<?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>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182021000600001</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores predictivos de mortalidad en pacientes con hemorragia digestiva alta]]></article-title>
<article-title xml:lang="en"><![CDATA[Predictive factors of mortality in patients with upper gastrointestinal bleeding]]></article-title>
<article-title xml:lang="pt"><![CDATA[Fatores preditivos de mortalidade em pacientes com sangramento gastrointestinal superior]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fonseca Sosa]]></surname>
<given-names><![CDATA[Fernando Karel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paredes Mustelier]]></surname>
<given-names><![CDATA[Rogelio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Corrales Caymari]]></surname>
<given-names><![CDATA[Yanet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Araluce Romero]]></surname>
<given-names><![CDATA[Rafael Alaín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital Provincial Clínico-Quirúrgico Docente ¨Celia Sánchez Manduley¨ ]]></institution>
<addr-line><![CDATA[Manzanillo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>25</volume>
<numero>6</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182021000600001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182021000600001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182021000600001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: la hemorragia digestiva alta constituye toda pérdida hemática de volumen suficiente como para producir hematemesis, melena o ambas, cuyo origen se encuentra entre el esfínter esofágico superior y el ángulo de Treitz.  Objetivo: determinar los factores predictivos de mortalidad en pacientes con hemorragia digestiva alta.  Métodos:  se realizó un estudio observacional, analítico, de cohorte prospectiva. Se seleccionó una muestra de 456 pacientes mayores de 15 años con el diagnóstico clínico de hemorragia digestiva alta admitidos en el cuerpo de guardia de cirugía general y unidad de cuidados intensivos y emergentes del Hospital Celia Sánchez Manduley, Manzanillo, entre enero de 2020 a diciembre de 2021. Se identificó una cohorte de pacientes egresados vivos (n=415) y una cohorte de pacientes fallecidos (n=41). Se realizó un análisis bivariado y posteriormente un análisis multivariado.  Resultados: el modelo más ajustado de los factores predictivos de mortalidad quedó constituido por las siguientes variables: edad mayor de 60 años, shock hipovolémico, insuficiencia cardíaca, insuficiencia hepática yhemorragia recidivante.  Conclusiones: se obtuvo un modelo ajustado con los factores predictivos de mortalidad en pacientes con hemorragia digestiva alta. Por lo tanto, podremos egresar precozmente a un paciente con bajo riesgo de mortalidad, mientras que podemos considerar el ingreso de un paciente de alto riesgo en la unidad de cuidados intensivos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: upper gastrointestinal bleeding constitutes any blood loss of sufficient volume to produce hematemesis, melena or both, whose origin is between the upper esophageal sphincter and the angle of Treitz.  Objective:  to determine the predictive factors of mortality in patients with upper gastrointestinal bleeding.  Methods:  an observational, analytical, prospective cohort study was carried out. A sample of 456 patients older than 15 years with the clinical diagnosis of upper gastrointestinal bleeding admitted to the general surgery guardhouse and intensive and emergent care unit of the Celia Sánchez Manduley Hospital, Manzanillo, between January 2020 and December, was selected. 2021. A cohort of patients discharged alive (n = 415) and a cohort of deceased patients (n = 41) were identified. A bivariate analysis was performed and subsequently a multivariate analysis.  Results:  the most adjusted model of the predictive factors of mortality was made up of the following variables: age over 60 years, hypovolemic shock, heart failure, liver failure and recurrent bleeding.  Conclusions:  an adjusted model was obtained with the predictive factors of mortality in patients with upper gastrointestinal bleeding. Therefore, we can discharge a patient with low risk of mortality early, while we can consider the admission of a high-risk patient to the intensive care unit.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução:  o sangramento gastrointestinal superior constitui qualquer perda de sangue de volume suficiente para produzir hematêmese, melena ou ambas, cuja origem se encontra entre o esfíncter esofágico superior e o ângulo de Treitz.  Objetivo:  determinar os fatores preditivos de mortalidade em pacientes com hemorragia digestiva alta.  Métodos: foi realizado um estudo observacional, analítico e de coorte prospectivo. Foi selecionada uma amostra de 456 pacientes maiores de 15 anos com diagnóstico clínico de hemorragia digestiva alta internados na enfermaria de cirurgia geral e unidade de terapia intensiva e emergente do Hospital Celia Sánchez Manduley, Manzanillo, entre janeiro de 2020 e dezembro. coorte de pacientes que receberam alta com vida (n = 415) e uma coorte de pacientes falecidos (n = 41). Foi realizada uma análise bivariada e posteriormente uma análise multivariada.  Resultados:  o modelo mais ajustado dos fatores preditivos de mortalidade foi composto pelas seguintes variáveis: idade acima de 60 anos, choque hipovolêmico, insuficiência cardíaca, insuficiência hepática e sangramento recorrente.  Conclusões: foi obtido um modelo ajustado com os fatores preditivos de mortalidade em pacientes com hemorragia digestiva alta. Por tanto, podemos dar alta precoce a um paciente com baixo risco de mortalidade, en quanto podemos considerar a admissão de um paciente de alto risco à unidade de terapia intensiva.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[factores predictivos]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="es"><![CDATA[hemorragia digestiva alta]]></kwd>
<kwd lng="en"><![CDATA[predictive factors]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
<kwd lng="en"><![CDATA[upper gastrointestinal bleeding]]></kwd>
<kwd lng="pt"><![CDATA[fatores preditivos]]></kwd>
<kwd lng="pt"><![CDATA[mortalidade]]></kwd>
<kwd lng="pt"><![CDATA[sangramento gastrointestinal superior]]></kwd>
</kwd-group>
</article-meta>
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