<?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. cuban. 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>S0138-65572022000400015</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Complicaciones quirúrgicas infecciosas en adultos mayores tras cirugía abdominal de urgencia]]></article-title>
<article-title xml:lang="en"><![CDATA[Infectious surgical complications in older adults after emergency abdominal surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Fernández]]></surname>
<given-names><![CDATA[Zenén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calás Balbuena]]></surname>
<given-names><![CDATA[Raúl Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Falcón Vilariño]]></surname>
<given-names><![CDATA[Gilberto Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero García]]></surname>
<given-names><![CDATA[Lázaro Ibrahim]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Piña Prieto]]></surname>
<given-names><![CDATA[Luís Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Santiago de Cuba Hospital Provincial Docente "Saturnino Lora" ]]></institution>
<addr-line><![CDATA[ Santiago de Cuba]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>51</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572022000400015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572022000400015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572022000400015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: En la actualidad el aumento de la población envejecida, asociado al desarrollo de la anestesiología, la cirugía y los cuidados intensivos ha generado un incremento del número de adultos mayores con abdomen agudo, que requieren tratamiento quirúrgico con urgencia, no exentos de complicaciones. Se realizó una revisión en bases de datos bibliográficas y se seleccionaron 25 documentos en idioma inglés y español.  Objetivo: Analizar las características esenciales que identifican a los pacientes adultos mayores con complicaciones quirúrgicas infecciosas tras cirugía abdominal de urgencia.  Desarrollo:  En el plano biológico suceden cambios por reducción de la reserva fisiológica del adulto mayor: respiratorios, cardiovasculares, genitourinarios, digestivos, endocrino-metabólicos y del equilibrio ácido-base, que los hacen vulnerables al estrés quirúrgico. Las complicaciones posoperatorias constituyen un importante indicador de calidad: retardan la evolución de la enfermedad, prolongan la estadía hospitalaria e incrementan los índices de morbilidad y mortalidad de modo significativo en enfermos de este grupo etario.  Conclusiones: A pesar del aumento del número de adultos mayores con abdomen agudo que requieren tratamiento quirúrgico con urgencia, la edad no debe considerarse como una limitante para efectuar la operación. Además del tratamiento específico y preventivo de las complicaciones tras cirugía abdominal de urgencia, las comorbilidades y la fragilidad presentes en estos pacientes requieren adecuada compensación preoperatoria, operatoria y posoperatoria, a fin de garantizar la evolución satisfactoria de estos enfermos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Currently, the increase in the aging population associated with the development of anesthesiology, surgery and intensive care has generated an increase in the number of older adults with acute abdomen requiring urgent surgical treatment. A review was carried out in bibliographic databases, and 25 documents were selected in English and Spanish.  Objective:  To analyze the clinical, epidemiological and therapeutic characteristics that identify older adult patients with infectious surgical complications after emergency abdominal surgery.  Development: At the biological level, changes occur due to the reduction of the physiological reserve of the elderly: respiratory, cardiovascular, genitourinary, digestive, endocrine-metabolic and acid-base balance that makes them vulnerable to surgical stress. Postoperative complications are an important indicator of quality: they delay the evolution of the disease, prolong hospital stay and significantly increase morbidity and mortality rates in patients of this age group.  Conclusions: Despite the increase in the number of older adults with acute abdomen who require urgent surgical treatment, age should not be considered as a limitation to perform the operation. In addition to the specific and preventive treatment of complications after emergency abdominal surgery, the comorbidities and frailty present in these patients require adequate preoperative, operative and postoperative compensation, in order to guarantee the satisfactory evolution of these patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[adulto mayor]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="es"><![CDATA[comorbilidad]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="es"><![CDATA[fragilidad]]></kwd>
<kwd lng="es"><![CDATA[gérmenes causales]]></kwd>
<kwd lng="es"><![CDATA[predictores]]></kwd>
<kwd lng="es"><![CDATA[urgencia]]></kwd>
<kwd lng="en"><![CDATA[elderly]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
<kwd lng="en"><![CDATA[comorbidity]]></kwd>
<kwd lng="en"><![CDATA[complications]]></kwd>
<kwd lng="en"><![CDATA[fragility]]></kwd>
<kwd lng="en"><![CDATA[causal germs]]></kwd>
<kwd lng="en"><![CDATA[predictors]]></kwd>
<kwd lng="en"><![CDATA[urgency]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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