<?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>S2709-79272020000200222</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Abdomen agudo quirúrgico en el adulto mayor]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute surgical abdomen in the elderly]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Andrés del Río Pérez]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres Toledo]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duménigo Rodríguez]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zurbano Fernández]]></surname>
<given-names><![CDATA[Juaquín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Linares Rodríguez]]></surname>
<given-names><![CDATA[Adael]]></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>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>14</volume>
<numero>2</numero>
<fpage>222</fpage>
<lpage>230</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272020000200222&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272020000200222&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272020000200222&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  con el envejecimiento de la población un número cada vez mayor de pacientes asisten a consulta por síntomas abdominales agudos que requieren una atención oportuna e integral.  Objetivo:  describir las causas y la evolución del abdomen agudo quirúrgico en el adulto mayor.  Métodos:  se realizó un estudio observacional descriptivo en el Hospital &#8220;Arnaldo Milián Castro&#8221; de la Provincia de Villa Clara de enero de 2017 a diciembre de 2018. La población estuvo constituida por 780 pacientes que ingresaron a los Servicios de Cirugía por abdomen agudo. Constituyeron variables de estudio el sexo, la edad, la causa de abdomen agudo quirúrgico y las complicaciones postquirúrgicas. Se emplearon métodos de la estadística descriptiva. La información fue extraída de las historias clínicas.  Resultados:  el 54,2% fueron hombres y se observó predominio del grupo de edad comprendido entre 60 y 70 años. Las hernias de la pared abdominal complicadas fueron la enfermedad de mayor incidencia (34,7%), el 81,4% de los adultos mayores intervenidos no presentaron complicaciones postquirúrgicas y la mortalidad fue de 1,4%.  Conclusiones:  las principales causas de abdomen agudo quirúrgico en el paciente adulto mayor en esta serie fueron la hernia de la pared abdominal complicada, la apendicitis aguda, la oclusión intestinal y la colecistitis aguda. Se presentaron bajas tasa de complicaciones y mortalidad. El control del abdomen agudo quirúrgico depende de la evaluación cuidadosa del cuadro agudo y de la corrección electiva de las enfermedades abdominales conocidas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Introduction: with the aging of the population an increasing number of patients attend consultation for acute abdominal symptoms that require timely and comprehensive care.  Objective:  to describe the causes and evolution of the acute surgical abdomen in the elderly.  Methods:  a descriptive observational study was carried out at the &#8220;Arnaldo Milián Castro&#8221; Hospital in the Province of Villa Clara from January 2017 to December 2018. The population consisted of 780 patients who entered the Surgery Services for acute abdomen. Sex, age, cause of acute surgical abdomen and post-surgical complications were study variables. Methods of descriptive statistics were used. The information was extracted from the medical records.  Results:  54.2% were men and there was a predominance of the age group between 60 and 70 years. Complicated abdominal wall hernias were the disease with the highest incidence (34.7%), 81.4% of the adults who had undergone surgery had no post-surgical complications and mortality was 1.4%.  Conclusions:  the main causes of acute surgical abdomen in the elderly patient in this series were complicated abdominal wall herniation, acute appendicitis, intestinal occlusion and acute cholecystitis. There were low complications and mortality rates. The control of the acute surgical abdomen depends on the careful evaluation of the acute condition and the elective correction of known abdominal diseases.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[abdomen agudo]]></kwd>
<kwd lng="es"><![CDATA[cirugía de urgencia]]></kwd>
<kwd lng="es"><![CDATA[anciano]]></kwd>
<kwd lng="es"><![CDATA[epidemiología descriptiva]]></kwd>
<kwd lng="en"><![CDATA[acute abdomen]]></kwd>
<kwd lng="en"><![CDATA[emergency surgery]]></kwd>
<kwd lng="en"><![CDATA[old man]]></kwd>
<kwd lng="en"><![CDATA[descriptive epidemiology]]></kwd>
</kwd-group>
</article-meta>
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