<?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>S2448-89092020000600330</article-id>
<article-id pub-id-type="doi">10.35366/98162</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Terapia prono y supervivencia en SARS-CoV-2 en Cuidados Intensivos de un hospital de tercer nivel de atención en México]]></article-title>
<article-title xml:lang="en"><![CDATA[Prone therapy and survival in SARS-CoV-2 in Intensive Care of a tertiary care hospital in Mexico]]></article-title>
<article-title xml:lang="pt"><![CDATA[Terapia prona e sobrevivência em SARS-CoV-2 em terapia intensiva de um hospital de alta complexidade no México]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valencia Rosas]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Pérez]]></surname>
<given-names><![CDATA[Netzahualcóyotl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Carrillo]]></surname>
<given-names><![CDATA[Lilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Seguridad Social del Estado de México y Municipios  ]]></institution>
<addr-line><![CDATA[ Estado de México]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>34</volume>
<numero>6</numero>
<fpage>330</fpage>
<lpage>334</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092020000600330&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092020000600330&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092020000600330&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La posición en decúbito prono mejora la supervivencia en pacientes con síndrome de dificultad respiratoria aguda (SDRA) moderado o grave, por lo que es importante determinar el impacto de esta estrategia en pacientes con SARS-CoV-2.  Material y métodos:  Estudio observacional, retrospectivo, longitudinal, comparativo, en pacientes con SARS-CoV-2, que requirieron ventilación mecánica por SDRA. Se calculó la probabilidad de supervivencia individual acumulada a lo largo de 60 días de seguimiento con el método de Kaplan Meier en grupos tratados con soporte multiorgánico aislado o asociado a terapia prono.  Resultados:  Se reclutaron 82 pacientes, 62 (75.6%) requirieron terapia prono por una relación PaO2/FiO2 &lt; 150 mmHg, mientras que 20 pacientes (24.4%) no fueron sometidos a esta estrategia por presentar una relación PaO2/FiO2 &gt; 150 mmHg. La supervivencia a 60 días fue de 54.8 y 80%, respectivamente, (p = 0.069).  Conclusión:  La terapia prono en pacientes con SARS-CoV-2 con una relación PaO2/FiO2 &lt; 150 mmHg es una estrategia que permite mantener una supervivencia equiparable a aquella que tienen los pacientes que ingresan con una PaO2/FiO2 superior a 150 mmHg.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  The prone position improves survival in patients with moderate or severe acute respiratory distress syndrome (ARDS), so it is important to determine the impact of this strategy in patients with SARS-CoV-2.  Material and methods:  Observational, retrospective, longitudinal, comparative study in patients with SARS-CoV-2, who required mechanical ventilation due to ARDS. The accumulated probability of individual survival was calculated over 60 days of follow-up with the Kaplan Meier method, in groups treated with isolated multiorgan support or associated with prone therapy.  Results:  Eighty-two patients were recruited, 62 (75.6%) required prone therapy due to a PaO2/FiO2 ratio &lt; 150 mmHg, while 20 patients (24.4%) were not subjected to this strategy because they presented a PaO2/FiO2 ratio &gt; 150 mmHg. Survival at 60 days was 54.8 and 80%, respectively, (p = 0.069).  Conclusion:  Prone therapy in patients with SARS-CoV-2 with a PaO2/FiO2 ratio &lt; 150 mmHg is a strategy that allows maintaining a survival comparable to that of patients admitted with a PaO2/FiO2 greater than 150 mmHg.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  A posição prona melhora a sobrevida em pacientes com síndrome do desconforto respiratório agudo (SDRA) moderada ou grave, por isso é importante determinar o impacto desta estratégia em pacientes com SARS-CoV-2.  Material e métodos:  Estudo observacional, retrospectivo, longitudinal e comparativo em pacientes com SARS-CoV-2, que necessitaram de ventilação mecânica por SDRA. A probabilidade acumulada de sobrevida individual foi calculada ao longo de 60 dias de acompanhamento pelo método de Kaplan-Meier, nos grupos tratados com suporte multiorgânico isolado ou associado à terapia prona.  Resultados:  Oitenta e dois pacientes foram recrutados, 62 (75.6%) necessitaram de terapia prona devido a uma relação PaO2/FiO2 &lt; 150 mmHg, enquanto 20 pacientes (24.4%) não foram submetidos a esta estratégia por apresentarem uma relação PaO2/FiO2 &gt; 150 mmHg. A sobrevivência em 60 dias foi de 54.8 e 80%, respectivamente (p = 0.069).  Conclusão:  A terapia prona em pacientes com SARS-CoV-2 com uma relação PaO2/FiO2 &lt; 150 mmHg é uma estratégia que permite manter uma sobrevida comparável à de pacientes internados com PaO2/FiO2 maior que 150 mmHg.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="es"><![CDATA[terapia prono]]></kwd>
<kwd lng="es"><![CDATA[ventilación mecánica]]></kwd>
<kwd lng="es"><![CDATA[supervivencia]]></kwd>
<kwd lng="en"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="en"><![CDATA[prone therapy]]></kwd>
<kwd lng="en"><![CDATA[mechanical ventilation]]></kwd>
<kwd lng="en"><![CDATA[survival]]></kwd>
<kwd lng="pt"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="pt"><![CDATA[terapia prona]]></kwd>
<kwd lng="pt"><![CDATA[ventilação mecânica]]></kwd>
<kwd lng="pt"><![CDATA[sobrevivência]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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