Citas bibligráficas
Zúñiga, J., Ramírez, F. (2004). Estratificación del riesgo de mortalidad por sepsis en el Servicio de Emergencia Adultos del Hospital Nacional Edgardo Rebagliati Martins EsSalud : abril-junio 2004 [Tesis de segunda especialidad, Universidad Nacional Mayor de San Marcos]. https://hdl.handle.net/20.500.12672/1831
Zúñiga, J., Ramírez, F. Estratificación del riesgo de mortalidad por sepsis en el Servicio de Emergencia Adultos del Hospital Nacional Edgardo Rebagliati Martins EsSalud : abril-junio 2004 [Tesis de segunda especialidad]. PE: Universidad Nacional Mayor de San Marcos; 2004. https://hdl.handle.net/20.500.12672/1831
@misc{renati/485851,
title = "Estratificación del riesgo de mortalidad por sepsis en el Servicio de Emergencia Adultos del Hospital Nacional Edgardo Rebagliati Martins EsSalud : abril-junio 2004",
author = "Ramírez Calderón, Fanny Elizabeth",
publisher = "Universidad Nacional Mayor de San Marcos",
year = "2004"
}
--- With the end to evaluate the MEDS score, in patient with sepsis or sepsis suspicion in the mature service of Emergency of the HNERM. and to determine the validity of this score in our means, we intended to be carried out the present study in 240 patients that completed the established inclusion approaches. Objectives: a) to Stratify by means of MEDS score, patient with sepsis or sepsis suspicion in different levels of risk. b) Conocer the frequency of mortalidad.por sepsis c) Determinar the correlation grade between the different levels of risk and their indexes of mortality. d) Proponer the application of adjusted guides of attention to the risk that you/they allow to improve the presage of the septic patients in the emergency service. Study type: Descriptive, prospective, longitudinal. Place: Mature service of Emergency of the HNERM. Methods and Results: The patients were stratified by means of MEDS score according to levels of risk of mortality: being obtained the following results: Very Low (10,00%), Lower (19,17%), Moderate (29,58%); High (17,92%) and Very High (23,33%). The rate of global mortality was of 39,58% (95 / 240); being bigger in the levels Very High 22,5% and High 13,8%. The proportional analysis of risk of Cox showed that the presence in the moment of entrance of more Comorbilidad (p=0,000), Transtorno of the sensory one (p=0.000) and septic Shock( p=0.00 ) was correlated with a smaller survival and therefore a bigger risk of mortality for sepsis. Finally the curve ROC was built, for the Meds total Score, being observed that presently study the test it maintains a good discriminatory capacity (area under the curve ROC = 0.73), and therefore the Meds score is a valid test in the studied patients. Conclusions: The MEDS Score is a rule of high value predictive of mortality for sepsis: that it maintains their level of validity in the patients of the mature emergency service of the HNERM and that it could be applied in the same ones.
Este ítem está sujeto a una licencia Creative Commons Licencia Creative Commons