<?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>1028-9933</journal-id>
<journal-title><![CDATA[Revista Información Científica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. inf. cient.]]></abbrev-journal-title>
<issn>1028-9933</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas Guantánamo]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-99332018000100067</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mortalidad por peritonitis secundaria en el Hospital General Docente ¨Dr. Agostinho Neto¨ de Guantánamo. Factores determinantes]]></article-title>
<article-title xml:lang="en"><![CDATA[Mortality due to secondary peritonitis in the General Teaching Hospital ¨Dr. Agostinho Neto¨ from Guantánamo. Determining factors]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes Domínguez]]></surname>
<given-names><![CDATA[Yondris]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Esteban Soto]]></surname>
<given-names><![CDATA[José Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez Núñez]]></surname>
<given-names><![CDATA[Ernesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente &#8220;Dr. Agostinho Neto"  ]]></institution>
<addr-line><![CDATA[ Guantánamo]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2018</year>
</pub-date>
<volume>97</volume>
<numero>1</numero>
<fpage>67</fpage>
<lpage>75</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-99332018000100067&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-99332018000100067&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-99332018000100067&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  en la unidad de cuidados intensivos no siempre se conocen los factores que determinan el pronóstico del paciente con peritonitis.  Objetivo:  precisar los factores determinantes de la mortalidad por peritonitis secundaria en esta unidad en el Hospital &#8220;Dr. Agostinho Neto&#8221; durante los años 2014-2016.  Método:  se realizó un estudio analítico prospectivo y longitudinal de todos los pacientes ingresados en la citada UCI por peritonitis secundaria en los años 2014-2016 (n=70), los que se agruparon según fueran egresados vivos o fallecidos. Se precisaron las variables más relacionadas con la probabilidad de que el paciente falleciera y las más frecuentes en los fallecidos. Se calculó el riesgo absoluto (RA) de cada variable.  Resultados:  los factores más frecuentes fueron: fiebre (n=53), Síndrome respuesta inflamatoria sistémica (n=51) y la leucocitosis/desviación izquierda (n=51). Los factores con mayor probabilidad de determinar la muerte fueron: fallo multiorgánico (RA 17.8), fluido peritoneal fecaloideo (RA 7.8) y choque séptico (RA 7.3).  Conclusiones:  Los factores que determinan la mortalidad por peritonitis secundaria son: la peritonitis difusa, presencia de fallo multiorgánico, hipoxemia &#8804; 85 mmHg y/o Sp02 &#8804; 90 %, edad &#8805; 60 años, presión intrabdominal poscirugía &#8805; 21 cm H2O (15 mmHg), síntomas &#8805; 24 h antes de cirugía, choque séptico, fluido peritoneal fecaloideo, origen colónico de la peritonitis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the factors that determine the prognosis of the patient with peritonitis are not always known in the intensive care unit.  Objective:  to determine the determinants of mortality due to secondary peritonitis in this unit at the Hospital "Dr. Agostinho Neto&#8221; during the years 2014-2016.  Method:  a prospective, longitudinal, and analytical study was conducted of all the patients admitted to the ICU for secondary peritonitis in the years 2014-2016 (n=70), which were grouped according to graduates alive or deceased. The variables most related to the probability of the patient's death and the most frequent in the deceased were specified. The absolute risk (AR) of each variable was calculated.  Results:  the most frequent factors were: fever (n = 53), systemic inflammatory response syndrome (n = 51) and left leukocytosis/deviation (n = 51); the factors most likely to determine death were multiorgan failure (RA 17.8), fecaloid peritoneal fluid (RA 7.8) and septic shock (RA 7.3).  Conclusions:  The factors that determine mortality due to secondary peritonitis: diffuse peritonitis, presence of multi-organ failure, hypoxemia &#8804; 85 mmHg or Sp02 &#8804; 90 %, age &#8805; 60 years, intra-abdominal pressure after surgery &#8805; 21 cm H2O (15 mmHg), symptoms &#8805; 24 h before surgery, septic shock, fecaloid peritoneal fluid, colonic origin of peritonitis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[peritonitis]]></kwd>
<kwd lng="es"><![CDATA[unidad de cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[abdomen agudo quirúrgico]]></kwd>
<kwd lng="en"><![CDATA[peritonitis]]></kwd>
<kwd lng="en"><![CDATA[unit of intensive cares]]></kwd>
<kwd lng="en"><![CDATA[acute surgical abdomen]]></kwd>
</kwd-group>
</article-meta>
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