<?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>1729-519X</journal-id>
<journal-title><![CDATA[Revista Habanera de Ciencias Médicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev haban cienc méd]]></abbrev-journal-title>
<issn>1729-519X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de la Habana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1729-519X2018000600885</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mortalidad en pacientes con ventilación mecánica ingresados en una Unidad de Cuidados Intensivos]]></article-title>
<article-title xml:lang="en"><![CDATA[Mortality in mechanically ventilated patients admitted to an Intensive Care Unit]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Ruiz]]></surname>
<given-names><![CDATA[Anabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado Fernández]]></surname>
<given-names><![CDATA[Rebeca Iracema]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alcalde Mustelier]]></surname>
<given-names><![CDATA[Gaspar Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Collazo Ramos]]></surname>
<given-names><![CDATA[Milagros I.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Collazo]]></surname>
<given-names><![CDATA[Carlos Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Facultad de Ciencias Médicas &#8220;Finlay-Albarrán&#8221; Hospital Docente Clínico Quirúrgico &#8220;Joaquín Albarrán Domínguez&#8221;]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Facultad de Ciencias Médicas &#8220;Victoria de Girón&#8221; Hospital Docente Clínico Quirúrgico &#8220;Joaquín Albarrán Domínguez&#8221;]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Facultad de Ciencias Médicas &#8220;Victoria de Girón&#8221; ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>17</volume>
<numero>6</numero>
<fpage>885</fpage>
<lpage>895</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1729-519X2018000600885&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1729-519X2018000600885&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1729-519X2018000600885&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La ventilación mecánica es un proceder para la sustitución de la ventilación, que salva la vida de pacientes con insuficiencia respiratoria aguda, al mismo tiempo es una de las primeras causas de complicaciones y de mortalidad.  Objetivo:  Identificar las características clínico-epidemiológicas en pacientes fallecidos con ventilación mecánica, ingresados en la UCI del hospital Joaquín Albarrán Domínguez en el trienio 2013-2015.  Material y Métodos:  Se realizó un estudio descriptivo, transversal, con las historias clínicas de dichos pacientes, recopilando la información en una matriz de datos y posteriormente fue analizada con el software SPSS 21.0, a través de frecuencias absolutas y relativas y con la utilización de la prueba de chi2 para las correlaciones bi-variadas, tomando como valor de significación estadística p&lt; 0,05.  Resultados:  De los 166 pacientes, el 49,4% superaba los 70 años. La EPOC fue el motivo de ventilación más frecuente. Las mayores complicaciones de la ventilación fueron: fallo multiorgánico 25,3%, fallo al destete 21,6%, y distrés respiratorio 20,4%.  Conclusiones:  El fallo multiorgánico, las bronconeumonías bacterianas bilaterales y la neumonía asociada a la ventilación mecánica, fueron las principales complicaciones y causas de muerte más frecuentes en los pacientes ventilados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Mechanical ventilation is a procedure used for the replacement of ventilation, which saves the life of patients with acute respiratory failure; but at the same time, it is one of the first causes of complications and mortality.  Objective:  To identify the clinical and epidemiological characteristics of patients who died while receiving mechanical ventilation, admitted to the Intensive Care Unit (ICU) of the &#8220;Joaquín Albarrán Dominguez&#8221; Clinical Surgical Hospital during the triennium 2013-2015.  Material and methods:  A descriptive, cross-sectional study was carried out with the clinical histories of these patients. The information was collected in a data matrix that was subsequently analyzed with the SPSS 21.0 software, on the basis of absolute and relative frequencies and the use of the chi2 test for the bi-varied correlations; the statistical significance value was p &lt;0.05.  Results:  Of the 166 patients selected for the study, the 49.4% were over 70 years of age. COPD was the most frequent reason for ventilation. The main complications of ventilation were: multiple organ failure (25.3%), weaning failure (21.6 %), and respiratory distress (20.4%).  Conclusions:  Multiple organ failure, bilateral bacterial bronchopneumonia, and pneumonia associated with mechanical ventilation were the most frequent complications and causes of death in ventilated patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="es"><![CDATA[ventilación mecánica]]></kwd>
<kwd lng="es"><![CDATA[cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="es"><![CDATA[paciente grave]]></kwd>
<kwd lng="en"><![CDATA[Mortality]]></kwd>
<kwd lng="en"><![CDATA[mechanical ventilation]]></kwd>
<kwd lng="en"><![CDATA[intensive care]]></kwd>
<kwd lng="en"><![CDATA[complications]]></kwd>
<kwd lng="en"><![CDATA[critically ill patient]]></kwd>
</kwd-group>
</article-meta>
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