<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032021000100025</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación y comparación de sistemas de alarma temprana en el perioperatorio del Hospital Ángeles Pedregal]]></article-title>
<article-title xml:lang="en"><![CDATA[Evaluation and comparison of early warning systems in the perioperative period at Hospital Ángeles Pedregal]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Amador]]></surname>
<given-names><![CDATA[José Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas Jiménez]]></surname>
<given-names><![CDATA[Ernesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo González]]></surname>
<given-names><![CDATA[Federico Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez López]]></surname>
<given-names><![CDATA[Adriana Cecilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maldonado Vázquez]]></surname>
<given-names><![CDATA[María Angélica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cázares Robles]]></surname>
<given-names><![CDATA[Tania Karina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arredondo Ortiz]]></surname>
<given-names><![CDATA[Mario Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad La Salle Facultad Mexicana de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Estudios Superiores Iztacala Unidad de Biomedicina]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Ángeles Pedregal  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Popular Autónoma del Estado de Puebla  ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>19</volume>
<numero>1</numero>
<fpage>25</fpage>
<lpage>34</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032021000100025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032021000100025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032021000100025&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  Durante el perioperatorio se presentan complicaciones que demoran más de lo esperado en identificarse y en ser corregidas debido al uso exclusivo del juicio clínico; el algoritmo de un EWS detecta oportunamente y abrevia el ingreso a la unidad de cuidados especiales. Existen diferentes algoritmos, nosotros comparamos el algoritmo que actualmente se usa frente a un MEWS conocido y validado.  Objetivo:  Comparar dos algoritmos de EWS en el perioperatorio del Hospital Ángeles Pedregal.  Material y métodos:  Durante dos meses contiguos se aplicó y comparó el rendimiento del MEWSHAP y MEWS en pacientes postoperados de cirugía general/gastrocirugía.  Resultados:  De 295 pacientes, hubo 21 complicaciones, seis ingresos a cuidados especiales, tres voceos que mostraron una sensibilidad de 66 (MEWSHAP) y de 33% (MEWS) respectivamente. El grupo en general mostró tendencia a mayores complicaciones, proporcional a la edad y no se encontró relación con el tiempo quirúrgico.  Conclusiones:  Consideramos que el algoritmo actualmente vigente en nuestro hospital es apto para la aplicación en los pacientes quirúrgicos, aunque su aplicación no reemplaza la revisión clínica en cuanto a complicaciones tempranas que ameritan reoperación, pero abre la puerta para ajustes específicos en nuestra población.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  In the perioperative setting, complications take longer than expected to be identified and corrected due to the exclusive use of clinical judgment. The EWS algorithm promptly detects and shortens time of admissions to an Intensive Care Unit. Although several early warning algorithms exist, we compared the currently used model with a well-known and validated MEWS score.  Objective:  To compare two Early Warning Score algorithms in the perioperative setting at the Hospital Ángeles Pedregal.  Material and methods:  During a 60-day period, the currently used early warning system was compared to a validated EWS in patients that underwent general/gastrointestinal surgery.  Results:  A total of 295 patients were included. A total of 21 complications were detected, there were six admittance to ICU. Calls to the rapid response team were made three times, with a sensitivity of 66 and 33% for MEWSHAP and MEWS respectively. Complications in both groups were proportional to patients&#8217; age, and no relation was found with operative time.  Conclusions:  The currently used algorithm in our hospital is apt for use in surgical patients. While its application does not replace clinical assessment of complications that require reoperation, it opens the door to specific adjustments for our patient population.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Deterioro clínico]]></kwd>
<kwd lng="es"><![CDATA[algoritmos de EWS]]></kwd>
<kwd lng="es"><![CDATA[clínico]]></kwd>
<kwd lng="es"><![CDATA[escala de NEWS]]></kwd>
<kwd lng="es"><![CDATA[equipo de respuesta rápida]]></kwd>
<kwd lng="en"><![CDATA[Clinical deterioration]]></kwd>
<kwd lng="en"><![CDATA[EWS algorithms]]></kwd>
<kwd lng="en"><![CDATA[clinical]]></kwd>
<kwd lng="en"><![CDATA[NEWS scale]]></kwd>
<kwd lng="en"><![CDATA[rapid response team]]></kwd>
</kwd-group>
</article-meta>
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