Rodríguez AET, González AJC, Cabrera LJO, Algas HLA

Language: Spanish
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Page: 1-18
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ABSTRACT

Introduction: The secondary diffuse peritonitis is one of the main reasons for admission to polyvalent intensive care units.
Objective: to identify the prognostic factors associated with organ failure and death in patients with secondary diffuse peritonitis.
Method: An observational, analytical, cohort study was conducted in the intensive care unit of “Carlos Manuel de Céspedes” General University Hospital in Bayamo, Granma, from January 1, 2016 to December 31, 2016. Fifty-four patients were selected with this diagnosis. As independent variables, general factors related to the disease were defined; the dependent variables were death and multiple organ failure.
Results: The univariate analysis showed that patients with physical status in III-IV, according to the classification of the American Society of Anesthesiologist, had an almost four times higher risk of evolving unfavorably (RR 3.7 IC 95 % 1.1-12.0; p= 0.02). those who reached heart rates higher than 90 beats / min tripled the risk (RR 3.4 95 % CI 1.1-10.5, p= 0.03); and those who achieved an Acute Physiology and Chronic Health Evaluation II score higher than 12, were likely to develop multiple organ failure or die approximately five times more (RR 5.5 CI 95 % 1.7-18.1; p= 0.00). There was no association between any factor related to the disease and the prognosis. The Acute Physiology and Chronic Health Evaluation II was the only independent factor.
Conclusions: The physiological alterations, represented by the Acute Physiology and Chronic Health Evaluation II index, were significantly associated with the prognosis of patients with secondary diffuse peritonitis.