López VJI, García GAY, Solís BM

Language: Spanish
References: 13
Page: 565-573
PDF size: 408.57 Kb.

ABSTRACT

Objective: To identify the risk factors that affect mortality in critically ill patients treated in general wards or floors.
Materials and Methods: Observational, retrospective, descriptive and analytical study conducted on patients over 18 years of age who were admitted to a general ward and required mechanical ventilation for more than 24 hours. Their clinical, biochemical and ventilatory characteristics are described. An inferential analysis of the sample was performed according to the type of hospital discharge.
Results: We studied 115 patients with a mean age of 58.9 ± 17.2 years and a mean length of stay of 11 (5 to 18) days. The most common diagnoses were pneumonia and uremic syndrome. Hypertension, diabetes, and renal insufficiency were the most common comorbidities. Patients who died were those who received more mechanical ventilation and had low albumin concentration.
Conclusions: The mortality of critically ill patients admitted to a general ward of the second level of care was 81.7%. Risk factors for death in critically ill patients treated outside the intensive care unit were ventilatory parameters, respiratory frequency and positive end-expiratory pressure, type of medical patient and hypoalbuminemia. In addition to those inherent to the lack of experience of the support staff and the floor physician and the limited resources available in an intensive care unit.

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