<?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>0138-6557</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cub Med Mil]]></abbrev-journal-title>
<issn>0138-6557</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-65572022000100015</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Superioridad del APACHE-II para el pronóstico de mortalidad después de cirugía abdominal urgente: estudio multicéntrico]]></article-title>
<article-title xml:lang="en"><![CDATA[Apache-II superiority for the prognosis of mortality after urgent abdominal surgery: multicentric study]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Dios Soler Morejón]]></surname>
<given-names><![CDATA[Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tamargo Barbeito]]></surname>
<given-names><![CDATA[Teddy Osmin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lombardo Vaillant]]></surname>
<given-names><![CDATA[Tomás Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mezquia de Pedro]]></surname>
<given-names><![CDATA[Natascha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Illodo Hernández]]></surname>
<given-names><![CDATA[Oscar Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico Hermanos Ameijeiras  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínico Quirúrgico Docente &#8220;Freyre de Andrade&#8221;  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Docente Clínico Quirúrgico &#8220;Miguel Enríquez&#8221;  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Militar Central &#8220;Dr. Carlos J. Finlay&#8221;  ]]></institution>
<addr-line><![CDATA[ La Habana]]></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>51</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572022000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572022000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572022000100015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El pronóstico de mortalidad del paciente, después de una cirugía abdominal, requiere de sistemas de ayuda que sean a la vez eficaces y reproducibles.  Objetivo:  Comparar la eficacia de tres procedimientos en la predicción de la mortalidad de pacientes laparotomizados de urgencia.  Métodos:  Estudio multicéntrico observacional de cohorte prospectiva con 200 pacientes en el posoperatorio de cirugía abdominal mayor urgente atendidos en los hospitales &#8220;Miguel Enríquez&#8221;, &#8220;Carlos J. Finlay&#8221; y &#8220;Hermanos Ameijeiras&#8221; entre noviembre de 2016 y noviembre 2018. Se aplicaron media, desviación estándar, mediana y rango intercuartílico para la comparación entre vivos y fallecidos y se calculó la probabilidad de morir según el modelo que incluye ambos procedimientos. Se evaluó la capacidad de discriminación mediante la construcción de tres curvas de características operacionales del receptor, sus áreas bajo las curvas e intervalos de confianza.  Resultados:  La mortalidad total fue de 38 % y predominó significativamente en los pacientes de mayor edad, con mayor número de complicaciones, los reoperados y aquellos con hallazgos sépticos durante la reoperación. El poder predictivo fue mayor para el APACHE II en comparación a los otros dos procedimientos (área bajo la curva 0,912, IC 95 %: 0,840-0,933, p&lt; 0,001).  Conclusiones:  El APACHE II es un modelo eficaz y confiable para la predicción de la mortalidad de pacientes en el posoperatorio de cirugía mayor de urgencia, que lo hacen muy recomendable para este propósito.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The mortality prognosis of patients after abdominal surgery demands effective and reproducible aid systems.  Objective:  To compare the efficacy of three procedures in predicting mortality in emergency laparotomy patients.  Methods:  Prospective cohort observational multicenter study with 200 patients in the postoperative period of urgent major abdominal surgery assisted at the &#8220;Miguel Enríquez&#8221;, &#8220;Carlos J Finlay&#8221;, &#8220;Hermanos Ameijeiras&#8221; hospitals between November 2016 and November 2018. Mean, standard deviation median and interquartile range measures were applied for the comparison between living and deceased and the probability of dying was calculated according to the model that includes both procedures. Discrimination capacity was evaluated by constructing three curves of receiver operational characteristics, areas under the curves and confidence intervals were determined.  Results:  Total mortality was 38% and significantly prevailed in older patients, with a greater number of complications, reoperated patients, and those with septic findings during reoperation. Predictive power was higher for APACHE II compared to the other two procedures (area under the curve 0.912, CI 95%: 0.840-0.933, p&lt; 0.001).  Conclusions:  APACHE II is an effective and reliable model for predicting mortality in patients in the postoperative period of major emergency surgery, which makes it highly recommended for this purpose.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="es"><![CDATA[pronóstico]]></kwd>
<kwd lng="es"><![CDATA[APACHE]]></kwd>
<kwd lng="es"><![CDATA[presión]]></kwd>
<kwd lng="es"><![CDATA[cavidad abdominal]]></kwd>
<kwd lng="es"><![CDATA[cirugía general]]></kwd>
<kwd lng="es"><![CDATA[tratamiento de urgencia]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
<kwd lng="en"><![CDATA[prognosis]]></kwd>
<kwd lng="en"><![CDATA[APACHE]]></kwd>
<kwd lng="en"><![CDATA[pressure]]></kwd>
<kwd lng="en"><![CDATA[abdominal cavity]]></kwd>
<kwd lng="en"><![CDATA[emergency treatment]]></kwd>
<kwd lng="en"><![CDATA[general surgery.]]></kwd>
</kwd-group>
</article-meta>
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