<?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>0186-4866</journal-id>
<journal-title><![CDATA[Medicina interna de México]]></journal-title>
<abbrev-journal-title><![CDATA[Med. interna Méx.]]></abbrev-journal-title>
<issn>0186-4866</issn>
<publisher>
<publisher-name><![CDATA[Edición y Farmacia S.A. de C.V.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0186-48662019000500685</article-id>
<article-id pub-id-type="doi">10.24245/mim.v35i5.2575</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Sensibilidad y especificidad de los puntajes Evaluación de Insuficiencia Orgánica Secuencial Rápida vs Síndrome de Respuesta Inflamatoria Sistémica en la predicción de mortalidad intrahospitalaria]]></article-title>
<article-title xml:lang="en"><![CDATA[Quick sequential organ failure assessment vs systemic inflammatory response syndrome scores sensitivity and specificity for predicting in-hospital mortality]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Echtay-Martínez]]></surname>
<given-names><![CDATA[Akbal]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes]]></surname>
<given-names><![CDATA[Nilsa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinoza-Díaz]]></surname>
<given-names><![CDATA[Cristóbal]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morocho-Zambrano]]></surname>
<given-names><![CDATA[Alicia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salazar-Vilchez]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Zulia  ]]></institution>
<addr-line><![CDATA[Maracaibo ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministerio de Salud Pública Hospital General Provincial Latacunga ]]></institution>
<addr-line><![CDATA[Provincia de Cotopaxi ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad del Zulia Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Maracaibo ]]></addr-line>
<country>Venezuela</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2019</year>
</pub-date>
<volume>35</volume>
<numero>5</numero>
<fpage>685</fpage>
<lpage>695</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0186-48662019000500685&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0186-48662019000500685&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0186-48662019000500685&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  OBJETIVO: Comparar la capacidad predictiva de mortalidad intrahospitalaria de los puntajes Evaluación de Insuficiencia Orgánica Secuencia Rápida (qSOFA) y Síndrome de Respuesta Inflamatoria Sistémica (SIRS) en pacientes adultos ingresados con diagnóstico de infección.  MATERIAL Y MÉTODO:  Estudio descriptivo, transversal, con diseño no experimental, efectuado de enero a julio de 2017 en pacientes adultos ingresados con infección de origen diferente al Hospital General del Sur Dr. Pedro Iturbe de la ciudad de Maracaibo, Venezuela, seleccionados mediante un muestreo no probabilístico intencional. A los pacientes se les cuantificaron los puntajes qSOFA y SIRS, se compararon las características al ingreso, días de hospitalización y mortalidad intrahospitalaria en los dos grupos.  RESULTADOS: Se incluyeron 60 sujetos, 51.6% eran hombres; el foco infeccioso más frecuente fue el urinario con 43.3%, la administración de agentes vasoactivos fue necesaria en 40% de los pacientes, mientras que la mortalidad intrahospitalaria ocurrió en 45% de los casos. El puntaje qSOFA se asoció con mayor porcentaje de mortalidad intrahospitalaria en comparación con el puntaje SIRS, también mostró mayor capacidad predictiva con sensibilidad de 96%, especificidad de 33%, valor predictivo positivo de 54%, valor predictivo negativo de 92%, razón de verosimilitud positiva de 1.4, razón de verosimilitud negativa de 0.1 y área bajo la curva de 0.77 (0.65-0.89).  CONCLUSIÓN: El puntaje qSOFA tiene mayor sensibilidad y especificidad de mortalidad intrahospitalaria en comparación con el SIRS.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  OBJECTIVE: To compare in-hospital mortality predictive capacity of quick Sequential Organ Failure Assessment (qSOFA) and Systemic Inflammatory Response Syndrome (SIRS) in adult patients admitted with suspected infection.  MATERIAL AND METHOD:  A descriptive, cross-sectional study was carried out from January to July 2017 with a non-experimental design in adult patients admitted with infection of different source to the Hospital General del Sur Dr. Pedro Iturbe from Maracaibo city, Venezuela, selected by an intentional sampling. We quantified the qSOFA and SIRS scores, comparing the characteristics of admission, days of stay and in-hospital mortality in the two groups.  RESULTS: There were included 60 subjects, 51.6% were men; the most frequent infectious source was the urinary tract with 43.3%, the use of vasoactive agents was necessary in 40% of the patients, while in-hospital mortality occurred in 45% of cases. The quick SOFA score was associated with a greater percentage of in-hospital mortality compared to the SIRS score, also exhibiting a greater predictive capacity with sensitivity of 96%, specificity of 33%, positive predictive value of 54%, negative predictive value of 92%, positive likelihood ratio: 1.4, negative likelihood ratio: 0.1 and area under the curve of 0.77 (0.65-0.89).  CONCLUSION: The quick SOFA score showed greater sensitivity and specificity for in-hospital mortality compared to the SIRS.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Infección]]></kwd>
<kwd lng="es"><![CDATA[sepsis]]></kwd>
<kwd lng="es"><![CDATA[pronóstico]]></kwd>
<kwd lng="es"><![CDATA[mortalidad hospitalaria]]></kwd>
<kwd lng="es"><![CDATA[Síndrome de Respuesta Inflamatoria Sistémica]]></kwd>
<kwd lng="es"><![CDATA[puntaje SOFA]]></kwd>
<kwd lng="en"><![CDATA[Infection]]></kwd>
<kwd lng="en"><![CDATA[Sepsis]]></kwd>
<kwd lng="en"><![CDATA[Prognosis]]></kwd>
<kwd lng="en"><![CDATA[Hospital mortality]]></kwd>
<kwd lng="en"><![CDATA[Systemic Inflammatory Response Syndrome]]></kwd>
<kwd lng="en"><![CDATA[SOFA score]]></kwd>
</kwd-group>
</article-meta>
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