<?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>S0034-74932019000400005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores relacionados con la falla multiorgánica en pacientes con peritonitis]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors related to multi-organ failure in patients with peritonitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sierra]]></surname>
<given-names><![CDATA[Reinaldo Elías]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Llombar]]></surname>
<given-names><![CDATA[Jorge Onasis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Choo Ubals]]></surname>
<given-names><![CDATA[Tania]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bordelois Abdo]]></surname>
<given-names><![CDATA[Max Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lecourtois Mendoza]]></surname>
<given-names><![CDATA[Leyananis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente &#8220;Dr. Agostinho Neto&#8221;  ]]></institution>
<addr-line><![CDATA[Guantánamo ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>58</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932019000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932019000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932019000400005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La determinación del pronóstico del paciente con peritonitis difusa secundaria es un reto para cirujanos e intensivistas.  Objetivo:  Identificar los factores relacionados con el riesgo de falla multiorgánica en pacientes con peritonitis difusa secundaria ingresados en la unidad de terapia intensiva del Hospital &#8220;Dr. Agostinho Neto&#8221;.  Métodos:  Se realizó un estudio de casos (pacientes con peritonitis y falla multiorgánica n = 68) y controles (pacientes con peritonitis sin falla multiorgánica n = 47), en el periodo de 2017-2018. Se analizaron 64 variables que caracterizaron al paciente o a la peritonitis, y se calculó su asociación con el riesgo del paciente para presentar falla multiorgánica.  Resultados:  Las variables más asociadas a este riesgo fueron: riesgo anestésico 3 o más según la clasificación de la Sociedad Americana de Anestesia (odds ratio = 47,7), desequilibrio ácido-básico/ electrolítico (odds ratio = 22,6), hiperglucemia de 10 mmol/l o más en no diabéticos (odds ratio = 15,5), íleo paralítico reflejo persistente (odds ratio = 13,6), distrés respiratorio (odds ratio = 11,8), uso de ventilación mecánica invasiva (odds ratio = 11,8), Sequential [Sepsis-Related] Organ Failure Assessment 4 puntos o más (odds ratio = 10,2), tratamiento con abdomen abierto (odds ratio =9,0), escala Acute Physiology and Chronic Health Evaluation II 15 puntos o más (odds ratio = 8,9), shock séptico (odds ratio = 8,6).  Conclusiones:  Se identificaron los factores asociados a la presentación de falla multiorgánica, lo que hizo posible el diseño de una escala predictiva de esta falla en el paciente con peritonitis difusa secundaria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Determining the prognosis of the patient with secondary diffuse peritonitis is a challenge for surgeons and intensivists.  Objective:  To identify the factors related to the risk of multiple organ failure in patients with secondary diffuse peritonitis admitted to the intensive care unit of the Hospital &#8220;Dr. Agostinho Neto&#8221;.  Methods:  A case study (patients with peritonitis and multi-organ failure n = 68) and controls (patients with peritonitis without multi-organ failure n = 47), in the period 2017-2018, was performed. 64 variables that characterized the patient or peritonitis were analyzed, and their association with the risk of the patient to present multiple organ failure was calculated.  Results: The variables most associated with this risk were: anesthetic risk 3 or more according to the American Society of Anesthesia classification (odds ratio = 47.7), acid-basic / electrolyte imbalance (odds ratio = 22.6), hyperglycemia 10 mmol / l or more in non-diabetics (odds ratio = 15.5), persistent reflex paralytic ileus (odds ratio = 13.6), respiratory distress (odds ratio = 11.8), use of invasive mechanical ventilation (odds ratio = 11.8), Sequential [Sepsis-Related] Organ Failure Assessment 4 points or more (odds ratio = 10.2), treatment with open abdomen (odds ratio = 9.0), Acute Physiology and Chronic Health Evaluation II scale 15 15 points or more (odds ratio = 8.9), septic shock (odds ratio = 8.6).  Conclusions:  The factors associated with the presentation of multi-organ failure were identified, which made possible the design of a predictive scale of this failure in the patient with secondary diffuse peritonitis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[peritonitis]]></kwd>
<kwd lng="es"><![CDATA[pronóstico]]></kwd>
<kwd lng="es"><![CDATA[falla multiorgánica]]></kwd>
<kwd lng="en"><![CDATA[peritonitis]]></kwd>
<kwd lng="en"><![CDATA[forecast]]></kwd>
<kwd lng="en"><![CDATA[multi-organ failure]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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