<?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>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092016000300167</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación de la mortalidad y otros resultados clínicos en la población anciana mexicana con sepsis]]></article-title>
<article-title xml:lang="en"><![CDATA[Evaluation of mortality and other clinical outcomes in elderly mexican population with sepsis]]></article-title>
<article-title xml:lang="pt"><![CDATA[Avaliação da mortalidade e outros resultados clínicos na população idosa mexicana con sepse]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gastelum Dagnino]]></surname>
<given-names><![CDATA[José Rodolfo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olvera Guzmán]]></surname>
<given-names><![CDATA[Claudia Ivette]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Navarro Adame]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Calzada]]></surname>
<given-names><![CDATA[Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres Aguilar]]></surname>
<given-names><![CDATA[Oscar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado Ayala]]></surname>
<given-names><![CDATA[Lucia Yunuen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romano Albornoz]]></surname>
<given-names><![CDATA[Paola Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Franco Granillo]]></surname>
<given-names><![CDATA[Juvenal]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguirre Sánchez]]></surname>
<given-names><![CDATA[Janet Silvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Médico ABC  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2016</year>
</pub-date>
<volume>30</volume>
<numero>3</numero>
<fpage>167</fpage>
<lpage>170</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092016000300167&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092016000300167&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092016000300167&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La población en México cada vez es más anciana. El envejecimiento de la población mexicana se acelerará significativamente en el presente siglo. En el año 2000, las personas de 60 años o más representaban 6.8% de la población total del país y se espera serán 28.0% en el año 2050. Es poco lo que se conoce respecto al paciente anciano críticamente enfermo con sepsis una de las enfermedades que más causa ingresos a la terapia intensiva, es por eso que es necesario hacer consideraciones terapéuticas más precisas y tener un panorama clínico en este grupo etario.  Objetivos:  Determinar la mortalidad en la Unidad de Cuidados Intensivos (UCI) en pacientes mexicanos mayores de 65 años de edad con diagnóstico de sepsis.  Métodos:  Estudio, prolectivo, observacional y descriptivo.  Resultados:  Se analizaron 216 pacientes, de los cuales 143 eran mayores de 65 años (grupo A) y 73 menores de 65 años (grupo B). El grupo B mostró OR 0.27 (IC95% = 0.14-0.539) le confiere un factor protector, comparado con el grupo A con OR 2.6 (IC95% = 1.5-2.5) en el cual se demuestra mayor mortalidad asociada a sepsis. Sepsis severity Score (SSS) demostró que es la herramienta más precisa para predecir mortalidad en el paciente con sepsis, por encima de APACHE II , SOFA y PIRO.  Conclusión: El tener más de 65 años de edad e ingresar a la UCI secundario a sepsis, le confiere mayor mortalidad a este grupo etario (OR 2.6 IC 95% = 1.5-2.5). La mejor manera de predecir mortalidad en sepsis es el SSS.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: The elderly population in Mexico is increasing, aging Mexican population significantly accelerate in this century. In 2000, people aged 60 represented 6.8% of the total population and is expected to be 28.0% in 2050. There is lack of date about the old critically ill patients with sepsis and this disease increase the rate of hospitalization in the ICU, which is why it is necessary to make more precise therapeutic consideration and have a clinical picture in this group.  Objectives:  ICU mortality in Mexican patients over 65 years of age diagnosed with sepsis.  Methods: Prolective, observational and descriptive study.  Results: We enroll 216 patients of which 143 belong to group A patients (over 65 years), while group B (under 65 years) had 73 patients, group B presents OR 0.27 (95% CI = 0.14 -0539) confers a protective factor, compared to group A with OR 2.6 (95% CI = 1.5-2.5) which had shown higher mortality associated with sepsis. Sepsis Severity Score (SSS) was more accurate tool predicting mortality in patients with sepsis, above APACHE II, SOFA and PIRO.  Conclusion: Having more than 65 years of age and enter the ICU secondary to sepsis, confers increased mortality in this age group. The best way to predict mortality in sepsis is the SSS.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  A população mexicana é cada vez mais idosa. O envelhecimento da população mexicana se acelerará significativamente neste século. No ano 2000 as pessoas com 60 anos ou mais representaram 6.8% da população total, se espera que para o ano 2050 seja de 28.0%. Pouco se conhece sobre o paciente idoso grave com sepse, uma das doenças que mais levam os pacientes a serem internados na UTI, por isso é necessário fazer uma analise terapéutica e ter um panorama clínico mais preciso para essa faixa etária.  Métodos:  Estudo prospectivo, observacional e descritivo.  Objetivos:  Mortalidade na UTI em pacientes mexicanos com mais de 65 anos de idade com diagnóstico de sepse.  Resultados:  Se analizaram 216 pacientes, dos quais 143 pacientes pertencem ao grupo A (mais de 65 anos), e 73 pacientes pertencem ao grupo B (menos de 65 anos).O grupo B apresenta um OR de 0.27 (IC 95% = 0.14-0.539) que otorga um fator de proteção em comparação ao grupo A, com OR de 2.6 (IC 95% = 1.5-2.5), em que se demontra uma maior mortalidade associada à sepse. Sepse Severity Score (SSS) mostrou que é mais preciso para prever a mortalidade em pacientes com sepse, comparado ao APACHE II, SOFA e PIRO.  Conclusão:  Ter mais de 65 anos de idade e estar internado na UTI, secundário a sepse, aumenta a mortalidade neste grupo etário, e a melhor maneira de prevenir a mortalidade na sepse é o SSS.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Sepsis]]></kwd>
<kwd lng="es"><![CDATA[Unidades de Cuidados Intensivos]]></kwd>
<kwd lng="es"><![CDATA[población anciana]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="en"><![CDATA[Sepsis]]></kwd>
<kwd lng="en"><![CDATA[Intensive Care Units]]></kwd>
<kwd lng="en"><![CDATA[aged]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
<kwd lng="pt"><![CDATA[Sepse]]></kwd>
<kwd lng="pt"><![CDATA[Unidades de Terapia Intensiva]]></kwd>
<kwd lng="pt"><![CDATA[população idosa]]></kwd>
<kwd lng="pt"><![CDATA[mortalidade]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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