<?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>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992014000400199</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resultados de la reanimación preoperatoria en sepsis grave y choque séptico en pacientes con infección intraabdominal]]></article-title>
<article-title xml:lang="en"><![CDATA[Results of preoperative resuscitation in severe sepsis and septic shock in patients with intra-abdominal infections]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cerda Cortaza]]></surname>
<given-names><![CDATA[Luis Juan]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Reyna]]></surname>
<given-names><![CDATA[Marco Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Tampico  ]]></institution>
<addr-line><![CDATA[ Tamaulipas]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2014</year>
</pub-date>
<volume>36</volume>
<numero>4</numero>
<fpage>199</fpage>
<lpage>204</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992014000400199&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992014000400199&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992014000400199&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Introducción: La infección intraabdominal se caracteriza por sus altas incidencia y mortalidad. La literatura reporta mortalidad muy variable y no hay estudios que muestren diferencias según el grado de sepsis que presenten. Este estudio muestra únicamente a pacientes con sepsis grave y choque séptico de origen abdominal y la repercusión en su mortalidad llevando a cabo metas de resucitación preoperatoria (guías de manejo de la campaña &#8220;Sobreviviendo a la sepsis&#8221;), como única variable que modifi que la mortalidad. Material y métodos: Estudio retrospectivo, observacional, analítico y transversal, realizado en 146 pacientes con infección intraabdominal, sepsis grave y choque séptico del Hospital General de Tampico. Se les realizó reanimación preparatoria basada en las metas de la campaña &#8220;Sobreviviendo a la sepsis&#8221;. Se califi có como exitosa o fallida y se estudió el impacto en la mortalidad. Resultados: En total, 112 pacientes tuvieron sepsis grave y 34, choque séptico. La reanimación se consideró exitosa en 105 pacientes. La mortalidad global del estudio fue del 20.5%, del 9.8% la de sepsis grave y del 55.8% la del choque séptico. Entre los pacientes con reanimación exitosa, la mortalidad global disminuyó al 9.5%; entre los pacientes con sepsis grave fue del 2.2% y entre los choques sépticos, del 47%, lo cual tuvo signifi cancia estadística (x 2 de Pearson = 33; p = 0.001; odds ratio = 38 [intervalo de confi anza del 95%, 7-208]). Conclusiones: Los resultados de la reanimación preoperatoria exitosa en sepsis grave y choque séptico en pacientes con infección intraabdominal muestran un impacto estadísticamente signifi cativo en la disminución de la mortalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Introduction: Intra-abdominal infection is characterized by its high incidence and mortality. Mortality rates reported in the literature vary widely and there are no studies that show differences depending on the degree of sepsis present. This study presents only patients with severe sepsis and septic shock of abdominal origin and the impact on mortality by performing preoperative resuscitation using the Surviving Sepsis Campaign guidelines as the only variable that changes the mortality rate. Material and Methods: A retrospective, observational, analytical and cross-sectional study was conducted in a population of 146 patients with intra-abdominal infection categorized with severe sepsis and septic shock in Tampico General Hospital. Preoperative resuscitation was performed on all patients based on the Surviving Sepsis Campaign guidelines. This was classifi ed as a success or failure, and the impact on mortality was reviewed. Results: Of the 146 patients, 112 had severe sepsis and 34 septic shock. Resuscitation was considered successful in 105 patients. The overall mortality in the study was 20.5%, with 9.8% for severe sepsis and 55.8% for septic shock. In patients with successful resuscitation, overall mortality decreased to 9.5%, and in patients with severe sepsis it was 2.2% and with septic shock it was 47%, which was statistically signifi cant. (Pearson Chisquare 33, P=.001 and OR 38, 95% CI: 7-208). Conclusions: The results of the successful preoperative resuscitation in severe sepsis and septic shock in patients with intra-abdominal infection show a statistically significant impact on reducing mortality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Infección]]></kwd>
<kwd lng="es"><![CDATA[Intraabdominal]]></kwd>
<kwd lng="es"><![CDATA[Reanimación preoperatoria]]></kwd>
<kwd lng="es"><![CDATA[Sepsis]]></kwd>
<kwd lng="en"><![CDATA[Infection]]></kwd>
<kwd lng="en"><![CDATA[Intra-abdominal]]></kwd>
<kwd lng="en"><![CDATA[Preoperative resuscitation]]></kwd>
<kwd lng="en"><![CDATA[Sepsis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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