<?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>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272021000300350</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Neumonías en el paciente anciano. Factores de riesgo y mal pronóstico]]></article-title>
<article-title xml:lang="en"><![CDATA[Pneumonias in the elderly patient. Risk factors and poor prognosis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos Pérez]]></surname>
<given-names><![CDATA[Luis Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Cabeza]]></surname>
<given-names><![CDATA[Diannys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Milián Hernández]]></surname>
<given-names><![CDATA[Cándida Grisel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos Milián]]></surname>
<given-names><![CDATA[Kevin Ronald]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial Clínico Quirúrgico Universitario &#8220;Arnaldo Milián Castro&#8221;  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Villa Clara  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>15</volume>
<numero>3</numero>
<fpage>350</fpage>
<lpage>365</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272021000300350&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272021000300350&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272021000300350&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la neumonía, denominada por Sir William Osler &#8220;el capitán de las huestes de la muerte de los hombres&#8221;, representa uno de los principales problemas sanitarios en el planeta. Tanto la incidencia como la tasa de mortalidad se incrementan con la edad porque en el paciente geriátrico existen enfermedades que aumentan el riesgo de padecer neumonía. Además, por las propias condiciones de salud y senescencia inmune, las probabilidades de fallecer por esta causa son muy altas.  Objetivo:  estudiar las principales características de la neumonía en el anciano y principalmente los factores de riesgo aumentado de padecerla.  Métodos:  se realizó una investigación cuantitativa-cualitativa de carácter prospectivo en 950 pacientes con 60 años o más con diagnóstico de neumonía adquirida en la comunidad ingresados en el Hospital &#8220;Arnaldo Milián Castro&#8221;, de la Provincia de Villa Clara, desde enero de 2016 hasta diciembre de 2018 con el objetivo de determinar los factores de riesgo de neumonía adquirida en la comunidad en el anciano.  Resultados:  las manifestaciones clínicas más frecuentes fueron: fiebre, tos, decaimiento, taquipnea y taquicardia, en diversas combinaciones. El tabaquismo, la enfermedad pulmonar obstructiva crónica, el asma bronquial, la insuficiencia cardíaca, la diabetes mellitus y el alcoholismo constituyeron factores de riesgo. La edad fue un factor pronóstico independiente asociado a una mayor mortalidad, a una mayor estancia hospitalaria y a un mayor tiempo de recuperación.  Conclusiones:  los factores de riesgo más frecuentemente encontrados fueron: tabaquismo, alcoholismo, enfermedad pulmonar obstructiva crónica, cáncer, diabetes mellitus e insuficiencia cardíaca.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  pneumonia, named by Sir William Osler &#8220;the captain of the hosts of men's death&#8221;, represents one of the main health problems in the world. Both the incidence and the mortality rate increase with age because in the geriatric patient there are diseases that increase the risk of pneumonia. In addition, due to their own health conditions and immune senescence, the probability of dying from this cause is very high.  Objective:  to study the main characteristics of pneumonia in the elderly and mainly the increased risk factors for developing it.  Methods:  a prospective quantitative-qualitative research was carried out in 950 patients aged 60 years or older with a diagnosis of community-acquired pneumonia admitted to the &#8220;Arnaldo Milián Castro&#8221; Hospital, in Villa Clara Province, from January 2016 to December 2018 with the aim of determining the risk factors of community-acquired pneumonia in the elderly.  Results:  the most frequent clinical manifestations were: fever, cough, decay, tachypnea and tachycardia, in various combinations. Smoking, chronic obstructive pulmonary disease, bronchial asthma, heart failure, diabetes mellitus and alcoholism were risk factors. Age was an independent prognostic factor associated with higher mortality, longer hospital stay and longer recovery time.  Conclusions:  the most frequently found risk factors were smoking, alcoholism, chronic obstructive pulmonary disease, cancer, diabetes mellitus and heart failure.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[neumonía]]></kwd>
<kwd lng="es"><![CDATA[comorbilidad]]></kwd>
<kwd lng="es"><![CDATA[valoración geriátrica]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[anciano]]></kwd>
<kwd lng="en"><![CDATA[pneumonia]]></kwd>
<kwd lng="en"><![CDATA[comorbidity]]></kwd>
<kwd lng="en"><![CDATA[geriatric assessment]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
<kwd lng="en"><![CDATA[aged]]></kwd>
</kwd-group>
</article-meta>
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