The importance of Clinical Research

Objetives: to describe the clinical and epidemiological characteristics, evolution and to identify mortality factors associated in patients with snp.Material and methods: descriptive study of a serie of cases of the intensive care unit (icu) of a general hospital. medical records of patients which r...

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Main Authors: Frank Lizaraso Caparó, Frank Lizaraso Soto
Format: Article
Language:Spanish
Published: Universidad de San Martín de Porres 2016-01-01
Series:Horizonte Médico
Subjects:
Online Access:http://www.medicina.usmp.edu.pe/medicina/horizonte/2016_1/editorial.pdf
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author Frank Lizaraso Caparó
Frank Lizaraso Soto
author_facet Frank Lizaraso Caparó
Frank Lizaraso Soto
author_sort Frank Lizaraso Caparó
collection DOAJ
description Objetives: to describe the clinical and epidemiological characteristics, evolution and to identify mortality factors associated in patients with snp.Material and methods: descriptive study of a serie of cases of the intensive care unit (icu) of a general hospital. medical records of patients which received medical attention and who meet the selection criteria were reviewed. Results: forty-one clinical records were evaluated. the average age was 69 old, predominantly male (68,3%). snp was the reason of admission in 60.9% and 95.1% required mechanical ventilation. hospital stay prior to diagnosis was 10 days, 65% of patients had some risk factor for multi resistence organisms, cpis of entry was 9.3, cultures were positive in 39% of the cases and of these, 48.8% received proper antibiotic according to culture results. the days of stay in icu were 20.6 days and 20 of the 41 medical records were for death patients. the clinical and epidemiological characteristics were similar between death and alive patients. an analysis of factors that could be associated with mortality snp was made and it was found that for an age ≥ 70 years, the presence of any risk factor for multidrug resistence organism and control cpis ≥ 6 were associated with higher mortality; while acquisition of the icu was associated to lower mortality. Conclusions: the clinical, epidemiological characteristics and evolution of patients with snp in our icu were similar to those describe in the literature. three factors associated with mortality in the icu were identified.
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spelling doaj.art-e59db2e3df38420383224c67638668792022-12-22T03:11:16ZspaUniversidad de San Martín de PorresHorizonte Médico1727-558X2227-35302016-01-0116145The importance of Clinical ResearchFrank Lizaraso Caparó0Frank Lizaraso Soto1Decano de la Facultad de Medicina Humana de la USMP. Lima, PerúDoctor en medicinaObjetives: to describe the clinical and epidemiological characteristics, evolution and to identify mortality factors associated in patients with snp.Material and methods: descriptive study of a serie of cases of the intensive care unit (icu) of a general hospital. medical records of patients which received medical attention and who meet the selection criteria were reviewed. Results: forty-one clinical records were evaluated. the average age was 69 old, predominantly male (68,3%). snp was the reason of admission in 60.9% and 95.1% required mechanical ventilation. hospital stay prior to diagnosis was 10 days, 65% of patients had some risk factor for multi resistence organisms, cpis of entry was 9.3, cultures were positive in 39% of the cases and of these, 48.8% received proper antibiotic according to culture results. the days of stay in icu were 20.6 days and 20 of the 41 medical records were for death patients. the clinical and epidemiological characteristics were similar between death and alive patients. an analysis of factors that could be associated with mortality snp was made and it was found that for an age ≥ 70 years, the presence of any risk factor for multidrug resistence organism and control cpis ≥ 6 were associated with higher mortality; while acquisition of the icu was associated to lower mortality. Conclusions: the clinical, epidemiological characteristics and evolution of patients with snp in our icu were similar to those describe in the literature. three factors associated with mortality in the icu were identified.http://www.medicina.usmp.edu.pe/medicina/horizonte/2016_1/editorial.pdfHospital-acquired pneumoniaVentilator-associated pneumoniaHealthcare-associated pneumonia
spellingShingle Frank Lizaraso Caparó
Frank Lizaraso Soto
The importance of Clinical Research
Horizonte Médico
Hospital-acquired pneumonia
Ventilator-associated pneumonia
Healthcare-associated pneumonia
title The importance of Clinical Research
title_full The importance of Clinical Research
title_fullStr The importance of Clinical Research
title_full_unstemmed The importance of Clinical Research
title_short The importance of Clinical Research
title_sort importance of clinical research
topic Hospital-acquired pneumonia
Ventilator-associated pneumonia
Healthcare-associated pneumonia
url http://www.medicina.usmp.edu.pe/medicina/horizonte/2016_1/editorial.pdf
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