dc.contributor | Fernández Chica, Dinno | |
dc.contributor | Rojano Rada, Jairo | |
dc.creator | Quintero Osorio, María Fernanda | |
dc.creator | Escorcia Buendía, María Carolina | |
dc.date.accessioned | 2022-02-16T15:21:47Z | |
dc.date.available | 2022-02-16T15:21:47Z | |
dc.date.created | 2022-02-16T15:21:47Z | |
dc.identifier | https://hdl.handle.net/10901/21170 | |
dc.identifier | instname:Universidad Libre | |
dc.identifier | reponame:Repositorio Institucional Universidad Libre | |
dc.description.abstract | Objetivo: Evaluar la predicción de mortalidad mediante la escala qSOFA y otros
indicadores clínicos en pacientes con sepsis, en el servicio de terapia intensiva en una
institución de salud de la red pública de la Ciudad de Barranquilla, entre Julio de 2020 a
febrero de 2021.
Métodos: Se realizó un estudio analítico, longitudinal, prospectivo. Con la información
obtenida, se realizó la base de datos en Excel, y un análisis univariado y multivariado
para describir el mejor predictor de mortalidad en sepsis.
Resultados: De 101 casos, el 82% (n=83) tenían shock séptico, mayor presentación en
el sexo masculino con 61% (n=64), con mayor frecuencia de estrato socioeconómico 1,
la mayoría fueron sepsis adquirida en comunidad 81% (n=85), con un índice de
comorbilidad de Charlson de 3,4 ± 3,0. Las mediciones seriadas del lactato y de la PCR,
no tuvieron relación estadísticamente significativa con mortalidad. El valor de q-SOFA
presentó una asociación estadísticamente significativa con la mortalidad (p < 0,05),
valores de q-SOFA elevados tienen el doble de riesgo de muerte (OR = 2,16; IC 95% =
1,08 – 4,33). Sensibilidad de 68,6% y especificidad de 48,4%, VPP de 76% y VPN de
34,37%
Conclusión: La escala qSOFA se encontró como el mejor predictor de mortalidad en
sepsis comparado con SIRS, SOFA, PCR y Lactato | |
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dc.rights | http://creativecommons.org/licenses/by-nc-nd/2.5/co/ | |
dc.rights | Atribución-NoComercial-SinDerivadas 2.5 Colombia | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.rights | http://purl.org/coar/access_right/c_abf2 | |
dc.subject | Sepsis | |
dc.subject | Choque séptico | |
dc.subject | Mortalidad | |
dc.subject | SOFA | |
dc.subject | Ácido láctico | |
dc.subject | Biomarcadores | |
dc.title | Riesgo de mortalidad: predicción mediante aplicación de la escala qSPFA en pacientes con sepsis atendidos en una institución de la red pública | |