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ISSN 2007-3194 (Print)
Órgano de difusión oficial del Instituto Materno Infantil del Estado de México

2009, Number 2

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Arch Inv Mat Inf 2009; 1 (2)

Estado nutricional como factor de riesgo de mortalidad en el paciente críticamente enfermo, hospitalizado por proceso infeccioso

Vázquez CI, Vargas AA, Garduño RMV

Language: Spanish
References: 8
Page: 55-57
PDF size: 59.22 Kb.


ABSTRACT

Objective: To determine if the nutritional state is one more of the risk factors of mortality in the critically ill patient, hospitalized by an infectious process. Material and methods: All the patients entered the Service of Intensive Therapy between August 2006 to July 2007, without basic pathology that conditioned secondary undernourishment. A bivaried analysis compared life or death related to each one of the studied variables. Results: There were 59 patients; 24 (40.7%) of these had suitable nutritional state, and 35 (59.3%) underwent alterations in the nutrition. Of 19 cases with undernourishment, two passed away (10.5%); of the 16 with obesity four died (25%); and finally, between the 24 eutrophic subjects, there were six (25%) deceases. Relation between mortality and nutrition was not significant (p › 0.05). Conclusions: The patient with some degree of undernourishment displays the same risk of mortality that the eutrophic. It is required of a study that involves a greater sample to confirme or to refuse the results obtained in this series.


REFERENCES

  1. Ávila-Curiel A, Chávez-Villasana A, Shamah-Levy T, Madrigal-Fritsch H. La desnutrición infantil en el medio rural mexicano, análisis de las Encuestas Nacionales de Alimentación. Sal Pub Mex 1993; 35: 658-666.

  2. Ávila A, Shaman T, Chávez A. Encuesta urbana de alimentación y nutrición en la zona metropolitana de la Ciudad de México. México: INNSZ; 1995.

  3. Feigin R, Garg R. Interacción entre infección y nutrición. Tratados de Infecciones en Pediatría. 1987: 15-24.

  4. Contreras F, González ME et al. Prevalencia de desnutrición infantil y su asociación a enfermedades infecciosas en el Hospital del Niño Jesús. Rev Fac Med Arg 2006; 7 (1): 18-22.

  5. García SM, Ruperez L. Valor pronóstico de la puntuación PRISM y del ácido láctico en niños críticamente enfermos. Anales de Pediatría 2002.

  6. Gómez SF, Aguilar PR, Muñoz TJ. La desnutrición infantil en México. Bol Med Hosp Infant Mex 1997; 54 (7): 345-354.

  7. Pollack MM, Rutimann UE, Gerson PR. Pediatric risk of mortality (PRISM) store. Crit Care Med 1988; 16: 110-116.

  8. Pollack MM, Patel KM, Rutimann UE. An update pediatric risk of mortality score. Crit Care Med 1996; 24 (5): 743-752.




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