Reingreso de pacientes a una terapia Intensiva polivalente, análisis descriptivo y de factores de riesgo
Vol. 28 Núm. 1 (2011), Originales
Vol. 28 Núm. 1 (2011)

Reingreso de pacientes a una terapia Intensiva polivalente, análisis descriptivo y de factores de riesgo

Originales
Publicado 2011-05-26
Miguel Abad Rodriguez
Camilo Velluso
no
Alejandra Schmidt
socia titualr
Martín Deheza
Socio titular
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Palabras clave

Reingreso
Terapia Intensiva
nutrición enteral

Cómo citar

1.
Abad Rodriguez M, Velluso C, Schmidt A, Deheza M. Reingreso de pacientes a una terapia Intensiva polivalente, análisis descriptivo y de factores de riesgo. Rev Arg de Ter Int. [Internet]. 26 de mayo de 2011 [citado 3 de mayo de 2024];28(1). Disponible en: https://revista.sati.org.ar/index.php/MI/article/view/272
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Resumen

Introducción Los pacientes reingresados a UTI, definidos  como   recurrencia de la internación en el área crítica  dentro del  primer trimestre posterior al primer egreso de la misma. Presentan una  elevada prevalencia en series publicadas y ausencia de datos en nuestro medio, lo cual  obligó a realizar un análisis y búsqueda de   factores de riesgo. Diseño: retrospectivo descriptivo observacional transversal y comparativo. Material y Método: pacientes ingresados a la UTI, durante el periodo 2004 al 2009.  Se incluyeron 1296 historias clínicas. Variables en estudio dependiente  Reingreso y  variables independiente (edad, sexo, motivo del primer ingreso,  Apache II, estadía en UTI,  uso de  catéter de Swan Ganz,    ventilación mecánica invasiva, hemodiálisis, nutrición enteral y / o parenteral, drogas vasoactivas:, día de la semana de egreso en la primera admisión. Resultados  Sobre 1296 historias clínicas analizadas se observo una frecuencia de 7.2% de reingresos .Los reingresos presentaron una  edad 56 ±19 años de similar distribución de sexo. Estadía mediana de 7,  Apache II de ingreso 12±6...No encontramos diferencias entre las variables independientes El análisis univariado presento asociación significativa  estadía≥7dìas y nutrición enteral, .en el multivariado quedo significativa  nutrición enteral...Conclusiones La población con  reingreso a  UTI presenta una  elevada prevalencia, asociada a la estadía y nutrición enteral siendo esta última el único factor de riesgo cuando las variables se ajustan entre si.

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</span></pre><p class="MsoNormal" style="text-align: justify; line-height: 200%; margin: 0cm 0cm 0pt;"><span style="font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" lang="EN-GB"><span style="font-size: small;">19. Ho KM, Dobb GJ, Lee KY, Finn J, Knuiman M. The effect of comorbidities on risk of intensive care readmission during the same hospitalization: a linked data cohort study. 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Garc&iacute;a Vila B. y Grau T.<span style="mso-spacerun: yes;">&nbsp; </span></span><span style="line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; mso-bidi-font-size: 10.0pt; mso-bidi-font-family: 'Courier New';">La nutrici&oacute;n enteral precoz en el enfermo grave. </span></span></p><p class="MsoNormal" style="text-align: justify; line-height: 200%; margin: 0cm -6.8pt 0pt 0cm; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto;"><span style="line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; mso-bidi-font-size: 10.0pt; mso-bidi-font-family: 'Courier New';"><span style="font-size: small;"><span style="mso-spacerun: yes;">&nbsp;</span>Nutr. Hosp.&nbsp;v.20&nbsp;n.2&nbsp;Madrid&nbsp;mar.-abr.&nbsp;2005.</span></span></p><p class="MsoNormal" style="text-align: justify; line-height: 200%; margin: 0cm -6.8pt 0pt 0cm; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto;"><span style="line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; mso-bidi-font-size: 10.0pt; mso-bidi-font-family: 'Courier New';"><span style="font-size: small;">24. Monti Gabriel. Desnutrici&oacute;n hospitalaria: una patolog&iacute;a subdiagnosticada Revista de la Asociaci&oacute;n M&eacute;dica Argentina, Vol. 121, N&uacute;mero 4 de 2008.</span></span></p><p class="MsoNormal" style="text-align: justify; line-height: 200%; margin: 0cm 0cm 0pt; mso-layout-grid-align: none;"><span style="line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; mso-bidi-font-size: 10.0pt; mso-bidi-font-family: 'Courier New'; mso-ansi-language: EN-GB;" lang="EN-GB"><span style="font-size: small;">25. 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Correia MITD, Campos ACL, for the ELAN Cooperative Study. Prevalence of Hospital Malnutrition in Latin America: The Multicenter ELAN Study. Nutrition 2003; 19:823-825.</span></span></p><p class="MsoNormal" style="text-align: justify; line-height: 200%; margin: 0cm 0cm 0pt; mso-layout-grid-align: none;"><span style="line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; mso-bidi-font-size: 10.0pt; mso-bidi-font-family: 'Courier New'; mso-ansi-language: EN-GB;" lang="EN-GB"><span style="font-size: small;">&nbsp;</span></span></p><p class="MsoNormal" style="text-align: justify; line-height: 200%; margin: 0cm 0cm 0pt; mso-layout-grid-align: none;"><span style="line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; mso-bidi-font-size: 10.0pt; mso-bidi-font-family: 'Courier New'; mso-ansi-language: EN-GB;" lang="EN-GB"><span style="font-size: small;">27. 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Nutrition 2003; 19:</span></span></p><p class="MsoNormal" style="text-align: justify; line-height: 200%; margin: 0cm 0cm 0pt; mso-layout-grid-align: none;"><span style="line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; mso-bidi-font-size: 10.0pt; mso-bidi-font-family: 'Courier New'; mso-ansi-language: EN-GB;" lang="EN-GB"><span style="font-size: small;">115-119.</span></span></p><p class="MsoNormal" style="text-align: justify; line-height: 200%; margin: 0cm 0cm 0pt; mso-layout-grid-align: none;"><span style="line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; mso-bidi-font-size: 10.0pt; mso-bidi-font-family: 'Courier New'; mso-ansi-language: EN-GB;" lang="EN-GB"><span style="font-size: small;">&nbsp;</span></span></p><p class="MsoNormal" style="text-align: justify; line-height: 200%; margin: 0cm -6.8pt 0pt 0cm; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto;"><span style="line-height: 200%; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; mso-bidi-font-size: 10.0pt; mso-bidi-font-family: 'Courier New'; mso-ansi-language: EN-GB;" lang="EN-GB"><span style="font-size: small;">&nbsp; </span></span></p><p class="MsoNormal" style="text-align: justify; margin: 0cm -6.8pt 0pt 0cm; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto;"><span style="font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; mso-bidi-font-size: 10.0pt; mso-bidi-font-family: 'Courier New'; mso-ansi-language: EN-GB;" lang="EN-GB"><span style="font-size: small;">&nbsp;</span></span></p>

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