<?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>S2448-89092023000400330</article-id>
<article-id pub-id-type="doi">10.35366/112167</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Pacientes quemados graves en la unidad de cuidados intensivos]]></article-title>
<article-title xml:lang="en"><![CDATA[Severe burn patients in the Intensive Care Unit]]></article-title>
<article-title xml:lang="pt"><![CDATA[Queimaduras graves na Unidade de Terapia Intensiva]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Zúñiga]]></surname>
<given-names><![CDATA[Martín de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garnica Escamilla]]></surname>
<given-names><![CDATA[Marco Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tamez Coyotzin]]></surname>
<given-names><![CDATA[Alejandra Elvira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Estrada]]></surname>
<given-names><![CDATA[Victoria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Juárez Guzmán]]></surname>
<given-names><![CDATA[Uriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Rehabilitación «Luis Guillermo Ibarra Ibarra» Centro Nacional de Investigación y Atención de Quemados ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<numero>4</numero>
<fpage>330</fpage>
<lpage>333</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092023000400330&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092023000400330&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092023000400330&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo:  se presenta una breve descripción de la experiencia de un centro de tercer nivel de atención de pacientes quemados graves en la unidad de cuidados intensivos (UCI) en la Ciudad de México.  Material y métodos:  análisis retrospectivo de 101 pacientes adultos que ingresaron a la UCI entre los años 2019-2022. Se describen características demográficas, principales diagnósticos, causas de complicaciones y tasa de mortalidad. Se subdividen en grupo de sobrevivientes y no sobrevivientes, y en grupo de adultos mayores de 65 años y menores de 65 años.  Resultados:  se describen 101 pacientes mayores de 18 años, 20 mujeres (19.1%), 81 hombres (80.1%). Promedio de edad de 40.1 ± 12.4 años. Promedio días de estancia de 13.3 ± 12.4 días/paciente. El principal diagnóstico de ingreso fue por quemaduras por fuego en 66 pacientes (65.3%). Mortalidad global de 19.8%, y en mayores de 65 años de 28.5%. La principal causa de muerte fue el choque séptico. Las principales causas de infección fueron Acinetobacter baumannii, Pseudomonas aeruginosa y diferentes especies de Candida.  Conclusiones:  las lesiones secundarias por quemaduras graves ocasionan una alta morbimortalidad, principalmente en adultos mayores, siendo la principal causa de muerte el choque séptico por bacterias multirresistentes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective:  a brief description of the experience of a tertiary care center for severely burned patients in the intensive care unit in Mexico City is presented.  Material and methods:  retrospective analysis of 101 adult patients admitted to the intensive care unit between the years 2019-2022. Demographic characteristics, main diagnoses, causes of complications and mortality rate are described. They are subdivided into the group of survivors and non-survivors, and adults over 65 years of age and under 65 years of age.  Results:  101 patients older than 18 years are described, 20 women (19.1%), 81 men (80.1%). Average age of 40.1 ± 12.4 years. Average days of stay of 13.3 ± 12.4 days/patient. The main admission diagnosis was fire burns in 66 patients (65.3%). Overall mortality of 19.8%, and in those over 65 years of age 28.5%. The main cause of death was septic shock. The main causes of infection were Acinetobacter baumannii, Pseudomonas aeruginosa and different species of Candida.  Conclusions:  secondary injuries due to severe burns cause high morbidity and mortality, mainly in older adults, with septic shock due to multiresistant bacteria being the main cause of death.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Objetivo:  apresenta-se uma breve descrição da experiência de um centro de atenção terciária para pacientes queimados em estado grave na unidade de terapia intensiva da Cidade do México.  Material e métodos:  análise retrospectiva de 101 pacientes adultos, internados na Unidade de Terapia Intensiva entre os anos de 2019-2022. São descritas características demográficas, principais diagnósticos, causas de complicações e taxa de mortalidade. Eles são subdivididos em grupos de sobreviventes e não sobreviventes e adultos com mais de 65 anos e menos de 65 anos.  Resultados:  são descritos 101 pacientes maiores de 18 anos, 20 mulheres (19.1%), 81 homens (80.1%). Idade média de 40.1 ± 12.4 anos. Média de dias de internação de 13.3 ± 12.4 dias/paciente. O principal diagnóstico de admissão foi queimaduras por fogo em 66 pacientes (65.3%). Mortalidade geral de 19.8%, e em pessoas com mais de 65 anos de 28.5%. A principal causa de morte foi choque séptico. As principais causas de infecção foram Acinetobacter baumannii, Pseudomonas aeuroginosa e diferentes espécies de Candida.  Conclusões:  lesões secundárias a queimaduras graves causam alta morbimortalidade, principalmente em idosos, sendo o choque séptico por bactérias multirresistentes a principal causa de morte.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="es"><![CDATA[quemaduras graves]]></kwd>
<kwd lng="es"><![CDATA[choque séptico]]></kwd>
<kwd lng="es"><![CDATA[unidad de cuidados intensivos]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
<kwd lng="en"><![CDATA[severe burns]]></kwd>
<kwd lng="en"><![CDATA[septic shock]]></kwd>
<kwd lng="en"><![CDATA[Intensive Care Unit]]></kwd>
<kwd lng="pt"><![CDATA[México]]></kwd>
<kwd lng="pt"><![CDATA[queimaduras graves]]></kwd>
<kwd lng="pt"><![CDATA[choque séptico]]></kwd>
<kwd lng="pt"><![CDATA[UTI]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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