<?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>1029-3043</journal-id>
<journal-title><![CDATA[Medicentro Electrónica]]></journal-title>
<abbrev-journal-title><![CDATA[Medicentro Electrónica]]></abbrev-journal-title>
<issn>1029-3043</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Villa Clara]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1029-30432019000200094</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Análisis de los factores pronósticos en pacientes con pancreatitis aguda]]></article-title>
<article-title xml:lang="en"><![CDATA[Analysis of prognostic factors in patients with acute pancreatitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Rojas]]></surname>
<given-names><![CDATA[David Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Portal Benítez]]></surname>
<given-names><![CDATA[Leonila Noralis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duarte-Linares]]></surname>
<given-names><![CDATA[Yoisel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado Rodríguez]]></surname>
<given-names><![CDATA[Edey]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pozo Lorente]]></surname>
<given-names><![CDATA[Luis Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Clínico-Quirúrgico Arnaldo Milián Castro  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas  ]]></institution>
<addr-line><![CDATA[ Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>2</numero>
<fpage>94</fpage>
<lpage>104</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1029-30432019000200094&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1029-30432019000200094&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1029-30432019000200094&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la pancreatitis aguda es una enfermedad muy frecuente que se define como un proceso inflamatorio reversible del tejido pancreático, producido por la activación intraparenquimatosa de enzimas digestivas.  Objetivo:  determinar los factores pronósticos tempranos en la pancreatitis aguda, de causa biliar y no biliar, asociados a evolución desfavorable.  Métodos:  se realizó un estudio observacional analítico en pacientes con pancreatitis aguda, atendidos en el Hospital Universitario Clínico-Quirúrgico «Arnaldo Milián Castro» (2013 - 2017). Se empleó un muestreo no probabilístico intencional, por criterios de inclusión y exclusión. Resultados: la edad media de los pacientes egresados y con pancreatitis aguda no biliar, fue significativamente menor que la de los fallecidos. Se identificaron como factores de riesgo en la ocurrencia de mortalidad: la edad mayor de 65 años (OR=3,813-IC: 1,451-10,025), el sexo femenino (OR=2,700-IC: 1,044-6,981), la pancreatitis de origen biliar (OR=1,279-IC: 0,321-5,102), la pancreatitis aguda necrótica (OR=7,822-IC: 1,772-34,526), la presencia de derrame pleural (OR=5,929-IC: 1,912-18,386) y un índice de gravedad tomográfica (IGT)&gt; D (OR=2,800-IC: 0,381-20,579). Los resultados de los valores de sensibilidad, especificidad, valor predictivo positivo y negativo de la TGO, y la TGP, en relación a la pancreatitis aguda necrótica hemorrágica, fueron de (37,5 %, 69,7 %, 23,1 % y 82,1%) y (60 %, 83,3 %, 42,9 % y 90,9 %), respectivamente. El área bajo la curva de la TGP fue de 0,790.  Conclusiones:  se identificaron como factores negativos: la edad mayor de 65, el origen biliar, la pancreatitis aguda necrótica, el derrame pleural y la gravedad tomográfica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  acute pancreatitis is a very common disease that is defined as a reversible inflammatory process of pancreatic tissue, produced by the intraparenchymal activation of digestive enzymes.  Objective:  to determine the early prognostic factors in acute biliary and non-biliary pancreatitis associated with an unfavorable evolution.  Methods:  an analytical observational study was performed in patients with acute pancreatitis seen at &#8220;Arnaldo Milián Castro&#8221; Clinico-Surgical University Hospital from 2013 to 2017. Intentional non-probabilistic sampling was used following inclusion and exclusion criteria.  Results:  the average age of the discharged patients and patients with acute non-biliary pancreatitis was significantly lower than the average age of the deceased ones. We identified as risk factors in the occurrence of mortality: age over 65 years (OR = 3.813-CI: 1.451-10.025), female gender (OR = 2.700-CI: 1.044-6.981), biliary pancreatitis (OR = 1.279-CI: 0.321-5.102), acute necrotizing pancreatitis (OR = 7.822-CI: 1.772-34.526), the presence of pleural effusion (OR = 5.929-CI: 1.912-18.386) and a computed tomographic severity index (CTSI)&gt; D (OR = 2.800-CI: 0.381-20.579). The results of the values of sensitivity, specificity, positive and negative predictive value of AST and ALT, in relation to acute necrotizing hemorrhagic pancreatitis, were (37.5%, 69.7%, 23.1% and 82.1%) and (60%, 83.3%, 42.9% and 90.9%), respectively. The area under the curve for ALT was 0.790.  Conclusions:  we identified as negative factors: age over 65, biliary origin, acute necrotizing pancreatitis, pleural effusion and tomographic severity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[pancreatitis/etiología]]></kwd>
<kwd lng="es"><![CDATA[valor predictivo de las pruebas]]></kwd>
<kwd lng="en"><![CDATA[pancreatitis/etiology]]></kwd>
<kwd lng="en"><![CDATA[predictive value of tests]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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