Determinant domain in prognosis evaluation of the septic patient in the intensive care unit.
<strong>Background:</strong> Sepsis is the most frequent cause of death in critical ill patient. The necessity to have with evolutionary and predictable markers for medical routines is a tangible fact. <strong><br />Objective:</strong> To make a study about the determin...
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| Format: | Article |
| Language: | Spanish |
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Centro Provincial de Información de Ciencias Médicas. Cienfuegos
2008-12-01
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| Series: | Medisur |
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| Online Access: | http://medisur.sld.cu/index.php/medisur/article/view/585 |
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| author | Alexis Díaz Mesa Rubén Bembibre Taboada Alexis Suárez del Villar Labastida Dagmaris Losa Pérez |
| author_facet | Alexis Díaz Mesa Rubén Bembibre Taboada Alexis Suárez del Villar Labastida Dagmaris Losa Pérez |
| author_sort | Alexis Díaz Mesa |
| collection | DOAJ |
| description | <strong>Background:</strong> Sepsis is the most frequent cause of death in critical ill patient. The necessity to have with evolutionary and predictable markers for medical routines is a tangible fact. <strong><br />Objective:</strong> To make a study about the determinant supremacies in the assessment and prognosis help of the patient whose main complaint of admission in the ICU was sepsis. <br /><strong>Methods:</strong> A descriptive, retrospective, longitudinal and series of cases study (N=155, n=127) with polytomic logistic regression was carried out in order to determine the essential supremacies by means of V Cramer’s, Rho Spearman’s and Pearson R. <strong><br />Results:</strong> The essential supremacies for the evolution and prognosis were identified including clinical, paraclinical aspects and some others which in a decrement order by correlations coefficient analyzed were the following: Hb < 80 gr / L, glycemia >12 mmol / L, time of bleeding >4 seconds, SAT < 80 mmHg, HR >101 beats / min, creatinine >200 mmol / L, platelet count <100 000 / L, K+ >6 mEq / L and the levels of PH < 7.15, all of them at the 5th day of evolution, and the multiple organic dysfunction. <br /><strong>Conclusions:</strong> To evaluate important clinical, paraclinical and some others supremacies in a continuous form in the attention of septic patients in our intensive care units is a great help in the evolution, and the establishment of the prognosis in our patient making such an inference by measures made at the 5th day of the assessment. <br /> |
| format | Article |
| id | doaj-art-6e9816041f4c4259936dac880741eb76 |
| institution | Kabale University |
| issn | 1727-897X |
| language | Spanish |
| publishDate | 2008-12-01 |
| publisher | Centro Provincial de Información de Ciencias Médicas. Cienfuegos |
| record_format | Article |
| series | Medisur |
| spelling | doaj-art-6e9816041f4c4259936dac880741eb762025-01-30T21:28:40ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2008-12-0163241251392Determinant domain in prognosis evaluation of the septic patient in the intensive care unit.Alexis Díaz Mesa0Rubén Bembibre Taboada1Alexis Suárez del Villar Labastida2Dagmaris Losa Pérez3Hospital Clínico Quirúrgico Docente Gustavo Aldereguía Lima. CienfuegosHospital Clínico Quirúrgico Docente Gustavo Aldereguía Lima. Cienfuegos.Universidad de Cienfuegos “Carlos Rafael Rodríguez”.Policlínico Área II. Cienfuegos.<strong>Background:</strong> Sepsis is the most frequent cause of death in critical ill patient. The necessity to have with evolutionary and predictable markers for medical routines is a tangible fact. <strong><br />Objective:</strong> To make a study about the determinant supremacies in the assessment and prognosis help of the patient whose main complaint of admission in the ICU was sepsis. <br /><strong>Methods:</strong> A descriptive, retrospective, longitudinal and series of cases study (N=155, n=127) with polytomic logistic regression was carried out in order to determine the essential supremacies by means of V Cramer’s, Rho Spearman’s and Pearson R. <strong><br />Results:</strong> The essential supremacies for the evolution and prognosis were identified including clinical, paraclinical aspects and some others which in a decrement order by correlations coefficient analyzed were the following: Hb < 80 gr / L, glycemia >12 mmol / L, time of bleeding >4 seconds, SAT < 80 mmHg, HR >101 beats / min, creatinine >200 mmol / L, platelet count <100 000 / L, K+ >6 mEq / L and the levels of PH < 7.15, all of them at the 5th day of evolution, and the multiple organic dysfunction. <br /><strong>Conclusions:</strong> To evaluate important clinical, paraclinical and some others supremacies in a continuous form in the attention of septic patients in our intensive care units is a great help in the evolution, and the establishment of the prognosis in our patient making such an inference by measures made at the 5th day of the assessment. <br />http://medisur.sld.cu/index.php/medisur/article/view/585síndrome sépticosepsisinsuficiencia de múltiples órganos |
| spellingShingle | Alexis Díaz Mesa Rubén Bembibre Taboada Alexis Suárez del Villar Labastida Dagmaris Losa Pérez Determinant domain in prognosis evaluation of the septic patient in the intensive care unit. Medisur síndrome séptico sepsis insuficiencia de múltiples órganos |
| title | Determinant domain in prognosis evaluation of the septic patient in the intensive care unit. |
| title_full | Determinant domain in prognosis evaluation of the septic patient in the intensive care unit. |
| title_fullStr | Determinant domain in prognosis evaluation of the septic patient in the intensive care unit. |
| title_full_unstemmed | Determinant domain in prognosis evaluation of the septic patient in the intensive care unit. |
| title_short | Determinant domain in prognosis evaluation of the septic patient in the intensive care unit. |
| title_sort | determinant domain in prognosis evaluation of the septic patient in the intensive care unit |
| topic | síndrome séptico sepsis insuficiencia de múltiples órganos |
| url | http://medisur.sld.cu/index.php/medisur/article/view/585 |
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