<?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>S1028-48182019000100104</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Variables tomográficas pronósticas de muerte en el ictus isquémico]]></article-title>
<article-title xml:lang="en"><![CDATA[Prognostic tomographic variables of death in ischemic stroke]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinosa Santisteban]]></surname>
<given-names><![CDATA[Yamila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida Arias]]></surname>
<given-names><![CDATA[Dulvis Amanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Grimón Baez]]></surname>
<given-names><![CDATA[Leanne Isel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez Quesada]]></surname>
<given-names><![CDATA[Alexis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escalona Guevara]]></surname>
<given-names><![CDATA[Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital General Docente Carlos Manuel de Céspedes ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>1</numero>
<fpage>104</fpage>
<lpage>119</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182019000100104&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182019000100104&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182019000100104&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el ictus clásicamente se ha caracterizado por un déficit neurológico atribuido a una lesión focal aguda del sistema nervioso central por una causa vascular, incluyendo el infarto cerebral, hemorragia intracerebral y hemorragia subaracnoidea.  Objetivo:  identificar las variables tomográficas que influyen en el pronóstico de muerte a corto plazo en el ictus isquémico.  Método:  se realizó un estudio analítico, de cohorte única que incluyó 185 pacientes ingresados por infarto cerebral agudo de etiología isquémica confirmado por TAC, en el Hospital &#8220;Carlos Manuel de Céspedes&#8221; en Bayamo, desde Septiembre del 2016 hasta Septiembre del 2018. Las variables utilizadas en el estudio fueron edad, topografía, presencia de edema cerebral, efecto de masa, coexistencia de lesiones antiguas, transformación hemorrágica del infarto y pérdida de diferenciación entre sustancia gris y blanca. Las variables predictoras independientes fueron obtenidas como resultado de la estrategia multivariada que se basó en el ajuste de un modelo de regresión logística binaria.  Resultados:  el edema cerebral, el efecto de masa y el diámetro mayor superior a 5,5cm demostraron influencia directa en el pronóstico.  Conclusiones: en pacientes con infarto cerebral agudo de etiología isquémica, el edema cerebral, el efecto de masa y el diámetro mayor superior a 5,5cm poseen influencia directa en el pronóstico de muerte incrementando significativamente el riesgo de morir antes de los 30 días.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the stroke has classically been characterized by a neurological deficit attributed to an acute focal lesion of the central nervous system by a vascular cause, including cerebral infarction, intracerebral hemorrhage and subarachnoid hemorrhage.  Objective:  to identify the tomographic variables that influence the prognosis of short-term death in ischemic stroke.  Method:  a single cohort analytical study was carried out that included 185 patients admitted for acute cerebral infarction of ischemic etiology confirmed by CT, at the "Carlos Manuel de Céspedes" Hospital in Bayamo, from September 2016 to September 2018. The variables used in the study were age, topography, presence of cerebral edema, mass effect, coexistence of old lesions, hemorrhagic transformation of the infarct and loss of differentiation between gray and white matter. The independent predictor variables were obtained as a result of the multivariate strategy that was based on the adjustment of a binary logistic regression model.  Results:  brain edema, mass effect and greater diameter greater than 5.5cm showed direct influence on prognosis.  Conclusions:  in patients with acute cerebral infarction of ischemic etiology, brain edema, mass effect and greater diameter greater than 5.5cm have a direct influence on the prognosis of death, significantly increasing the risk of dying before 30 days.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Accidente Cerebrovascular]]></kwd>
<kwd lng="es"><![CDATA[Análisis Multivariante]]></kwd>
<kwd lng="es"><![CDATA[pronóstico]]></kwd>
<kwd lng="es"><![CDATA[muerte]]></kwd>
<kwd lng="en"><![CDATA[Stroke]]></kwd>
<kwd lng="en"><![CDATA[Multivariate Analysis]]></kwd>
<kwd lng="en"><![CDATA[prognosis]]></kwd>
<kwd lng="en"><![CDATA[death]]></kwd>
</kwd-group>
</article-meta>
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