|
Tabla 1: Características basales de los pacientes según el grupo de estudio. |
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|
Variable |
Total N = 314 n (%) |
SOH positiva N = 62 n (%) |
SOH negativa N = 13 n (%) |
No se realizó SOH N = 239 n (%) |
p |
|
Edad (años)* |
63 [48-77] |
62.5 [44-77] |
69 [50-82] |
63 [48-77] |
0.950 |
|
Sexo masculino |
185 (58.9) |
32 (51.6) |
11 (84.6) |
142 (59.4) |
0.085 |
|
Peso (kg)* |
73 [62.5-84] |
65.5 [58-76] |
70 [65-77] |
75 [65-84] |
0.004 |
|
Talla (cm)* |
166 [160-172] |
163 [159-170] |
170 [169-170] |
167 [160-172] |
0.046 |
|
IMC (kg/cm2)* |
26 [22.8-29.3] |
23.15 [22-27.6] |
24.2 [22.8-26.1] |
26.6 [23.95-29.55] |
0.003 |
|
Días UTI |
4 [2-8] |
8 [3-13] |
5 [2-10] |
3 [2-6] |
< 0.001 |
|
Estado egreso UTI |
20 (6.4) |
4 (6.5) |
0 (0.0) |
16 (6.7) |
0.630 |
|
Destino egreso UTI |
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|
Atención domiciliaria/ home-care |
5 (1.6) |
1 (1.6) |
0 (0.0) |
4 (1.7) |
0.460 |
|
Casa |
131 (41.7) |
21 (33.9) |
5 (38.5) |
105 (43.9) |
0.460 |
|
Desconocido/Otro |
3 (1.0) |
2 (3.2) |
0 (0.0) |
1 (0.4) |
0.460 |
|
Hospitalización/ Pabellón/Piso |
138 (43.9) |
28 (45.2) |
7 (53.8) |
103 (43.1) |
0.460 |
|
Muerto |
20 (6.4) |
4 (6.5) |
0 (0.0) |
16 (6.7) |
0.460 |
|
Otro hospital |
17 (5.4) |
6 (9.7) |
1 (7.7) |
10 (4.2) |
0.460 |
|
Días de estancia hospitalaria* |
6 [3-10] |
11 [5-19] |
10 [7-12] |
5 [3-8] |
< 0.001 |
|
Mortalidad hospitalaria |
20 (6.4) |
4 (6.5) |
0 (0.0) |
16 (6.7) |
0.630 |
|
Destino al egreso del hospital |
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|
Atención domiciliaria/ home-care |
6 (1.9) |
1 (1.6) |
0 (0.0) |
5 (2.1) |
0.250 |
|
Casa |
269 (85.7) |
49 (79.0) |
12 (92.3) |
208 (87.0) |
0.250 |
|
Muerto |
20 (6.4) |
4 (6.5) |
0 (0.0) |
16 (6.7) |
0.250 |
|
Otro hospital |
19 (6.1) |
8 (12.9) |
1 (7.7) |
10 (4.2) |
0.250 |
|
Paliativo |
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|
No |
299 (95.2) |
60 (96.8) |
13 (100.0) |
226 (94.6) |
0.670 |
|
Sí, limitar |
9 (2.9) |
2 (3.2) |
0 (0.0) |
7 (2.9) |
0.670 |
|
Sí, orden de no resucitar (DNR) |
6 (1.9) |
0 (0.0) |
0 (0.0) |
6 (2.5) |
0.670 |
|
GMM |
1 [0-1] |
1 [0-1] |
0 [0-1] |
1 [0-1] |
0.320 |
|
Origen |
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|
Hospitalización/ Pabellón/Piso |
45 (14.3) |
14 (22.6) |
1 (7.7) |
30 (12.6) |
0.016 |
|
Sala de cirugía |
55 (17.5) |
5 (8.1) |
2 (15.4) |
48 (20.1) |
0.016 |
|
Sala de intervención cardiovascular/ Sala de hemodinamia |
47 (15.0) |
2 (3.2) |
2 (15.4) |
43 (18.0) |
0.016 |
|
Servicio de urgencias |
165 (52.5) |
41 (66.1) |
8 (61.5) |
116 (48.5) |
0.016 |
|
Transferencia de otro centro hospitalario |
2 (0.6) |
0 (0.0) |
0 (0.0) |
2 (0.8) |
0.016 |
|
Tipo ingreso |
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|
Cirugía de emergencia |
44 (14.0) |
4 (6.5) |
3 (23.1) |
37 (15.5) |
0.110 |
|
Cirugía programada |
37 (11.8) |
4 (6.5) |
2 (15.4) |
31 (13.0) |
0.110 |
|
Médico |
233 (74.2) |
54 (87.0) |
8 (61.5) |
171 (71.5) |
0.110 |
|
Sepsis |
83 (26.4) |
35 (56.5) |
3 (23.1) |
45 (18.8) |
< 0.001 |
|
Charlson* |
1 [0-2] |
1 [0-3] |
0 [0-1] |
1 [0-2] |
0.003 |
|
IMF (puntos)* |
1 [0-2] |
1 [0-2] |
1 [0-2] |
1 [0-2] |
0.890 |
|
SAPS III (puntos)* |
48.5 [39-60] |
58 [47-72] |
50 [44-63] |
46 [38-57] |
< 0.001 |
|
Estado crónico |
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|
Independiente |
267 (85.0) |
47 (75.8) |
13 (100.0) |
207 (86.6) |
0.091 |
|
Necesidad de asistencia |
38 (12.1) |
11 (17.7) |
0 (0.0) |
27 (11.3) |
0.091 |
|
Restringido/ Confinado al lecho |
9 (2.9) |
4 (6.5) |
0 (0.0) |
5 (2.1) |
0.091 |
|
NYHA II-III |
24 (7.6) |
6 (9.7) |
1 (7.7) |
17 (7.1) |
0.800 |
|
IRC si TRR |
4 (1.3) |
0 (0.0) |
0 (0.0) |
4 (1.7) |
0.530 |
|
Cirrosis Child A-B |
3 (1.0) |
2 (3.2) |
0 (0.0) |
1 (0.4) |
0.120 |
|
Cirrosis Child C |
1 (0.3) |
0 (0.0) |
0 (0.0) |
1 (0.4) |
0.850 |
|
Tumor sólido |
20 (6.4) |
7 (11.3) |
0 (0.0) |
13 (5.4) |
0.150 |
|
Esteroide |
1 (0.3) |
1 (1.6) |
0 (0.0) |
0 (0.0) |
0.130 |
|
HAS (mmHg) |
116 (36.9) |
17 (27.4) |
8 (61.5) |
91 (38.1) |
0.052 |
|
DM no complicada |
63 (20.1) |
14 (22.6) |
3 (23.1) |
46 (19.2) |
0.810 |
|
Arritmia |
22 (7.0) |
4 (6.5) |
1 (7.7) |
17 (7.1) |
0.980 |
|
Tabaco |
5 (1.6) |
2 (3.2) |
0 (0.0) |
3 (1.3) |
0.490 |
|
Presión (mmHg)* |
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|
Sistólica baja |
100 [90-120] |
96 [83-101] |
112 [90-130] |
105 [95-124] |
< 0.001 |
|
Diastólica baja |
60 [55-70] |
60 [50-66] |
68 [55-75] |
61 [55-70] |
0.009 |
|
Arterial media baja |
75.835 [67.33-87] |
70 [61.67-78.33] |
82 [70-93.33] |
76.67 [69-89] |
0.001 |
|
FC alta* |
88 [74-100] |
96.5 [80-108] |
98 [89-110] |
82 [72-98] |
< 0.001 |
|
Temperatura (oC)* |
36.4 [36-36.9] |
36.8 [36-37.3] |
36.5 [36-36.7] |
36.2 [36-36.7] |
0.002 |
|
Leucocitos (× 103 cél)* |
9.4 [7.13-13.51] |
9.55 [6.8-15] |
8.4 [7.5-13.2] |
9.35 [7.18-12.9] |
0.990 |
|
Plaquetas (× 103)* |
210 [145-283] |
209 [122-302] |
235 [179-308] |
210.5 [150-275.5] |
0.580 |
|
Creatinina (mg/dL)* |
1 [0.8-1.4] |
1.18 [0.8-2] |
0.97 [0.7-1.3] |
1 [0.8-1.33] |
0.450 |
|
Bilirrubina* |
0.5 [0.28-0.9] |
0.5 [0.23-1.5] |
0.35 [0.3-0.7] |
0.5 [0.29-0.9] |
0.710 |
|
pH bajo* |
7.35 [7.32-7.37] |
7.35 [7.3-7.38] |
7.31 [7.28-7.35] |
7.35 [7.35-7.4] |
0.057 |
|
FiO2 alta* |
21 [21-30] |
21 [21-30] |
23 [21-25] |
21 [21-30] |
0.880 |
|
Lactato (mmol/L)* |
1.7 [1-2.5] |
1.96 [1.4-2.8] |
1.75 [1.45-2.65] |
1.4 [1-2.4] |
0.038 |
|
Urea (mg/dL)* |
40.7 [30-66] |
44.95 [25-80] |
39 [27.5-60.7] |
40 [30-63] |
0.320 |
|
BUN (mg/dL)* |
19.02 [14.02-30.84] |
21.005 [11.68-37.38] |
18.225 [12.85-28.365] |
18.69 [14.02-29.44] |
0.320 |
|
Uso ventilación mecánica |
42 (13.4) |
11 (17.7) |
2 (15.4) |
29 (12.1) |
0.500 |
|
Días de ventilación mecánica* |
5.5 [2-13] |
9 [2-16] |
8 [1-15] |
5 [2-10] |
0.380 |
|
Transfusión |
103 (32.8) |
37 (59.7) |
6 (46.2) |
60 (25.1) |
< 0.001 |
|
Uso de complejo protrombínico |
64 (20.4) |
25 (40.3) |
3 (23.1) |
36 (15.1) |
< 0.001 |
|
Endoscopia |
17 (5.4) |
8 (12.9) |
0 (0.0) |
9 (3.8) |
0.012 |
|
Glucosa (mg/dL)* |
118 [102.4-150.3] |
110.65 [94.9-147.9] |
123.7 [104.7-157] |
120.8 [103.2-151.2] |
0.110 |
|
Procalcitonina (ng/mL)* |
0.48 [0.12-2.09] |
0.755 [0.15-2.76] |
0.38 [0.13-1.32] |
0.38 [0.1-1.94] |
0.320 |
|
Sangrado clínico intestinal |
0 (0.0) |
0 (0.0) |
0 (0.0) |
0 (0.0) |
– |
|
Esteroide previo a ingreso |
10 (3.2) |
4 (6.5) |
2 (15.4) |
4 (1.7) |
0.006 |
|
Antiagregante |
5 (1.6) |
0 (0.0) |
1 (7.7) |
4 (1.7) |
0.130 |
|
Las comparaciones se realizaron con la prueba de χ2 para variables categóricas y la prueba de Kruskal-Wallis para variables continuas. BUN = nitrógeno ureico en sangre (Blood Urea Nitrogen). DM = diabetes mellitus. FC = frecuencia cardiaca. GMM = gastos médicos mayores. HAS = hipertensión arterial sistémica. IMC = índice de masa corporal. IMF = índice de fragilidad modificado. IRC = insuficiencia renal crónica. NYHA = New York Heart Association (Asociación Cardiaca de Nueva York). SAPS = Simplified Acute Physiologic Score (Puntuación Simplificada de Fisiología Aguda). SOH = prueba de sangre oculta en heces. TRR = terapia de reemplazo renal. UTI = Unidad de Terapia Intensiva. * Valores expresados en mediana y [rango intercuartílico]. |
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