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dc.contributor.advisorMeléndez Flórez, Héctor Julio
dc.contributor.authorOcaziónez Jiménez, Jesús Enrique
dc.coverage.spatialFloridablanca (Santander, Colombia)spa
dc.date.accessioned2020-07-27T20:38:37Z
dc.date.available2020-07-27T20:38:37Z
dc.date.issued2019
dc.identifier.urihttp://hdl.handle.net/20.500.12749/7057
dc.description.abstractIntroducción: la edad avanzada como característica biológica no modificable, la edad ha sido considerada por algunos como un criterio aislado de selección para el ingreso de pacientes a las unidades de cuidado intensivo (UCI), desconociendo que se trata de una población heterogénea con diferentes posibilidades de supervivencia frente a la enfermedad crítica. Se han estudiado otros factores de riesgo de peores desenlaces médicos, como la oportunidad de la atención, la naturaleza y severidad de la enfermedad aguda, la carga de la enfermedad crónica , el estado cognitivo, la dependencia funcional, la intensidad de la atención y las complicaciones durante su estancia, entre otros. El objetivo del presente estudio fue describir la mortalidad en UCI y hospitalaria de los pacientes mayores de 70 años que ingresaron a UCI, la existencia de diferencias significativas de mortalidad entre los grupos de edad y los principales diagnósticos de ingreso y de comorbilidad de esta población. Metodología: Estudio analítico de corte trasversal que incluyó 607 pacientes mayores o iguales a 70 años ingresados a UCI de la clínica FOSCAL en un periodo de 12 meses. Las variables independientes fueron edad, sexo, comorbilidad al ingreso, tipo de admisión, diagnóstico de ingreso, estancias pre ingreso a UCI, en UCI e institucional. Se realizó un análisis descriptivo uni y bi-variado en Stata 14. Resultados: Se encontró una mortalidad en UCI del 23.89% , hospitalaria del 12,77% y general del 33.61 %, los principales diagnósticos de ingreso pertenecieron los grupos cardiovascular, infección e insuficiencia respiratoria, las patologías más asociadas pertenecieron a los grupos cardiovascular, respiratorio y endocrino metabólico y las principales causas de mortalidad se debieron a los grupos de shock, falla respiratoria e infección; la edad como riesgo biológico solo se dio al ser mayor de 85 años. Conclusiones: Existen diferencias significativas en la mortalidad según la edad entre las dos salas de hospitalización y la UCI. Se requiere considerar otros factores adicionales a la edad, a la hora de seleccionar los pacientes que ingresen a UCI.spa
dc.description.tableofcontentsintroduccion 10 1. planteamiento del problema 12 1.1 pregunta de investigación: 13 1.2 hipótesis 13 2. justificacion 14 3. marco teorico 16 4. objetivos 22 4.1 objetivo general 22 4.2 objetivos específicos 22 5. materiales y metodos 23 6. aspectos eticos 26 7. desarrollo de la investigacion 28 8. resultados 30 9. discusion 36 10. conclusiones 41 11. impacto esperado 42 bibliografia 43 anexos 50spa
dc.format.mimetypeapplication/pdf
dc.language.isospaspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.titleMortalidad en pacientes de 70 años o más, ingresados a unidad de cuidados intensivosspa
dc.title.translatedMortality in patients aged 70 years and over, admitted to the intensive care uniteng
dc.degree.nameEspecialista en Medicina Crítica y Cuidado Intensivo del Adultospa
dc.publisher.grantorUniversidad Autónoma de Bucaramanga UNABspa
dc.rights.localAbierto (Texto Completo)spa
dc.publisher.facultyFacultad Ciencias de la Salud
dc.publisher.programEspecialización en Medicina Crítica y Cuidado Intensivo del Adulto
dc.description.degreelevelEspecializaciónspa
dc.type.driverinfo:eu-repo/semantics/masterThesis
dc.type.localTesisspa
dc.type.coarhttp://purl.org/coar/resource_type/c_7a1f
dc.subject.keywordsMedical sciences
dc.subject.keywordsHealth sciences
dc.subject.keywordsCritical care medicine
dc.subject.keywordsPatient monitoring
dc.subject.keywordsElderly
dc.subject.keywordsIntensive care unit
dc.subject.keywordsCritical care
dc.subject.keywordsMortality
dc.subject.keywordsRisk factors
dc.subject.keywordsHuman life cycle
dc.subject.keywordsAdulthood
dc.subject.keywordsEmergency medicine
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga - UNAB
dc.identifier.reponamereponame:Repositorio Institucional UNAB
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttp://purl.org/coar/access_right/c_abf2
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dc.description.cvlachttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000320609spa
dc.identifier.orcidhttps://orcid.org/0000-0003-1791-8099
dc.subject.lembCiencias médicasspa
dc.subject.lembCuidados intensivos (Medicina)spa
dc.subject.lembMonitoreo de pacientesspa
dc.subject.lembCiclo vital humanospa
dc.subject.lembEdad adultaspa
dc.subject.lembMedicina de urgenciasspa
dc.identifier.repourlrepourl:https://repository.unab.edu.cospa
dc.description.abstractenglishby many as a isolated criteria for admission to intensive care units (ICU, unknowing the heterogeneity of population with different survival against critical illness. it has been studying other risk factors that have worse medical outcomes such as opportunity in health care, nature and severity of acute illness, chronic disease burden, cognitive state, functional dependence, intensive care and complications during hospital stay, among others. Introduction: advance age as an unmodifiable characteristic has been considered. The main goal of the study was to describe ICU and hospital mortality in patients with 70 years or older admitted at ICU, the existence of significant mortality differences between age groups and principal comorbidities and admission diagnosis in this population. Methods: Cross sectional analytic study with 607 patients 70 years old or older, admitted to FOSCAL’s clinic ICU in a period of one year. Independent variables were age, sex, admission comorbidity, admission type, diagnosis at admission, pre ICU, ICU and total hospital length of stay. We performed an univariate and bivariate analysis using Stata 14. Results: We found ICU mortality of 23,89%, in-hospital mortality of 12,77% and overall mortality of 33.61%. Principal admission diagnosis belonged to cardiovascular, infectious and respiratory insufficiency groups. most common admission comorbidities belonged cardiovascular, respiratory and endocrine-metabolic groups. Age as biological risk factor only occurs at 85 years old or older. Conclusions: There statistical differences in mortality across different ages between ICU and hospitalization. Many additional factors besides age should be consider to adequately assign elderly patients to ICU.spa
dc.subject.proposalCiencias de la saludspa
dc.subject.proposalAncianospa
dc.subject.proposalVejezspa
dc.subject.proposalUnidad de cuidado intensivospa
dc.subject.proposalCuidado críticospa
dc.subject.proposalMortalidadspa
dc.subject.proposalFactores de riesgospa
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*


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