Mortalidad hospitalaria de los pacientes tras el alta en la unidad de cuidados intensivos

  1. Lucía Reguera Suárez 1
  2. Joaquín Morís de la Tassa 2
  1. 1 Hospital Universitario Central de Asturias. Asturias, España
  2. 2 Hospital Universitario de Cabueñes. Asturias, España.
Aldizkaria:
Nuberos científica

ISSN: 2173-822X

Argitalpen urtea: 2018

Alea: 3

Zenbakia: 25

Orrialdeak: 6-11

Mota: Artikulua

DIALNET GOOGLE SCHOLAR lock_openSarbide irekia editor

Beste argitalpen batzuk: Nuberos científica

Laburpena

Introduction: In-hospital mortality after intensive care unit (ICU) discharge is the one which takes place in the hospital inpatient ward, once the patient is stable and has been discharged from ICU. It reflects the quality and efficiency of the intensive care treatment. The objective of this study is to determine the hospital mortality rate of patients discharged from the ICU at the University Hospital of Cabueñes. Methods: A retrospective descriptive study of patients who died in the ward after discharge from the ICU at University Hospital of Cabueñes. The study period was from 01/06/2014 to 30/06/2016 Results: 36 patients took part in the study with a mean age of 72.86 years. Patients were admitted for respiratory disease (38,9%,) for hemodynamic reasons (22,2%) and for cardiac reasons (19,4%). In addition, 66.6% of the cases came from the emergency room or operating theater. The average ICU length of stay was 19.61 days and 77.78% of the patients experienced some kind of complication. The average inpatient hospital ward lengh stay was 14.11 days and 80.5% of the patients suffered from complications. The cause of death in the wards was related to the cause of admission to the ICU (in 72,2% of cases). The hospital mortality rate was found to be 5.51%. Conclusions: The hospital mortality rate obtained in this study is similar to those described in the literature

Erreferentzia bibliografikoak

  • Estébanez Montiel MB. Seguimiento hospitalario de pacientes críticos al alta de una UCI polivalente [tesis doctoral] Madrid; 2011. Disponible en: http://eprints.ucm.es/12500/1/T32861.pdf
  • Hortigüela-Martín V, Sanchez-Casado M, Rodríguez-Villar S, Quintana- Díaz M, Marco-Schulke M, Gómez-Tello V, et al. Mortalidad tras el alta de la Unidad de Cuidados Intensivos y factores pronósticos relacionados en una cohorte de pacientes críticos con disfunción multiorgánica. Med Clin (Barc) 2013; 140:479–86.
  • García Lizana F, Manzano Alonso JL. Factores predictores de mortalidad tras el alta de la unidad de medicina intensiva. Med Intensiva 2001; 25:179-86.
  • Ouanes I, Schwebel C, Français A, Bruel C, Philippart F, Vesin A, et al. A model to predict short-term death or readmission after intensive care unit discharge. J Crit Care 2012; 27: 422.e1-422.e9.
  • Campbell AJ, Cook AJ, Adey G, Cuthbertson BH. Predicting death and readmission after intensive care discharge. Br J Anaesth 2008; 100: 656-62.
  • Sakr MB, Vincent JL, Ruokonen E, Pizzamiglio M, InstalleE, Reinhart K, et al. Sepsis and organ system failure are major determinants of post-intensive care unit mortality. J Crit Care 2008; 23: 475-83.
  • Lee H, Lim W, Hong HP, Ju JW, Jeon YT, Hwang JW, et al. Efficacy of the APACHE II score at ICU discharge in predicting post-ICU mortality and ICU readmission in critically ill surgical patients. Anaesth Intensive Care 2015; 43:175- 86.
  • Rodríguez-Carbajal M, Mora D, Doblas A, García M, Domínguez P, Tristancho A, et al. Impacto de las altas no programadas en la mortalidad hospitalaria tras la estancia en una unidad de cuidados intensivos. Med Intensiva 2011; 35: 143-9.
  • Santamaria JD, Duke GJ, Pilcher DV, Cooper DJ, Moran J, Bellomo R. The timing of discharge from the Intensive Care Unit and subsecquent mortality: a prospective, multicenter study. Am J Respir Crit Care Med 2015; 191: 1033-9.
  • Abizanda Campos R, Altaba Tena S, Belenguer Mucharaz A, Más Font A, Ferrándiz Sellés A, Mateu Campos L, et al. Estudio de la mortalidad post-UCI durante 4 años (2006-2009): Análisis de factores en relación con el fallecimiento en planta tras el alta de UCI. Med Intensiva 2011; 35:150-6
  • Fernandez R, Baigorri F, Navarro G, Artigas A. A modified McCabe score for stratification of patients after intensive care unit discharge: the Sabadell score. Critical care [Internet] 2006; 10:R179 [citado 20/05/2018]; Disponible en: https://ccforum.biomedcentral.com/ articles/10.1186/cc5136
Datuen iturria: Dialnet