<?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>1608-8921</journal-id>
<journal-title><![CDATA[Gaceta Médica Espirituana]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Méd Espirit]]></abbrev-journal-title>
<issn>1608-8921</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Sancti Spíritus]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1608-89212022000200010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Predictores de mortalidad en pacientes con exacerbación de enfermedad pulmonar obstructiva crónica]]></article-title>
<article-title xml:lang="en"><![CDATA[Mortality predictors in patients with exacerbation of chronic obstructive pulmonary disease]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Concepción]]></surname>
<given-names><![CDATA[Juana del Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Corvea]]></surname>
<given-names><![CDATA[Laureano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Condes Fernández]]></surname>
<given-names><![CDATA[Berto Delis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Orellana Meneses]]></surname>
<given-names><![CDATA[Geovanis Alcides]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial General Camilo Cienfuegos  ]]></institution>
<addr-line><![CDATA[Sancti Spíritus ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas  ]]></institution>
<addr-line><![CDATA[Sancti Spíritus ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>24</volume>
<numero>2</numero>
<fpage>0</fpage>
<lpage>0</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1608-89212022000200010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1608-89212022000200010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1608-89212022000200010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  La enfermedad pulmonar obstructiva crónica (EPOC) es un problema de salud y constituye la tercera causa de defunción en el mundo. La mortalidad es mayor en los pacientes que presentan exacerbaciones de esa enfermedad.  Objetivo:  Determinar los factores predictores de mortalidad en pacientes hospitalizados con exacerbación de EPOC en una institución hospitalaria del segundo nivel de atención en Cuba.  Metodología:  Se realizó un estudio transversal en el Hospital General Provincial Camilo Cienfuegos de Sancti Spíritus, durante dos años. Se incluyeron 335 pacientes. Las variables recogidas se agruparon en sociodemográficas, clínicas, enfermedades crónicas asociadas y estado del paciente al egreso. Se elaboró un árbol de decisión mediante el método Chaid exhaustivo, la variable dependiente fue la mortalidad por EPOC.  Resultados: Predominaron los pacientes del sexo femenino (55.2 %), con 60 años o más (79 %) y con más de 4 exacerbaciones en el último año (53.1 %). El modelo del árbol de decisión tuvo una sensibilidad de 97 %, especificidad de 89.3 % y un porcentaje global de pronóstico correcto del 93.1 %. Se identificaron seis variables predictores de mortalidad: insuficiencia respiratoria aguda, diagnóstico de neumonía, no utilización de antitrombóticos, tromboembolismo pulmonar, edad mayor de 60 años y el hábito de fumar.  Conclusiones: La probabilidad más alta de fallecer durante una exacerbación de EPOC se da entre los pacientes con insuficiencia respiratoria aguda, los que son diagnosticados con neumonía durante el ingreso, los que no realizan tratamiento antitrombótico y los que tienen más de 60 años de edad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  Chronic obstructive pulmonary disease (COPD) is a health problem and the third cause of death in the world. Mortality is higher in patients who present exacerbations of this disease.  Objective:  To determine mortality predictors in hospitalized patients with exacerbation of COPD in a second care level hospital in Cuba.  Methodology:  A cross-sectional study was conducted at Camilo Cienfuegos Provincial General Hospital in Sancti Spíritus, for two years. 335 patients were included. The variables collected were grouped into sociodemographic, clinical, associated chronic diseases and patient status at discharge. A decision tree was developed using the exhaustive Chaid method, the dependent variable was mortality from COPD.  Results:  Female patients (55.2 %), 60 years or older (79 %) and with more than 4 exacerbations in the last year (53.1 %) predominated. The decision tree model had a sensitivity of 97 %, a specificity of 89.3 %, and an overall percentage of correct diagnosis of 93.1 %. Six variables that predicted mortality were identified: acute respiratory failure, diagnosis of pneumonia, non-use of antithrombotics, pulmonary thromboembolism, age over 60 years, and smoking.  Conclusions:  The highest probability of dying during an exacerbation of COPD occurs among patients with acute respiratory failure, those who are diagnosed with pneumonia during admission, those who do not receive antithrombotic treatment and those who are over 60 years of age.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Factores predictores]]></kwd>
<kwd lng="es"><![CDATA[enfermedad pulmonar obstructiva crónica y mortalidad]]></kwd>
<kwd lng="es"><![CDATA[recurrencia]]></kwd>
<kwd lng="es"><![CDATA[exacerbación]]></kwd>
<kwd lng="en"><![CDATA[Predictive factors]]></kwd>
<kwd lng="en"><![CDATA[pulmonary disease chronic obstructive and mortality]]></kwd>
<kwd lng="en"><![CDATA[recurrence]]></kwd>
<kwd lng="en"><![CDATA[exacerbation]]></kwd>
</kwd-group>
</article-meta>
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