Variables associated with mortality in ventilated patients hospitalized in the intermediate therapy unit

Authors

  • Reinier González Rodríguez Hospital General Docente “Abel Santamaría Cuadrado”. Pinar del Río. Cuba.
  • José Abel García Acosta Hospital General Docente “Abel Santamaría Cuadrado”. Pinar del Río. Cuba.
  • Liliana Barcón Díaz Hospital General Docente “León Cuervo Rubio”. Pinar del Río. Cuba.
  • Emilio Álvarez Dubé Hospital General Docente “Abel Santamaría Cuadrado”. Pinar del Río. Cuba.

Keywords:

CRITICAL CARE, ARTIFICIAL RESPIRATION/mortality, EPIDEMIOLOGIC FACTORS.

Abstract

Introduction: mechanical ventilation is a therapeutic option in patients hospitalized in the intermediate therapy units with the presence of variables associated with mortality.

Objective: to determine the variables associated with mortality rates in ventilated patients into the intermediate therapy unit.

Method: an observational, descriptive and cross-sectional study was conducted into the intermediate therapy unit belonging to Abel Santamaría Cuadrado General Teaching Hospital, Pinar del Río from January to March, 2017.

Results: the age group of 60 and older (59.6%) and male (57.5%) predominated. The deceased state was higher in patients older than 60 years (40.4%). The predominant comorbidity was found to be chronic obstructive pulmonary disease (38.3%) associated with mortality in 57.9%. Among the parameters of ventilator monitoring in deceased patients where the oxygen saturation of the pulse was low in 21.1%, the alveolar-arterial oxygen gradient was found to be higher in 68.4% and the ratio oxygen alveolar pressure/ inspired oxygen fraction was low in 52.6%. In patients with deceased state, hemoglobin showed low values in 68.4%, creatinine level was elevated in 68.4% and albumin showed low values (89.5%).

Conclusions: the variables that affected the mortality of ventilated patients were the ages of 60 and over, male, as well as some parameters of ventilation and complementary blood monitoring.

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Author Biographies

Reinier González Rodríguez, Hospital General Docente “Abel Santamaría Cuadrado”. Pinar del Río. Cuba.

Especialista de Primer Grado en Medicina General Integral y en Medicina Interna. Diplomado en Cuidados Intensivos y Emergencias del Adulto. Jefe de Servicio Unidad de Terapia Intermedia.

José Abel García Acosta, Hospital General Docente “Abel Santamaría Cuadrado”. Pinar del Río. Cuba.

Especialista de Primer Grado en Medicina Interna y de Segundo Grado en Terapia Intensiva.

Liliana Barcón Díaz, Hospital General Docente “León Cuervo Rubio”. Pinar del Río. Cuba.

Especialista de Primer Grado en Medicina Interna

Emilio Álvarez Dubé, Hospital General Docente “Abel Santamaría Cuadrado”. Pinar del Río. Cuba.

Especialista de Primer Grado en Medicina General Integral y Terapia Intensiva.

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Published

2017-12-28

How to Cite

1.
González Rodríguez R, García Acosta JA, Barcón Díaz L, Álvarez Dubé E. Variables associated with mortality in ventilated patients hospitalized in the intermediate therapy unit. Rev Ciencias Médicas [Internet]. 2017 Dec. 28 [cited 2025 Sep. 17];22(1):21-8. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/3202

Issue

Vol. 22 No. 1 (2018)

Section

ORIGINAL ARTICLES

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