<?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>S1028-99332021000600002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores asociados a la mortalidad en pacientes con síndrome de disfunción multiorgánica]]></article-title>
<article-title xml:lang="en"><![CDATA[Mortality associated factors in patients with multiorgan dysfunction síndrome]]></article-title>
<article-title xml:lang="pt"><![CDATA[Fatores associados à mortalidade em pacientes com síndrome de disfunção de múltiplos órgãos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Machado-Mato]]></surname>
<given-names><![CDATA[Oláis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rego-Avila]]></surname>
<given-names><![CDATA[Heidy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado-Rodríguez]]></surname>
<given-names><![CDATA[Ariel E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vitón-Castillo]]></surname>
<given-names><![CDATA[Adrián Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río  ]]></institution>
<addr-line><![CDATA[ Pinar del Río]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Linstead Public Hospital  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Jamaica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>100</volume>
<numero>6</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-99332021000600002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-99332021000600002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-99332021000600002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El síndrome de disfunción multiorgánica se caracteriza por el desarrollo de disfunción fisiológica progresiva y potencialmente reversible en dos o más órganos inducido por una amplia variedad de agresiones. En su patogenia el sistema inmunológico-inflamatorio desempeña un papel indispensable.  Objetivo:  Determinar factores asociados a la mortalidad en pacientes con síndrome de disfunción multiorgánica.  Método:  Se desarrolló un estudio observacional analítico de cohorte retrospectivo en 68 pacientes con síndrome de disfunción multiorgánica atendidos en el servicio de Medicina Intensiva del Hospital General Docente &#8220;Abel Santamaría Cuadrado&#8221; de Pinar del Río, durante los años 2018 y 2019. Se midieron variables, como: edad, sexo, diagnóstico al ingreso, valoración nutricional, puntuación según Sequential Organ Failure Assessment (SOFA), complicaciones desarrolladas, sistemas en fallo y número de órganos en fallo.  Resultados:  Se encontró predominio de pacientes masculinos (60,3 %) y del grupo de edades entre 60 años y 79 años (47,06 %). Hubo asociación estadísticamente significativa (p&lt;0,05) entre la puntuación SOFA y el número de órganos en fallo con el estado al egreso. Las complicaciones respiratorias se manifestaron tanto en el 36 % de los pacientes fallecidos como en el 38,89 % de los egresados vivos. Se encontró un mayor número de pacientes con fallo cardiovascular (77,94 %). El fallo respiratorio (p&lt;0,001, OR:9 IC:2,52-32,08) y SOFA &#8805; 16 (p&lt;0,042, OR:8,76 IC:1,07-71,51) incrementaron el riesgo de egresar fallecido.  Conclusiones:  El sobrepeso y la obesidad, el choque al ingreso, altos valores SOFA, el fallo respiratorio y nervioso, así como un mayor número de órganos en fallo se asociaron con peores pronósticos y mayor probabilidad de fallecer.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Multiorgan dysfunction syndrome is characterized by the development of a progressive and potentially reversible physiological dysfunction in two or more organs induced by a wide variety of aggresive situations. The immune-inflammatory system plays an indispensable role in its pathogenesis.  Objective:  To identify the mortality-associated factors in patients with multiorgan dysfunction syndrome.  Method:  An analytical, observational, and retrospective cohort study was developed in 68 patients with multiorgan dysfunction syndrome attended in the Intensive Care Medicine Service at the Hospital General Docente "Abel Santamaría Cuadrado", Pinar del Río, between 2018 and 2019. Variables used: age, sex, diagnosis at admission, nutritional assessment, score accordind to Sequential Organ Failure Assessment (SOFA), complications arose, systems and number of organs in failing process.  Results:  Male patients (60.3%) and age group between 60 and 79 (47.06%) were predominant. There was statistically significant association (p&lt;0.05) between SOFA score and the number of failing organs at discharge. Respiratory complications were reported in 36% of deceased patients and in 38.89% of those discharged alive. Patients with cardiovascular failure were the most common (77.94%). Respiratory failure (p&lt;0.001, OR:9 CI:2.52-32.08) and SOFA&#8805;16 (p&lt;0.042, OR:8.76 CI:1.07-71.51) increased the risk of decease-related discharge.  Conclusions: Excessive body mass index and obesity, admission shock, high score of SOFA, respiratory and nerveous failure, as well as the enormeus failure of organs were associated with the worsen prognoses and with the highest probability of decease.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução:  A síndrome de disfunção multiorgânica é caracterizada pelo desenvolvimento de disfunção fisiológica progressiva e potencialmente reversível em dois ou mais órgãos induzida por uma ampla variedade de agressões.  Objetivo:  Determinar os fatores associados à mortalidade em pacientes com síndrome de disfunção multiorgânica.  Método:  Foi realizado um estudo observacional analítico de coorte retrospectivo em 68 pacientes atendidos no serviço de Medicina Intensiva do Hospital General Docente "Abel Santamaría Cuadrado", durante os anos de 2018 e 2019. Foram medidas variáveis, tais como como: idade, sexo, diagnóstico na admissão, avaliação nutricional, escore Sequential Organ Failure Assessment (SOFA), complicações desenvolvidas, sistemas em falha e número de órgãos em falha.  Resultados:  Encontrou-se predomínio de pacientes do sexo masculino (60,3%) e da faixa etária entre 60 anos e 79 anos (47,06%). Houve associação estatisticamente significativa (p &lt;0,05) entre o escore SOFA e o número de órgãos em falha com o estado de alta. Complicações respiratórias foram manifestadas em 36% dos pacientes falecidos e em 38,89% das altas hospitalares. Foi encontrado um maior número de pacientes com insuficiência cardiovascular (77,94%). Insuficiência respiratória (p&lt;0,001, OR:9 CI:2,52-32,08) e SOFA &#8805;16 (p &lt;0,042, OR:8,76 CI:1,07-71,51) aumentaram o risco de falecimento de alta.  Conclusões:  Sobrepeso e obesidade, choque na admissão, valores elevados de SOFA, insuficiência respiratória e nervosa, assim como maior número de órgãos em falha estiveram associados a pior prognóstico e maior probabilidade de óbito.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[insuficiencia multiorgánica]]></kwd>
<kwd lng="es"><![CDATA[choque]]></kwd>
<kwd lng="es"><![CDATA[procesos patológicos]]></kwd>
<kwd lng="es"><![CDATA[puntuaciones en la disfunción de órganos]]></kwd>
<kwd lng="en"><![CDATA[multiorgans insuffiency]]></kwd>
<kwd lng="en"><![CDATA[shock]]></kwd>
<kwd lng="en"><![CDATA[pathological processes]]></kwd>
<kwd lng="en"><![CDATA[scores in organs dysfunction]]></kwd>
<kwd lng="pt"><![CDATA[falência de múltiplos órgãos]]></kwd>
<kwd lng="pt"><![CDATA[choque]]></kwd>
<kwd lng="pt"><![CDATA[processos patológicos]]></kwd>
<kwd lng="pt"><![CDATA[pontuações em disfunção orgânica]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marshall]]></surname>
<given-names><![CDATA[JC.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Measuring organ dysfunction]]></article-title>
<source><![CDATA[Med Klin Intensiv Med Notfmed]]></source>
<year>2020</year>
<volume>115</volume>
<numero>^sSuppl 1</numero>
<issue>^sSuppl 1</issue>
<supplement>Suppl 1</supplement>
<page-range>15-20</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Demandt]]></surname>
<given-names><![CDATA[AMP]]></given-names>
</name>
<name>
<surname><![CDATA[Geerse]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Janssen]]></surname>
<given-names><![CDATA[BJP]]></given-names>
</name>
<name>
<surname><![CDATA[Winkens]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Schouten]]></surname>
<given-names><![CDATA[HC]]></given-names>
</name>
<name>
<surname><![CDATA[van Mook]]></surname>
<given-names><![CDATA[WNKA.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The prognostic value of a trend in modified SOFA score for patients with hematological malignancies in the intensive care unit]]></article-title>
<source><![CDATA[Eur J Haematol]]></source>
<year>2017</year>
<volume>99</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>315-22</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Singer]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Deutschman]]></surname>
<given-names><![CDATA[CS]]></given-names>
</name>
<name>
<surname><![CDATA[Seymour]]></surname>
<given-names><![CDATA[CW]]></given-names>
</name>
<name>
<surname><![CDATA[Shankar-Hari]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Annane]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Bauer]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)]]></article-title>
<source><![CDATA[JAMA]]></source>
<year>2016</year>
<volume>315</volume>
<page-range>801-10</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yadav]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Harrison]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Hanson]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Gajic]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Kor]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
<name>
<surname><![CDATA[Cartin-Ceba]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Improving the accuracy of cardiovascular component of the Sequential Organ Failure Assessment Score]]></article-title>
<source><![CDATA[Crit Care Med]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abo Seada]]></surname>
<given-names><![CDATA[AI]]></given-names>
</name>
<name>
<surname><![CDATA[El-Hakeem Younis]]></surname>
<given-names><![CDATA[GA.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Identification of predisposing factors to multiple organ dysfunctions syndrome among burned patients in intensive care unit at Mansoura University]]></article-title>
<source><![CDATA[Int Aca J Health, Med Nur]]></source>
<year>2020</year>
<volume>2</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>12-25</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rendy]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Sapan]]></surname>
<given-names><![CDATA[HB]]></given-names>
</name>
<name>
<surname><![CDATA[Kalesaran]]></surname>
<given-names><![CDATA[LTB.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Multiple organ dysfunction syndrome (MODS) prediction score in multi-trauma patients]]></article-title>
<source><![CDATA[Int J Sur Open]]></source>
<year>2017</year>
<volume>8</volume>
<numero>2017</numero>
<issue>2017</issue>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Argyriou]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Vrettou]]></surname>
<given-names><![CDATA[CS]]></given-names>
</name>
<name>
<surname><![CDATA[Filippatos]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Sainis]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Nanas]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ch.]]></surname>
<given-names><![CDATA[Routsi]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparative evaluation of Acute Physiology and Chronic Health Evaluation II and Sequential Organ Failure Assessment scoring systems in patients admitted to the cardiac intensive care unit]]></article-title>
<source><![CDATA[J Crit Care]]></source>
<year>2015</year>
<volume>30</volume>
<numero>2015</numero>
<issue>2015</issue>
<page-range>752-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Diaztagle Fernández]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Murcia]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Sprockel Díaz]]></surname>
<given-names><![CDATA[JJ.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La diferencia venoarterial de dióxido de carbono en la reanimación de pacientes con sepsis grave y shock séptico: una revisión sistemática]]></article-title>
<source><![CDATA[Med Inten]]></source>
<year>2017</year>
<volume>41</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>401-10</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Olivencia Peña]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Carmona]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Chica Ruiz]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Mejía]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Reina Toral]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El síndrome de shock]]></article-title>
<source><![CDATA[Tratado de Medicina Intensiva]]></source>
<year>2017</year>
<publisher-loc><![CDATA[España ]]></publisher-loc>
<publisher-name><![CDATA[Elsevier]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rhodes]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Evans]]></surname>
<given-names><![CDATA[LE]]></given-names>
</name>
<name>
<surname><![CDATA[Alhazzani]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Levy]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Antonelli]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ferrer]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surviving sepsis campaign: International guidelines for management of sepsis and septic shock: 2016]]></article-title>
<source><![CDATA[Crit Care Med]]></source>
<year>2017</year>
<volume>45</volume>
<page-range>486-552</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García-Gigorro]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Cruz Vigo]]></surname>
<given-names><![CDATA[F de la]]></given-names>
</name>
<name>
<surname><![CDATA[Andrés-Esteban]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[Chacón-Alves]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Morales Varas]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez-Izquierdo]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impact on patient outcome of emergency department length of stay prior to ICU admission]]></article-title>
<source><![CDATA[Med Inten]]></source>
<year>2017</year>
<volume>41</volume>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Varona-Pérez]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Gámez Sánchez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz Sánchez]]></surname>
<given-names><![CDATA[ME.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impacto del sobrepeso y obesidad en la mortalidad por enfermedades no transmisibles en Cuba]]></article-title>
<source><![CDATA[Rev Cubana Med Gen Integr]]></source>
<year>2018</year>
<volume>34</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>71-81</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Papadimitriou-Olivgeris]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Aretha]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Zotou]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Role of Obesity in Sepsis Outcome among Critically Ill Patients A Retrospective Cohort Analysis]]></article-title>
<source><![CDATA[Biomed Res Int]]></source>
<year>2016</year>
<volume>2016</volume>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tocalini]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Asociación entre obesidad y mortalidad en pacientes adultos que reciben ventilación mecánica invasiva: una revisión sistemática y metaanálisis]]></article-title>
<source><![CDATA[Med Inten]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nasraway]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Albert]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Donnelly]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Ruthazer]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Shikora]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Saltzman]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Morbid obesity is an independent determinant of death among surgical critically ill patients]]></article-title>
<source><![CDATA[Crit Care Med]]></source>
<year>2006</year>
<volume>34</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>964-70</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dickerson]]></surname>
<given-names><![CDATA[RN.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The obesity paradox in the ICU: real or not?]]></article-title>
<source><![CDATA[Critical Care]]></source>
<year>2013</year>
<volume>17</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mohamed El-Mashad]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La escala pediátrica de evaluación del fallo multiorgánico secuencial (pSOFA): una nueva escala de predicción de la mortalidad en la unidad de cuidados intensivos pediátricos]]></article-title>
<source><![CDATA[An Ped (Barc)]]></source>
<year>2019</year>
</nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Telles]]></surname>
<given-names><![CDATA[GP]]></given-names>
</name>
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[IBB]]></given-names>
</name>
<name>
<surname><![CDATA[Carvalho de Menezes]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Carmo]]></surname>
<given-names><![CDATA[TA do]]></given-names>
</name>
<name>
<surname><![CDATA[David Pugas]]></surname>
<given-names><![CDATA[PL]]></given-names>
</name>
<name>
<surname><![CDATA[Marback]]></surname>
<given-names><![CDATA[LF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison of a modified Sequential Organ Failure Assessment Score using RASS and FOUR]]></article-title>
<source><![CDATA[PLoS ONE]]></source>
<year>2020</year>
<volume>15</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carballo]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Mata]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[López-Herce]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Castillo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Carrillo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fallo multiorgánico tras la recuperación de la circulación espontánea en la parada cardiaca en el niño]]></article-title>
<source><![CDATA[An Ped (Barc)]]></source>
<year>2017</year>
<volume>87</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>34-41</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Roberts]]></surname>
<given-names><![CDATA[BW]]></given-names>
</name>
<name>
<surname><![CDATA[Kilgannon]]></surname>
<given-names><![CDATA[JH]]></given-names>
</name>
<name>
<surname><![CDATA[Chansky]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Mittal]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Wooden]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Parrillo]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Multiple organ dysfunction after return of spontaneous circulation in postcardiac arrest syndrome]]></article-title>
<source><![CDATA[Crit Care Med]]></source>
<year>2013</year>
<volume>41</volume>
<page-range>1492-501</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
