<?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>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2022000200229</article-id>
<article-id pub-id-type="doi">10.24875/ciru.20001191</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Precisión de la calculadora de riesgo quirúrgico ACS NSQIP para predecir morbilidad y mortalidad en pacientes mexicanos]]></article-title>
<article-title xml:lang="en"><![CDATA[Accuracy of the ACS NSQIP surgical risk calculator to predict morbidity and mortality in Mexican patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Macías-Cervantes]]></surname>
<given-names><![CDATA[José J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez-Rentería]]></surname>
<given-names><![CDATA[Rafael S.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Romero]]></surname>
<given-names><![CDATA[Sandra C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gracida-Mancilla]]></surname>
<given-names><![CDATA[Noé I.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de México &#8220;Dr. Eduardo Liceaga&#8221; Clínica de Patología Quirúrgica Aguda Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<volume>90</volume>
<numero>2</numero>
<fpage>229</fpage>
<lpage>235</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2022000200229&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2022000200229&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2022000200229&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: El American College of Surgeons (ACS) desarrolló la calculadora de riesgo quirúrgico ACS NSQIP que predice los resultados de las cirugías electivas y de urgencia. Dicha herramienta ha sido útil para mejorar las cifras de morbilidad y mortalidad en hospitales de los Estados Unidos y Canadá.  Objetivo: Evaluar la utilidad de la calculadora de riesgo ACS NSQIP para predecir complicaciones posquirúrgicas en pacientes mexicanos.  Método: Estudio prospectivo, observacional y analítico. Se registraron los pacientes sometidos a cirugía abdominal, se capturaron 21 variables preoperatorias y se ingresaron en la calculadora. Se vigilaron hasta cumplir 30 días de posoperatorio y se identificaron 14 tipos de complicaciones posoperatorias.  Resultados: Se registraron 109 pacientes y se hizo una comparación entre las probabilidades de complicaciones calculadas y observadas, obteniendo una buena correlación en las complicaciones de paro cardiaco, infección de sitio quirúrgico, reintervención quirúrgica, sepsis y mortalidad (p &lt; 0.05).  Conclusiones: La calculadora de riesgo ACS NSQIP es útil en la población mexicana, ya que el puntaje obtenido predice la mayoría de las complicaciones posoperatorias, incluida la mortalidad. El uso de esta herramienta ofrece una oportunidad para mejorar la toma de decisiones en la atención del paciente quirúrgico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: American College of Surgeons (ACS) developed the ACS NSQIP surgical risk calculator that predicts the results of elective and emergency surgical procedures. This tool has been useful improving the morbidity and mortality in hospitals in the United States and Canada.  Objective: To evaluate the usefulness of the ACS NSQIP risk calculator for predicting postoperative complications in Mexican population.  Method: Prospective, observational, analytical study. Patients undergoing abdominal surgery were recorded, 21 preoperative variables were captured and entered into the calculator. They were followed up to 30 days postoperatively, identifying 14 types of postoperative complications.  Results: 109 patients were registered. A comparison was made between the calculated and observed complications, obtaining a good correlation in the complications of cardiac arrest, surgical site infection, reoperation, sepsis and mortality (p &lt; 0.05).  Conclusions: ACS NSQIP risk calculator is useful in the Mexican population, since the score obtained predicts most postoperative complications including mortality. The use of this tool offers an opportunity to improve decision-making in the care of the surgical patient.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Morbilidad]]></kwd>
<kwd lng="es"><![CDATA[Mortalidad]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="en"><![CDATA[Morbidity]]></kwd>
<kwd lng="en"><![CDATA[Mortality]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
</kwd-group>
</article-meta>
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