Depuración extrarrenal continua sin anticoagulación / No disponible

No disponible

Pronóstico del paciente crítico según el sexo y la edad / Outcome of the critical patient according to the sex and the age

Objetivo. Determinar si la edad y el sexo tienen relación con diferencias en la mortalidad de los pacientes ingresados en la unidad de cuidados intensivos (UCI). Diseño. Estudio retrospectivo de datos recogidos prospectivamente durante 6 años consecutivos. Ámbito. UCI polivalente del Hospital Universitario Insular de Gran Canaria. Pacientes. Todos los pacientes ingresados en la UCI, diferenciados según el sexo y la edad < o ≥ 65 años. Principales variables de interés. Se recogieron datos demográficos y diagnósticos de los pacientes al ingreso, el APACHE II, los días que precisaron de ventilación mecánica y depuración extrarrenal y la mortalidad. Resultados. Durante el período de estudio ingresaron 3.786 pacientes en la UCI, de éstos. 2.526 (66,7%) eran varones y 2.469 (65,2%), menores de 65 años. La mortalidad en UCI del grupo con trastornos coronarios fue mayor en las mujeres (el 11,1 frente al 6,7%; p = 0,02), a pesar de que no había diferencias significativas entre ambos sexos en el índice de gravedad APACHE II (p = 0,56). No encontramos diferencias significativas entre los sexos, según la edad < o ≥ 65 años, en el APACHE II, la necesidad de ventilación mecánica o depuración extrarrenal ni en la mortalidad en la UCI. Tampoco encontramos diferencias en la mortalidad entre los grupos diagnósticos y el sexo, a pesar de tener incluso un APACHE II al ingreso significativamente mayor, como era el caso de las mujeres menores de 65 años del grupo con trastornos coronarios y traumatismos, y las mujeres del grupo quirúrgico de 65 años o más. Conclusiones. No hemos demostrado diferencias en el pronóstico relacionadas con el sexo, salvo en el grupo de trastornos coronarios, donde la mortalidad es mayor en las mujeres. La edad mayor o menor de 65 años no ha influido en la mortalidad de nuestros pacientes(AU)

Objective. To determine if gender and age are associated with differences in mortality in patients requiring critical care. Design. Retrospective analysis of prospectively collected data over 6 consecutive years. Setting. Polyvalent intensive care unit (ICU) of a tertiary hospital in the Canary Islands. Patients. Adult patients who were hospitalized in the ICU, divided on the basis of gender and age (< or ≥ 65 years). Primary variables of interest. Demographic and clinical diagnosis data on ICU admission, APACHE II, days of mechanical ventilation, days of renal replacement therapy (RRT) and the mortality were collected. Results. During the study period, 3786 patients were admitted to the ICU, 66.7% male and 2469 (65.2%) < 65 years. Mortality in the ICU of the coronary group was greater in women (11.1% vs 6.7%; p = 0.02), even though there were no significant differences between both genders in the APACHE II (p = 0.56). No statistically significant differences were found according to gender in age (< or ≥ 65 years), in the APACHE II, or in the need for mechanical ventilation or renal replacement therapy as well as in the ICU mortality. We also found no differences in the mortality between the diagnostic groups and gender even when the APACHE II was significantly greater on admission, as occurred for the women < 65 years of the coronary and traumas group and for women with surgery ≥ 65 years. Conclusions. No significant differences were demonstrated in the outcome in relationship with gender except for in the coronary group in which mortality was greater in women. Age above or below 65 years had no influence on mortality in our patients(AU)

Rabdomiólisis aguda asociada a inhalación de cocaína / Acute rhabdomyolysis associated with cocaine inhalation

No disponible

[Needs of the family of intensive care patients: perception of the family and the professional]. / Necesidades de los familiares de pacientes de Cuidados Intensivos: percepción de los familiares y del profesional.

OBJECTIVE: Compare the degree of family satisfaction of patients admitted to our intensive care unit (ICU) with the perception of the professional on the care setting and information received. DESIGN: Prospective, descriptive study during 3 months. SETTING: ICU of the University Hospital Insular of the Canary Islands. SUBJECTS: Family of adult patients admitted to the ICU who were discharged to the ward and the professionals who treated them. INTERVENTION: Personal survey to direct family members of the patients when they are in the ward. The same survey, but modified for the professional, was used on the perception that they believed the family had. VARIABLES OF PRINCIPAL INTEREST: Demographic data of the patient, family, and professional interviewed were collected and they were asked questions on the environmental conditions, relationship and quality of the information by the staff and the organization of the visits. RESULTS: A total of 52 family members and 69 staff members were interviewed. The professional overestimated the needs of the family members in regards to noise, lighting, comfort, privacy, adequacy of the waiting room and information on the care received. The professional, on contrary to the family, thought that they were adequately informed about the apparatuses used and that they knew the name of the nurse. Both groups coincided that they knew the name of the doctors, that they were informed of the situation on admission, that the visiting hours were adequate, that more than 2 family members could go into the box and that they were more comfortable if they could be sitting down. CONCLUSIONS: Satisfaction of the family was greater than that of the professional interviewed. We stress the need to improve the waiting room, personalized care and the need to individually evaluate flexibility in the visiting hours.

Necesidades de los familiares de pacientes de Cuidados Intensivos: percepción de los familiares y del profesional / Needs of the family of intensive care patients: perception of the family and the professional

Objetivo. Comparar el grado de satisfacción de familiares de pacientes ingresados en nuestra Unidad de Cuidados Intensivos (UCI) con la percepción del profesional sobre el entorno asistencial y la información recibida. Diseño. Estudio prospectivo, descriptivo durante tres meses. Ámbito. UCI del Hospital Universitario Insular de Gran Canaria. Sujetos. Familiares de pacientes adultos ingresados en UCI que fueron dados de alta a planta y profesionales que los trataron. Intervención. Encuesta personal a familiares directos de los pacientes cuando se encontraban en planta; se utilizó la misma, modificada para el profesional, sobre la percepción que creían que tenía el familiar. Variables de interés principales. Se recogieron datos demográficos del paciente, familiar y profesional entrevistado y se les preguntó sobre las condiciones medioambientales, la relación y la calidad de la información prestada por el personal y la organización de las visitas. Resultados. Se entrevistaron 52 familiares y 69 miembros de la plantilla. El profesional sobreestima las necesidades de los familiares en aspectos como el ruido, iluminación, comodidad, intimidad, la adecuación de la sala de espera y la información sobre los cuidados recibidos. El profesional, a diferencia del familiar, pensaba que informaba adecuadamente sobre el aparataje utilizado y que conocía el nombre del personal de enfermería. Ambos grupos coincidían en que conocían el nombre de los médicos, eran informados de la situación al ingreso, el horario de visitas era adecuado, que pudieran pasar dos o más familiares al box y que estarían más cómodos si pudieran sentarse. Conclusiones. La satisfacción del familiar era mayor que la del profesional entrevistado. Detectamos la necesidad de mejorar la sala de espera, personalizar la atención y valorar individualmente la flexibilidad en el horario de visitas

Objective. Compare the degree of family satisfaction of patients admitted to our intensive care unit (ICU) with the perception of the professional on the care setting and information received. Design. Prospective, descriptive study during 3 months. Setting. ICU of the University Hospital Insular of the Canary Islands. Subjects. Family of adult patients admitted to the ICU who were discharged to the ward and the professionals who treated them. Intervention. Personal survey to direct family members of the patients when they are in the ward. The same survey, but modified for the professional, was used on the perception that they believed the family had. Variables of principal interest. Demographic data of the patient, family, and professional interviewed were collected and they were asked questions on the environmental conditions, relationship and quality of the information by the staff and the organization of the visits. Results. A total of 52 family members and 69 staff members were interviewed. The professional overestimated the needs of the family members in regards to noise, lighting, comfort, privacy, adequacy of the waiting room and information on the cares received. The professional, on the contrary to the family, thought that they adequately informed about the apparatuses used and that they knew the name of the nurse. Both groups coincided that they knew the name of the doctors, that they were informed of the situation on admission, that the visiting hours were adequate, that more than 2 family members could go into the box and that they were more comfortable if they could be sitting down. Conclusions. Satisfaction of the family was greater than that of the professional interviewed. We stress the need to improve the waiting room, personalized care and the need to individually evaluate flexibility in the visiting hours