<?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>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2020000500846</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización de ancianos fallecidos en Servicio de Cirugía General. Cienfuegos, 2016-2018]]></article-title>
<article-title xml:lang="en"><![CDATA[Characterization of deceased elderly in the General Surgery Service. Cienfuegos, 2016-2018]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acea Paredes]]></surname>
<given-names><![CDATA[Yudis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santana Pedraza]]></surname>
<given-names><![CDATA[Tahiluma]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estepa Pérez]]></surname>
<given-names><![CDATA[Jorge Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estepa Ramos]]></surname>
<given-names><![CDATA[Jorge Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Universitario Dr. Gustavo Aldereguía Lima  ]]></institution>
<addr-line><![CDATA[Cienfuegos Cienfuegos]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<volume>18</volume>
<numero>5</numero>
<fpage>846</fpage>
<lpage>857</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2020000500846&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2020000500846&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2020000500846&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  el envejecimiento es un proceso biológico que conduce a la limitación de la capacidad adaptativa del individuo y a una mayor probabilidad de fallecimiento.  Objetivo:  caracterizar ancianos fallecidos en el Servicio de Cirugía General del Hospital Dr. Gustavo Aldereguía Lima, de Cienfuegos, del primero de enero de 2016 al treinta y uno de diciembre de 2018.  Métodos:  estudio de serie de casos de pacientes ancianos que fallecieron durante el período analizado. Los datos se obtuvieron de las historias clínicas, informes operatorios y actas del comité de fallecidos. Se analizaron las variables: edad, sexo, enfermedades asociadas, riesgo quirúrgico (clasificación Asociación Americana de Anestesia), impresión diagnóstica al ingreso, diagnóstico operatorio, operación realizada, complicaciones, diagnóstico clínico y anatomopatológico de la defunción.  Resultados:  existió predominio del sexo femenino, del grupo etáreo de 71 a 80 años y el antecedente personal de hipertensión arterial. El grado III de la clasificación de riesgo quirúrgico prevaleció. La perforación intestinal motivó la mayoría de los ingresos, seguida de la trombosis mesentérica; la peritonitis generalizada fue la principal complicación. La mayoría de los pacientes requirió intervención quirúrgica para su tratamiento definitivo; el estado de choque séptico fue la principal causa directa de muerte (también principal diagnóstico anatomopatológico) seguido del estado de choque hipovolémico por sangramiento digestivo alto. Las complicaciones respiratorias fueron las más representativas.  Conclusiones:  la edad avanzada, las enfermedades asociadas y el alto riesgo quirúrgico, aumentan la mortalidad por cirugía.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Foundation:  aging is a biological process that leads to the limitation of the adaptive capacity of the individual and a greater probability of death.  Objective:  characterize elderly deceased in the General Surgery Service of the Dr. Gustavo Aldereguía Lima Hospital, in Cienfuegos, from January 1, 2016 to December 31, 2018.  Methods:  case series study of elderly patients who died during the period analyzed. The data was obtained from the medical records, operative reports and minutes of the committee of the deceased. Variables were analyzed: age, sex, associated diseases, surgical risk (American Anesthesia Association classification), diagnostic impression upon admission, operative diagnosis, operation performed, complications, clinical and pathological diagnosis of death.  Results:  there was a predominance of the female sex, of the age group from 71 to 80 years old, and a personal history of high blood pressure. Grade III of the surgical risk classification prevailed. Intestinal perforation motivated the majority of admissions, followed by mesenteric thrombosis; generalized peritonitis was the main complication. Most of the patients required surgical intervention for their definitive treatment; the state of septic shock was the main direct cause of death (also the main pathological diagnosis) followed by the state of hypovolemic shock due to upper gastrointestinal bleeding. Respiratory complications were the most representative.  Conclusions:  la edad avanzada, las enfermedades asociadas y el alto riesgo quirúrgico, aumentan la mortalidad por cirugía.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cirugía general]]></kwd>
<kwd lng="es"><![CDATA[mortalidad hospitalaria, anciano]]></kwd>
<kwd lng="en"><![CDATA[general surgery]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
<kwd lng="en"><![CDATA[hospital mortality]]></kwd>
<kwd lng="en"><![CDATA[aged]]></kwd>
</kwd-group>
</article-meta>
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