Valor de la razón lactato albumina como predictor de mortalidad en pacientes del departamento de cuidados críticos del hospital Víctor Lazarte Echegaray, 2020-2022
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Date
2023-11-13
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Universidad Nacional de Trujillo
Abstract
Los pacientes con afecciones potencialmente mortales se tratan en la unidad de cuidados intensivos (UCI). Las tasas de mortalidad en la UCI dependen de la adecuada utilización de fuentes humanas y tecnológicas y se ha asociado con la duración de la hospitalización, siendo esta prolongada duplica el riesgo de muerte, la condición clínica, inmovilidad, sedación, agitación, coma, intubación, ventilación mecánica, uso de fármacos vasopresores, características sociodemográficas.
Los pacientes ingresados de forma aguda en la Unidad de Cuidados Intensivos tienen una alta mortalidad y los supervivientes pueden sufrir una morbilidad a largo plazo y una reducción de la calidad de vida. Alrededor del 47% de los pacientes de la UCI mueren dentro de las 48 horas admisión.
Estudios previos han identificado diferentes predictores de mortalidad como la presión arterial baja, oliguria, tiempo de llenado capilar prolongado y moteado de la piel. Por lo tanto seleccionar instrumentos para evaluar pacientes y determinar estándares de la atención es vital para garantizar la calidad de la atención médica en la UCI. Se pueden emplear varias encuestas para evaluar las comorbilidades y estimar el riesgo de mortalidad en este contexto. Por ejemplo, la razón lactato albumina; El lactato sérico es una sustancia potencialmente útil como biomarcador y que se investiga ampliamente en pacientes con enfermedad crítica, habiendo demostrado rentabilidad pronóstica. Por otro lado, la albúmina es una proteína plasmática sintetizada en el hígado. Es la proteína más abundante en plasma y parece ser un indicador de pronóstico confiable en varios contextos. Una revisión reciente sugiere que albúmina podría ser un predictor independiente de mortalidad en una amplia gama de casos clínicos y entornos de investigación.
Patients with life-threatening conditions are treated in the intensive care unit (ICU). Mortality rates in the ICU depend on the adequate use of human and technological sources and have been associated with the duration of hospitalization, this being prolonged doubles the risk of death, clinical condition, immobility, sedation, agitation, coma, intubation , mechanical ventilation, use of vasopressor drugs, sociodemographic characteristics. Patients acutely admitted to the Intensive Care Unit have high mortality and survivors may suffer long-term morbidity and reduced quality of life. About 47% of ICU patients die within 48 hours of admission. Previous studies have identified different predictors of mortality such as low blood pressure, oliguria, prolonged capillary refill time, and skin mottling. Therefore, selecting instruments to evaluate patients and determine standards of care is vital to guarantee the quality of medical care in the ICU. Various surveys can be used to assess comorbidities and estimate mortality risk in this setting. For example, the reason lactate albumin; Serum lactate is a potentially useful substance as a biomarker and is widely investigated in patients with critical illness, having demonstrated prognostic profitability. On the other hand, albumin is a plasma protein synthesized in the liver. It is the most abundant protein in plasma and appears to be a reliable prognostic indicator in several contexts. A recent review suggests that albumin could be an independent predictor of mortality in a wide range of clinical cases and research settings.
Patients with life-threatening conditions are treated in the intensive care unit (ICU). Mortality rates in the ICU depend on the adequate use of human and technological sources and have been associated with the duration of hospitalization, this being prolonged doubles the risk of death, clinical condition, immobility, sedation, agitation, coma, intubation , mechanical ventilation, use of vasopressor drugs, sociodemographic characteristics. Patients acutely admitted to the Intensive Care Unit have high mortality and survivors may suffer long-term morbidity and reduced quality of life. About 47% of ICU patients die within 48 hours of admission. Previous studies have identified different predictors of mortality such as low blood pressure, oliguria, prolonged capillary refill time, and skin mottling. Therefore, selecting instruments to evaluate patients and determine standards of care is vital to guarantee the quality of medical care in the ICU. Various surveys can be used to assess comorbidities and estimate mortality risk in this setting. For example, the reason lactate albumin; Serum lactate is a potentially useful substance as a biomarker and is widely investigated in patients with critical illness, having demonstrated prognostic profitability. On the other hand, albumin is a plasma protein synthesized in the liver. It is the most abundant protein in plasma and appears to be a reliable prognostic indicator in several contexts. A recent review suggests that albumin could be an independent predictor of mortality in a wide range of clinical cases and research settings.
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Keywords
Lactato, Mortalidad, Paciente