mortalidad en pacientes desnutridos ingresados en cuidados intensivos: factores de riesgo
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ID: 215860
1999
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Abstract
Se hizo un estudio prospectivo en pacientes desnutridos ingresados en la Unidad de Cuidados Intensivos del Hospital Pediátrico Docente "Dr. Ángel Arturo Aballí", durante el período de enero de 1994 a julio de 1997, con el objetivo de determinar aquellas alteraciones clínico-humorales que se comportan como factores de riesgo asociados con la probabilidad de muerte. Después de aplicados los métodos estadísticos de análisis univariado y multivariado de regresión logística para conocer las variables vinculadas con la mortalidad, los resultados dieron como significativas las siguientes: polipnea (p = 0,00000, RR = 180, alteración de la conciencia (p = 0,00000, RR = 55), ausencia de pulsos periféricos (p = 0,00001, RR = 29), hipoglicemia (p = 0,00015, RR = 11,2), hipopotasemia (p = 0,00015, RR = 11,2), catéter (p = 0,00021, RR = 12,5) adinamia (p = 0,00092, RR = 10), distensión abdominal (p = 0,004, RR = 5,5), hipoalbuminemia (p = 0,02, RR = 4,2), leucocitosis (p = 0,03, RR = 4) y caída de la hemoglobina (p = 0,03, RR = 3,7).
We made a prospective study of malnourished patients who were admitted to the ICU of "Dr. Ángel Arturo Aballí" Teaching Pediatric Hospital from January 1994 to July 1997. Our objective was to determine those clinical-hormonal alterations that act as death-linked risk factors. Once the statistical one-variant/multivariant methods of logistic regression were used to find out the mortality-linked variables, the most significant ones were the following: polypnea (p= 0,00000, RR= 180); altered conciousness (p= 0,00000, RR= 55), no peripheral pulses (p= 0,00001, RR= 29), hypoglycemia (p= 0,00015, RR= 11,2); hypopotasemia (p= 0,00015, RR= 11,2), catheter (p= 00021, RR= 12,5), hypoalbuminemia (p= 0,02, RR= 4,2), leucocytosis (p= 0,03, RR= 4) and decreased hemoglobin (p= 0,33, RR= 3,7).
We made a prospective study of malnourished patients who were admitted to the ICU of "Dr. Ángel Arturo Aballí" Teaching Pediatric Hospital from January 1994 to July 1997. Our objective was to determine those clinical-hormonal alterations that act as death-linked risk factors. Once the statistical one-variant/multivariant methods of logistic regression were used to find out the mortality-linked variables, the most significant ones were the following: polypnea (p= 0,00000, RR= 180); altered conciousness (p= 0,00000, RR= 55), no peripheral pulses (p= 0,00001, RR= 29), hypoglycemia (p= 0,00015, RR= 11,2); hypopotasemia (p= 0,00015, RR= 11,2), catheter (p= 00021, RR= 12,5), hypoalbuminemia (p= 0,02, RR= 4,2), leucocytosis (p= 0,03, RR= 4) and decreased hemoglobin (p= 0,33, RR= 3,7).
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| Authors | ;María Elena Álvarez Andrade;Ileana Vázquez Dimas;Osvaldo Mollineda Tocoronte;Mercedes Rubens Quesada |
| Journal | studies in the history of gardens and designed landscapes |
| Year | 1999 |
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