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2014, Number 2

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Revista Cubana de Cirugía 2014; 53 (2)

Factors influencing mortality in critically ill patients with abdominal surgery

Hernández RA, Vinent LJA, Delgado FRI, Castillo CJJ

Language: Spanish
References: 22
Page: 134-144
PDF size: 279.82 Kb.


ABSTRACT

Introduction: surgical patient is one of the pronest patients to intensive medical care.
Objective: to determine factors influencing morbidity and mortality in critically-ill surgical patients.
Methods: prospective and descriptive study of 193 surgical patients admitted to the Intensive Care Unit of “Joaquin Albarran Dominguez” hospital in Havana during 2012.
Results: of 193 patients, 34 died (17.6 %), being those patients with emergency surgery (14 patients) predominant. Age over 60 years, acute renal failure (p = 0.0011) and need of vasoactive amina support (p ‹ 0001) were the influential factors on the rise of mortality rate, with a highly significant association between albumin and physical condition on discharge (p ‹ 0.0001). The fluid requirement above 5 liters was related with improved survival rate (p = 0.0002).
Conclusions: the main risk factors for the critically-ill surgical patients mortality are hypovolemic shock, the need for amine support, hypoalbuminemia and the presence of acute renal failure; their prevention or early detection will allow intensifying or customizing the therapeutic actions to each patient, all of which may contribute to reduce mortality in this group of patients.


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