Bibliographic citations
Rodríguez, K., (2024). Hipotensión e hipoxemia como factores de riesgo asociados a mortalidad en pacientes con traumatismo encefalocraneano severo [Tesis, Universidad Privada Antenor Orrego]. https://hdl.handle.net/20.500.12759/26191
Rodríguez, K., Hipotensión e hipoxemia como factores de riesgo asociados a mortalidad en pacientes con traumatismo encefalocraneano severo [Tesis]. PE: Universidad Privada Antenor Orrego; 2024. https://hdl.handle.net/20.500.12759/26191
@misc{renati/380215,
title = "Hipotensión e hipoxemia como factores de riesgo asociados a mortalidad en pacientes con traumatismo encefalocraneano severo",
author = "Rodríguez Millones, Karla Roxana",
publisher = "Universidad Privada Antenor Orrego",
year = "2024"
}
OBJECTIVE: To check whether the association of hypotension and hypoxemia generates a greater risk of mortality than in isolation, in patients with severe TBI from Piura. MATERIALS AND METHODS: A retrospective cohort study was conducted, including 168 patients with severe TBI who met the selection criteria. They were divided into 3 study groups (56 with hypotension, 56 with hypoxemia, and 56 with both), and their medical records were followed to confirm the presence or absence of mortality within 30 days of admission. RESULTS: Mortality in the group with hypotension and hypoxemia was 58.9% (n=33), hypotension 35.7% (n=20) and hypoxemia 25% (n=14) with a significant difference in the Pearson chi-square test (p =0.001). When we compared the association of hypotension and hypoxemia with patients who only presented hypotension, we obtained [RR= 1.65 (95% CI 1.09 – 2.49) (p=0.014)] and when we compared it with patients who only presented hypoxemia, we obtained [ RR= 2.36 (95% CI 1.42 – 3.90) (p<0.001)]. A multivariate analysis of the intervening variables was carried out with a significant difference and it was determined that patients with hypotension and hypoxemia are 3.24 times more likely to die compared to those with hypoxemia alone, when adjusted for the variables: presence of hemorrhage brain [RR = 3.91 (95% CI 2.36 – 6.50) (p<0.001)] and acid-base balance = respiratory alkalosis [RR = 2.47 (95% CI 1.34 – 4.55) (p=0.004)]. CONCLUSION: The association of hypotension and hypoxemia does generate a greater risk of mortality than in isolation, in patients diagnosed with severe TBI in Piura
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