<?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>S1028-99332018000300584</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Predicción de mortalidad en pacientes con dengue grave en Unidad de Cuidados Intensivos]]></article-title>
<article-title xml:lang="en"><![CDATA[Prediction of mortality in patients with severe dengue in the Intensive Care Unit]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Griñán Garrido]]></surname>
<given-names><![CDATA[Yunieski]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Plasencia Columbié]]></surname>
<given-names><![CDATA[Yariusbi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz Ortiz]]></surname>
<given-names><![CDATA[Argelio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente &#8220;Octavio de la Concepción y de la Pedraja&#8221;  ]]></institution>
<addr-line><![CDATA[Baracoa Guantánamo]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Pediátrico Docente &#8220;General Pedro Agustín Pérez&#8221;  ]]></institution>
<addr-line><![CDATA[ Guantánamo]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General Docente "Dr. Agostinho Neto"  ]]></institution>
<addr-line><![CDATA[ Guantánamo]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>97</volume>
<numero>3</numero>
<fpage>584</fpage>
<lpage>595</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-99332018000300584&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-99332018000300584&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-99332018000300584&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el dengue constituye un importante problema de salud pública para las regiones endémicas.  Objetivo:  identificar variables clínicas, biológicas e imaginológicas asociadas a la probabilidad de morir en pacientes con dengue grave ingresados en la unidad de cuidados intensivos del Hospital General Docente "Dr. Agostinho Neto" entre enero y noviembre de 2014.  Método:  se realizó un estudio epidemiológico, caso-control, retrospectivo en el que se incluyen todos los pacientes ingresados en el escenario investigacional con diagnóstico de dengue grave y que fueron confirmados serológicamente, en dicho período de estudio. Se emplearon estadígrafos descriptivos y análisis univariado, bivariado y de regresión logística para determinar la asociación de las variables seleccionadas con la mortalidad. Se analizaron 90 casos, 10 fallecidos y 80 egresados vivos.  Resultados:  En el análisis univariado resultaron tener diferencias significativas la presión arterial media, el gasto urinario y el conteo plaquetario, la glicemia, la acidosis metabólica y el derrame pericárdico. En el análisis multivariado, mostraron asociación con la mortalidad el gasto urinario y la presión arterial media, la glicemia, la acidosis metabólica y el derrame pericárdico. El derrame pericárdico y la acidosis metabólica tienen aceptables medidas de validez y seguridad diagnósticas de la probabilidad de morir.  Conclusiones:  La presión arterial media y el gasto urinario 3, la glicemia 2 y 3, la acidosis metabólica con DB&#8805; -8 mmol/l en el momento 1 y 2, y el derrame pericárdico en el momento 3 resultaron ser variables con capacidad predictiva de mortalidad en pacientes con dengue grave.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  dengue is an important public health problem for endemic regions.  Objective:  to identify clinical, biological and imaging variables associated with the probability of dying in patients with severe dengue admitted to the intensive care unit of the General Teaching Hospital "Dr. Agostinho Neto" between January and November 2014.  Method:  a study was conducted epidemiological, case-control, retrospective study in which all patients were admitted to the research scenario with a diagnosis of severe dengue and whom were confirmed serologically in this studied period. Descriptive statistics and univariate, bivariate and logistic regression were used to determine the association of the selected variables with mortality. It were analyzed 90 cases, 10 deaths and 80 alive.  Results:  In the univariate analysis, mean blood pressure, urinary output and platelet count, glycaemia, metabolic acidosis and pericardial effusion were found to have significant differences. In the multivariate analysis, that shown an association with mortality, urinary output and mean arterial pressure, glycemia, metabolic acidosis and pericardial effusion. Pericardial effusion and metabolic acidosis have acceptable measures of diagnostic validity and safety of the probability of dying.  Conclusions:  Mean arterial pressure and urinary output 3, glycemia 2 and 3, metabolic acidosis with DB&#8805;8 mmol / l at time 1 and 2 and pericardial effusion at time 3 were found to be variables with predictive capacity of mortality in patients with severe dengue.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[dengue grave]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="es"><![CDATA[predicción]]></kwd>
<kwd lng="en"><![CDATA[severe dengue]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
<kwd lng="en"><![CDATA[prediction]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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