Mortalidad en pacientes críticos con síndrome de distrés respiratorio agudo por Covid-19 en la unidad de cuidados intensivos de un hospital público del norte de Perú

Marcela S. Alva Vargas, Gustavo Adolfo Vásquez-Tirado, Edinson Dante Meregildo-Rodriguez, Niler Manuel Segura-Plasencia, Claudia Vanessa Quispe-Castañeda, Yessenia Katherin Arbayza-Ávalos

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

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Resumen

Introduction: The COVID-19 disease is complicated by severe acute respiratory syndrome (ARDS), which is considered the main cause of mortality within intensive care units, despite providing early and optimal ventilatory support. However, it is necessary to identify the factors associated with mortality in these patients. Objective: To determine the factors associated with mortality in critically ill patients with severe acute respiratory distress syndrome due to COVID-19 in the intensive care unit. Material and methods: Analytical cross-sectional study. A database obtained from 176 medical records of patients with severe acute respiratory distress due to COVID-19 was used in a public hospital in Trujillo from March 2020 to June 2021. A group of patients who survived and another group of those who died were divided, being subdivided according to whether or not they present associated mortality factors. A bivariate analysis was performed and with the factors that were statistically significant, a multivariate analysis was performed to determine variables associated with mortality. Results: A mortality of 57% of the total number of patients was found, when performing the multivariate analysis, a significant statistical association was found in the presence of comorbidities measured with the Charlson Index (RPa = 1.348; 95% CI: 1.01-1.79; p = 0.040) and within the ventilatory parameters at peak pressure (RPa = 1.261 CI; 95%: 1.13-1.40; p <= 0.000). It is necessary to identify those mortality risk variables to stratify patients and optimize therapy.

Título traducido de la contribuciónMortality in critical patients with acute respiratory distress syndrome by Covid-19 in the intensive care unit of a public hospital in northern Peru
Idioma originalEspañol
Páginas (desde-hasta)227-232
Número de páginas6
PublicaciónBoletin de Malariologia y Salud Ambiental
Volumen62
N.º2
DOI
EstadoPublicada - 2022

Palabras clave

  • COVID-19
  • Respiratory distress syndrome
  • mortality
  • risk factors

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