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2007, Number 1

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Med Crit 2007; 21 (1)

Problematic of intensive critical care medicine in Mexico City

Díaz de LPMA, Díaz MA, Arévalo CMR, Moreno SAA, Briones GJC
Full text How to cite this article

Language: Spanish
References: 10
Page: 15-20
PDF size: 60.06 Kb.


Key words:

Critical medicine, problematic.

ABSTRACT

Objective: Increase the limited information, in Mexico City, about the consequences (emotional, physical and economical) of the practice or critical medicine in the critical care physicians.
Introduction: The ICU is maybe the most stressing place inside the Hospital; it’s probably because taking care of the critical patient is often associated with the quick choice of decisions, and the constant relation with frequent deaths and the ethical implications. This entire environment generates frustration, depression and anger in the physician.
Material and methods: We applied a test to 75 physicians in the ICU of 10 different public and private Hospitals in Mexico City. The test captured data about age, gender, years in the ICU, addictions, diseases related with stress, behavior alterations (according to the DSM-IV), number or jobs and month payment.
Results: Of the 100% (75) physicians interviewed we found: smoking habit in 40%, alcoholism 46.6%, other toxicomanias 2.6%, acid peptic disease 57.3%, irritable bowel syndrome, tensional headache and systemic hypertension: 33.3% each one. Anxiety 37.3%, depression 26.6% and anger 21.3%.
Conclusions: The health of critical care physicians is affected by the time of permanence in the ICU, because they suffer diseases related with stress earlier than the rest of the population. The addictions and the behavior alterations are also more rooted in this group.


REFERENCES

  1. Díaz de León PM, Juárez DGN, Santa Cruz R, Abraham M. Enseñanza en medicina crítica. Symposium, 1988; 55(6):257-260.

  2. Díaz de León PM, Cerón HA, Escalante AC. Incidentes adversos como causa de ingreso a una UCI. Rev Mex Med Cri y Ter Int 1987;I(1):13-16.

  3. Díaz de León PM, Ruíz GA. Costos de los incidentes adversos en una UCI. Rev Mex Med Cri y Ter Int 1988; II(III):13-19.

  4. Díaz de León PM, Castañón JA. El impacto de la unidad de cuidados intensivos en el intensivista. Rev Mex Med Cri y Ter Int 1989;III(4):23-25.

  5. Knaus AW, Wagner PD, Draper AE. Zimmerman EJ, Bergner M et al. The APACHE III prognostic system. Chest 1991;6:1619-1939.

  6. El Manual Diagnóstico y Estadístico de los Trastornos Mentales. 4ª Ed. (DSM IV), Washington DC. 1994.

  7. Johanson WG. The American Board of Internal Medicine Recertification Program - nearing liftoff. Crit Care Med 1996;24(5):888-9.

  8. Wallance BG. Problemas psicológicos de los pacientes, los familiares y los profesionales de la salud. En: Shoemaker CW y col. Ed. Tratado de Medicina Crítica y Terapia Intensiva. 2ª ed. Argentina: Ed. Panamericana 1991:1520-1527.

  9. Somand D, Zink B. The influence of critical care medicine on the development of the specialty of emergency medicine: A historical perspective. Acad Emerg Med 2005; 12:879-883.

  10. Díaz de León PM, Briones GJ y col. La problemática de la medicina crítica en México. Rev Mex Med Cri y Ter Int 2003; XVII(1): 28-33.




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Med Crit. 2007;21