<?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>S0034-74932022000100007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mortalidad por necrosectomía pancreática abierta]]></article-title>
<article-title xml:lang="en"><![CDATA[Morality due to Open Pancreatic Necrosectomy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ricardo Martínez]]></surname>
<given-names><![CDATA[Daimis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borges Sánchez]]></surname>
<given-names><![CDATA[Eduardo Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Abreu]]></surname>
<given-names><![CDATA[Yolaisy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Cambón]]></surname>
<given-names><![CDATA[Braulio Eliseo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<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[Casado Méndez]]></surname>
<given-names><![CDATA[Pedro Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital Universitario &#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>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>61</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932022000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932022000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932022000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La necrosectomía pancreática abierta es una técnica quirúrgica empleada en la infección de la necrosis.  Objetivo:  Identificar los factores relacionados con el pronóstico en pacientes operados con el diagnóstico de pancreatitis aguda necrotizante.  Método: Se realizó una cohorte prospectiva en enfermos operados con el diagnóstico de pancreatitis aguda necrotizante, en la Unidad de Cuidados Intensivos del Hospital General Universitario &#8220;Carlos Manuel de Céspedes&#8221; de Bayamo, Granma, en el período 2018 - 2020. Se incluyeron 61 pacientes con este diagnóstico. Se estudiaron variables demográficas, clínicas, humorales y quirúrgicas. Se utilizó una estrategia bivariado y multivariado.  Resultados:  En el análisis bivariado se destacó la influencia de la edad (RR 3,34 IC 95 % 0,17-0,68) y el índice de severidad tomográfica (RR 1,85 IC 95 % 0,66-2,37), la disfunción múltiple de órganos (RR 5,06 IC 95 % 1,08-2,15), la cirugía precoz (2,78 IC 95 % 1,00-3,34) y la infección de la necrosis (RR 6,60 IC 95 % 1,01-5,23). En el modelo de regresión logística multivariado quedaron incluidos como variables independientes asociadas al pronóstico la disfunción múltiple de órganos (RR 6,58 IC 95 % 2,40-18,08) y la infección de la necrosis (RR, 14,20 IC 95 % 5,93 -34,01)  Conclusiones: El análisis de la mortalidad evidenció que los factores que demostraron asociación significativa fueron la disfunción múltiple de órganos y la infección de la necrosis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Open pancreatic necrosectomy is a surgical technique used in necrosis infection.  Objective:  To identify the factors related to prognosis in patients operated on under the diagnosis of acute necrotizing pancreatitis.  Methods: A prospective cohort study was carried out in patients operated on under the diagnosis of acute necrotizing pancreatitis, in the intensive care unit of Carlos Manuel de Céspedes General University Hospital of Bayamo, Granma, Cuba, in the period 2018-2020. Sixty-one patients with this diagnosis were included. Demographic, clinical, humoral and surgical variables were studied. A bivariate and multivariate strategy was used.  Results: In the bivariate analysis, the influence of age (relative risk [RR]=3.34; 95% confidence interval [CI]: 0.17-0.68) and tomographic severity index (RR=1.85; 95% CI: 0.66-2.37), as well as multiple organ dysfunction (RR=5.06; 95% CI: 1.08-2.15), early surgery (RR=2.78; 95% CI: 1.00-3.34) and necrosis infection (RR=6.60; 95% CI: 1.01-5.23) were highlighted. In the multivariate logistic regression model, multiple organ dysfunction (RR=6.58; 95% CI: 2.40-18.08) and infection of necrosis (RR=14.20; 95% CI: 5.93-34.01) were included as independent variables associated with prognosis.  Conclusions: Mortality analysis evidenced that the factors that showed significant association were multiple organ dysfunction and necrosis infection.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[necrosis pancreática]]></kwd>
<kwd lng="es"><![CDATA[tratamiento quirúrgico]]></kwd>
<kwd lng="es"><![CDATA[necrosectomía pancreática]]></kwd>
<kwd lng="en"><![CDATA[pancreatic necrosis]]></kwd>
<kwd lng="en"><![CDATA[surgical treatment]]></kwd>
<kwd lng="en"><![CDATA[pancreatic necrosectomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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