<?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>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932022000100008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Déficit de base, lactato e índice de shock como predictores de mortalidad en lesionados múltiples]]></article-title>
<article-title xml:lang="en"><![CDATA[Base Deficit, Lactate and Shock Index as Mortality Predictors in Trauma Patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Labrada Despaigne]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bárcenas Castro]]></surname>
<given-names><![CDATA[Mayda de la Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Acosta]]></surname>
<given-names><![CDATA[Gisela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Hospital Universitario &#8220;General Calixto García&#8221; Servicio de Anestesiología y Reanimación]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>61</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932022000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932022000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932022000100008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Las respuestas fisiológicas a la hemorragia, como hipotensión y taquicardia, no siempre son proporcionales al estado de choque, lo cual ha llevado a la necesidad de usar otros predictores.  Objetivo:  Analizar el comportamiento del déficit de base, lactato e índice de shock severo como predictores de mortalidad en pacientes lesionados múltiples.  Métodos:  Se realizó un estudio analítico, observacional y retrospectivo en el Servicio de Anestesiología y Reanimación del Hospital Universitario &#8220;General Calixto García&#8221;, entre agosto de 2018 y agosto de 2020. La muestra fue de 50 pacientes, según criterio de selección no probabilístico del investigador.  Resultados:  Los pacientes que sufrieron trauma craneal tuvieron siete veces más riesgo de morir. El índice de shock severo, a las tres horas triplicó el riesgo de morir. El lactato y el déficit de base se correlacionaron con un índice de shock mayor de uno, de forma significativa. La transfusión sanguínea duplicó el riesgo de morir, mientras que los requerimientos de aminas, no mostraron ser factores de mal pronóstico. Dentro de las complicaciones la respuesta inflamatoria sistémica mostró tener nueve veces mayor riesgo de morir y la disfunción múltiple de órgano siete veces, pero la presencia de neumonía no influyó en la muerte.  Conclusiones:  El índice de shock severo se consideró un factor pronóstico de mortalidad en pacientes politraumatizados al triplicar el riesgo de morir y guardó relación con el lactato elevado y la alteración de los valores del déficit de bases.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Physiological responses to hemorrhage, such as hypotension and tachycardia, are not always proportional to the state of shock, which has led to the need to use other predictors.  Objective:  To analyze the characteristics of base deficit, lactate and severe shock index as predictors of mortality in multiply injured patients.  Methods:  An analytical, observational and retrospective study was carried out in the anesthesiology and resuscitation service of General Calixto García University Hospital, between August 2018 and August 2020. The sample was made up of 50 patients, according to nonprobabilistic selection criteria of the researcher.  Results:  Patients who suffered cranial trauma were seven times more likely to die. The index of severe shock at three hours tripled the risk of death. Lactate and baseline deficit correlated significantly with shock index greater than one. Blood transfusion doubled the risk of death, while amine requirements were not shown to be poor prognostic factors. Among complications, systemic inflammatory response was shown to have nine times higher risk of dying and multiple organ dysfunction seven times, but the presence of pneumonia did not influence death.  Conclusions:  The severe shock index was considered a prognostic factor for mortality in polytraumatized patients, as far as it tripled the risk of dying and was related to elevated lactate and altered base deficit values.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[trauma]]></kwd>
<kwd lng="es"><![CDATA[lactato]]></kwd>
<kwd lng="es"><![CDATA[índice de shock]]></kwd>
<kwd lng="es"><![CDATA[déficit de base]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
<kwd lng="en"><![CDATA[trauma]]></kwd>
<kwd lng="en"><![CDATA[lactate]]></kwd>
<kwd lng="en"><![CDATA[shock index]]></kwd>
<kwd lng="en"><![CDATA[base deficit]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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