Figueredo RY, Fernández CBE, Mari FM, Gámez RJC, Durán RY

Language: Spanish
References: 0
Page: 1025-1037
PDF size: 294.67 Kb.

ABSTRACT

Introduction: the worldwide incidence of chronic obstructive pulmonary disease (COPD) has increased in recent years and is currently the third leading cause of death in countries with high development of health systems.
Objective: to identify the mortality and related variables in patients with exacerbated COPD discharged from the Intensive Care Unit (ICU).
Method: case series study, in a period of two years. The lethality at discharge from the ICU was studied in 52 patients with exacerbated COPD discharged from the ICU of the VI Lenin Hospital, Holguin, in the period November 2012 and October 2014. For the processing of the data the percentage was used as well as the mean and standard deviation. Values of P <0.05 were considered significant.
Results: the mortality was 42.3%, significantly associated with lower arterial pH values. The mean values of PaO2 evolved better in patients alive at discharge. Only non-invasive ventilation was used in 28.8% of the cases. The deceased patients had a significantly longer average duration of mechanical ventilation (8.6 ± 5.9 days vs. 4.0 ± 2.8 days). Septic shock had 100% of mortality.
Conclusions: the hospitality mortality was high and the employment of non invasive ventilation was limited.