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Caracterización de los pacientes críticos ventilados en la Fundación Santa Fe de Bogotá 2009 a 2013

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dc.contributor.advisorCelis Rodríguez, Edgar
dc.creatorGómez Cortés, Leonardo Andrés
dc.creatorBernal Ramírez, Omar
dc.creatorMoreno Duarte, Ingrid
dc.creatorCarrizosa, Jorge Armando
dc.creator.degreeEspecialista en Medicina Crítica y Cuidado Intensivo
dc.date.accessioned2013-08-21T13:16:58Z
dc.date.available2013-08-21T13:16:58Z
dc.date.created2013-07-08
dc.date.issued2013
dc.descriptionObjetivo: Caracterizar a los pacientes que recibieron ventilación mecánica en las unidades de cuidado intensivo (UCI) de la Fundación Santa Fe de Bogotá entre los años 2009 y 2013. Metodología: Se analizó una cohorte retrospectiva de los pacientes en UCI que requirieron soporte ventilatorio mecánico al ingreso a la unidad independientemente de la causa. Resultados: La media de edad de los pacientes fue 63,83 años; el diagnóstico más frecuente de ingreso fue revascularización miocárdica, seguido por neumonía y recambio valvular aórtico; en el 43% de los casos la causa de la falla fue el estado postoperatorio. Los modos ventilatorios más frecuentemente utilizados fueron SIMV (27,5%) y ventilación asistida controlada (26,12%). El 50% de los pacientes fueron ventilados con PEEP < 6 cmH2O. La mortalidad bruta fue del 15%. 22% de los pacientes tuvieron estancia prolongada en UCI. Se aplicó protocolo de retiro de ventilación mecánica en el 77% de los pacientes. La duración de la ventilación mecánica es mayor a medida que aumenta la edad del paciente entre los 60 y los 80 años. La mortalidad es cercana al 50% alrededor de los 50 años y mayor a 80% después de los 80 años. El soporte ventilatorio por cinco o más días aumentó la mortalidad a 80% o más. Discusión y Conclusiones: Estos resultados son comparables a los encontrados en estudios previos. Este estudio puede ser considerado como el primer paso para generar un registro adecuado de la ventilación de la mecánica de las unidades de cuidado intensivo del país.spa
dc.description.abstractObjective: To characterize patients on mechanical ventilation at the Intensive Care Units from Fundación Santa Fe de Bogotá between 2009 and 2013. Methods: We performed a retrospective analysis of a cohort of patients admitted to Intensive Care Units (ICU) that required mechanical ventilatory regardless of the cause of respiratory failure. Results: The mean age of the patients was 63.83 years, the most frequent diagnosis at admission was myocardial revascularization, followed by pneumonia and aortic valve replacement; on 43% of cases the cause of respiratory failure was the postoperative state; the most frequently used ventilation modes were SIMV (27.5%) and assisted control (26.12%). 50% of patients were ventilated with PEEP <6 cmH2O. Crude mortality at the ICU was 15%. 22% of patients had prolonged ICU hospitalization. Weaning protocol was applied to 77% of patients. The duration of mechanical ventilation is increased with increasing age between 60 and 80 years. Mortality is about 50% at 50 years and more than 80% at 80 years. Ventilatory support lasting five or more days increased mortality to 80% or greater. Discussion and Conclusions: These results are comparable to previous studies. This study can be considered as the first step to generate a proper record of mechanical ventilation on ICU in the country.eng
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dc.identifier.doihttps://doi.org/10.48713/10336_4633
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/4633
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Medicinaspa
dc.publisher.programEspecialización en Medicina Crítica y Cuidado Intensivospa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto completo)spa
dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
dc.rights.licenciaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectventilación mecánicaspa
dc.subjectpacientes críticosspa
dc.subjectventilatoriosspa
dc.subject.decsUNIDADES DE CUIDADOS INTENSIVOSspa
dc.subject.decsVENTILACIÓN MECÁNICA - UTILIZACIÓNspa
dc.subject.keywordmechanical ventilationeng
dc.subject.keywordcritically illeng
dc.subject.keywordventilatory modeseng
dc.titleCaracterización de los pacientes críticos ventilados en la Fundación Santa Fe de Bogotá 2009 a 2013spa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
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