó un estudio cuantitativo, observacional y descriptivo en pacientes con diagnóstico de pancreatitis aguda, en el Hospital General Docente Provincial &#8220;Carlos Manuel de Céspedes&#8221;.  Resultados:  La edad media fue 51,l7 años y el 60,49 % de los pacientes eran del sexo masculino. La supervivencia fue 93,83 %. El síndrome de respuesta inflamatoria sistémica, la disfunción de uno o más órganos, la realización de la intervención quirúrgica, la frecuencia cardiaca mayor de 90 latidos/minutos, la taquipnea, el valor de la glucemia mayor de 6,5 mmol/L y el valor del conteo de leucocitos mayor de 11,0 x 109/L, resultaron en factores de riesgo que, al ingreso, influyeron en la evolución de los pacientes hacia la muerte.  Conclusiones:  El síndrome de respuesta inflamatoria sistémica fue el principal factor de riesgo y la variable que mayor influencia tuvo en la evolución hacia la muerte de los pacientes estudiados, seguido de la disfunción de órganos y la realización de la intervención quirúrgica. El resto de las variables estudiadas no influyeron en la evolución de pacientes con diagnóstico de pancreatitis aguda.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Acute pancreatitis is an inflammatory process that reversibly damages the pancreatic parenchyma. It is, through time, a deceitful and variable disease; timely identification of the signs of severity improves the prognosis and reduces mortality.  Objective:  To establish the factors that, upon hospitalization, influence the evolution of patients diagnosed with acute pancreatitis.  Methods: A quantitative, observational and descriptive study with analytical phases was carried out in patients diagnosed with acute pancreatitis, at Carlos Manuel de Céspedes Provincial General Hospital.  Results: The mean age was 51,17 years, while 60.49% of the patients were male. Survival was 93.83%. Systemic inflammatory response syndrome, dysfunction of one or more organs, performance of surgical intervention, heart rate higher than 90 beats per minute, tachypnea, glycemic value over 6.5 mmol/L, and white blood cell count value greater than 11.0x109/L, resulted in risk factors that, upon admission, influenced the evolution of patients towards death.  Conclusions:  Systemic inflammatory response syndrome was the main risk factor and the variable that had the greatest influence on the evolution towards death of the patients studied, followed by organ dysfunction and the performance of surgical intervention. The rest of the variables studied did not influence the evolution of patients diagnosed with acute pancreatitis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[pancreatitis aguda]]></kwd>
<kwd lng="es"><![CDATA[factores pronósticos]]></kwd>
<kwd lng="es"><![CDATA[síndrome de respuesta inflamatoria sistémica]]></kwd>
<kwd lng="en"><![CDATA[acute pancreatitis]]></kwd>
<kwd lng="en"><![CDATA[prognostic factors]]></kwd>
<kwd lng="en"><![CDATA[systemic inflammatory response syndrome]]></kwd>
</kwd-group>
</article-meta>
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