<?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>S2709-79272024000100001</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mortalidad precoz, factores epidemiológicos y clínicos en pacientes graves atendidos en Unidades de Cuidados Intermedios]]></article-title>
<article-title xml:lang="en"><![CDATA[Early mortality, epidemiological and clinical factors in seriously ill patients treated in Intermediate Care Units]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Ortiz]]></surname>
<given-names><![CDATA[Osmani]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Urbay Ruíz]]></surname>
<given-names><![CDATA[Ángel Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez Pérez]]></surname>
<given-names><![CDATA[Elaine Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez García]]></surname>
<given-names><![CDATA[Lis Marlyn]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Molina Linares]]></surname>
<given-names><![CDATA[Ivette Irene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Conyedo Vergel]]></surname>
<given-names><![CDATA[Ernesto]]></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>03</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2024</year>
</pub-date>
<volume>18</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272024000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272024000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272024000100001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la identificación de factores epidemiológicos y clínicos relacionados con la mortalidad precoz permite trazar estrategias y perfeccionar los protocolos de actuación y la calidad asistencial en Unidades de Cuidados Intermedios.  Objetivo:  identificar los factores epidemiológicos y clínicos relacionados con la mortalidad precoz en pacientes atendidos en la Unidad de Cuidados Intermedios.  Métodos:  se realizó un estudio observacional, analítico, transversal en el Hospital &#8220;Arnaldo Milián Castro&#8221; entre octubre de 2019 a octubre de 2022. Fueron estudiados todos los fallecidos (348) en la Unidad de Cuidados Intermedios en el período analizado. Se utilizaron el análisis documental de historias clínicas y la estadística descriptiva e inferencial, bivariada y multivariada.  Resultados:  los pacientes adultos mayores incrementaron la posibilidad de morir precozmente 1,5 veces y los de piel blanca tres veces, éstos últimos con un 80% de ocurrencia en este estudio. Los pacientes con choque séptico tuvieron seis veces más posibilidad de morir, los diagnosticados con bronconeumonía extrahospitalaria cinco veces y con accidente cerebrovascular isquémico, enfermedad respiratoria agudizada o insuficiencia cardíaca descompensada cuatro veces, respectivamente.  Conclusiones:  la mortalidad precoz fue más frecuente en los individuos con piel blanca y edad superior a los 60 años; la Unidad de Cuidados Intensivos emergentes como lugar de procedencia y los antecedentes de hipertensión arterial, sangrado digestivo alto, cardiopatía isquémica y diabetes mellitus predominaron. El diagnóstico al ingreso de sangrado digestivo alto y la hemorragia intraventricular guardaron mayor relación con la mortalidad precoz, así como fue determinante como complicación el choque séptico y la disfunción múltiple de órganos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the identification of epidemiological and clinical factors related to early mortality allows us to draw up strategies and perfect action protocols and quality of care in Intermediate Care Units.  Objective:  to identify the epidemiological and clinical factors related to early mortality in patients treated in the Intermediate Care Unit.  Methods:  an observational, analytical, cross-sectional study was carried out at the &#8220;Arnaldo Milián Castro&#8221; Hospital between October 2019 and October 2022. All deaths (348) in the Intermediate Care Unit in the analyzed period were studied. Documentary analysis of medical records and descriptive and inferential, bivariate and multivariate statistics were used.  Results:  older adult patients increased the possibility of dying early 1.5 times and those with white skin three times, the latter with an 80% occurrence in this study. Patients with septic shock were six times more likely to die, those diagnosed with out-of-hospital bronchopneumonia five times more likely, and those with ischemic stroke, exacerbated respiratory disease, or decompensated heart failure four times more likely, respectively.  Conclusions:  early mortality was more frequent in individuals with white skin and age over 60 years; the emerging Intensive Care Unit as the place of origin and the history of high blood pressure, upper digestive bleeding, ischemic heart disease and diabetes mellitus predominated. The diagnosis at admission of upper digestive bleeding and intraventricular hemorrhage was more closely related to early mortality, and septic shock and multiple organ dysfunction were determining complications as well.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[mortalidad precoz]]></kwd>
<kwd lng="es"><![CDATA[factores epidemiológicos]]></kwd>
<kwd lng="es"><![CDATA[factores clínicos]]></kwd>
<kwd lng="es"><![CDATA[paciente crítico]]></kwd>
<kwd lng="es"><![CDATA[Unidad de Cuidados Intensivos]]></kwd>
<kwd lng="en"><![CDATA[early mortality]]></kwd>
<kwd lng="en"><![CDATA[epidemiological factors]]></kwd>
<kwd lng="en"><![CDATA[clinical factors]]></kwd>
<kwd lng="en"><![CDATA[critical patient]]></kwd>
<kwd lng="en"><![CDATA[Intensive Care Unit]]></kwd>
</kwd-group>
</article-meta>
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