<?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>S2448-89092017000600326</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Predictores de la mortalidad en pacientes con sepsis obstétrica mediante el uso de una puntuación de sepsis obstétrica y evaluación secuencial de falla orgánica-obstétrica]]></article-title>
<article-title xml:lang="en"><![CDATA[Predictors of mortality in patients with obstetric sepsis using the Sepsis in Obstetrics Score and Sequential Organ Failure Assessment-Obstetrics]]></article-title>
<article-title xml:lang="pt"><![CDATA[Preditores da mortalidade em pacientes com sepse obstétrica usando escore de sepse obstétrica e evaluação sequencial da falha orgânica obstétrica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera Morales]]></surname>
<given-names><![CDATA[Blanca E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lara Cruz]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortega López]]></surname>
<given-names><![CDATA[Victoria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General Regional Núm. 196 ]]></institution>
<addr-line><![CDATA[Ecatepec Estado de México]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>31</volume>
<numero>6</numero>
<fpage>326</fpage>
<lpage>332</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092017000600326&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092017000600326&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092017000600326&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo  Determinar los predictores de mortalidad en pacientes con sepsis obstétrica mediante puntuación de sepsis obstétrica (SOS) y evaluación secuencial de falla orgánica-obstétrica (SOFA-O).  Material y métodos  Se realizó un estudio observacional, retrospectivo, descriptivo, donde se recabaron los datos de las pacientes que ingresaron a unidades de cuidados intensivos de hospitales de segundo nivel con diagnóstico de sepsis obstétrica en el periodo del 30 de junio de 2015 al 30 de junio de 2017; se aplicaron los instrumentos SOS (sepsis en obstetricia) y SOFA-O (evaluación secuencial de falla orgánica-obstétrica), y se correlacionaron las variables con la mortalidad materna.  Resultados  De un universo de 284 pacientes que ingresaron a las UCI de hospitales de segundo nivel, se seleccionaron 51 que tenían criterios de inclusión para sepsis, correlacionándose con variables de las escalas SOS y SOFA-O. Se encontró como mayor factor de riesgo para el desarrollo de sepsis ser multigesta, tener preeclampsia, anemia, cesárea, mal control prenatal y haber sido sometida a procedimientos invasivos. Las variables cuantitativas relacionadas con muerte materna fueron creatinina, relación PaO2/FiO2, frecuencia cardiaca, lactato, saturación venosa. El puntaje de SOS mínimo y máximo para muerte materna fue 7-22 y de SOFA-O, 10-18 puntos. Hubo una mortalidad de 7.8% (cuatro pacientes) de la población estudiada.  Conclusiones  La incidencia de sepsis obstétrica se encuentra en aumento, por lo que su reconocimiento rápido y la terapia adecuada impactarán en la supervivencia de la paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective  To determine the predictors of mortality in patients with obstetric sepsis using the Sepsis in Obstetrics Score (SOS) and the Sequential Organ Failure Assessment-Obstetrics (SOFA-O).  Material and methods  An observational, retrospective, descriptive study was carried out, where data were collected from patients who entered intensive care units of second-level hospitals with a diagnosis of obstetric sepsis in the period from June 30, 2015 to June 30, 2017. The SOS and SOFA-O instruments were applied, correlating the variables with maternal mortality.  Results  From a universe of 284 patients who entered the ICU of second level hospitals, 51 were selected who had inclusion criteria for sepsis, correlating with SOS and SOFA-O variables. We found that major risk factors for the development of sepsis were multigestation, having preeclampsia, anemia, cesarean section, poor prenatal control and been subject of invasive procedures. The quantitative variables related to maternal death were creatinine, PaO2/FiO2 ratio, heart rate, lactate, venous saturation. The minimum and maximum SOS scores for maternal death were 7-22, and SOFA-O, 10-18 points. There was a mortality of 7.8% (four patients) of the study population.  Conclusions  The incidence of obstetric sepsis is increasing; therefore, rapid recognition and appropriate therapy will impact patient&#8217;s survival.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo  Determinar os preditores de mortalidade em pacientes com sepse obstétrica por meio do escore de sepse obstétrica (S.O.S) e Avaliação Sequencial da falha orgânica-obstétrica (SOFA-O).  Material e métodos  Foi realizado um estudo observacional, retrospectivo e descritivo, onde foram coletados dados de todas as pacientes que ingressaram na unidade de terapia intensiva, no período de 30 de junho de 2015 a 30 de junho de 2017, com diagnóstico de sepse obstétrica, onde foram aplicadas escalas S.O.S e SOFA-O, correlacionando as variáveis com a mortalidade materna.  Resultados  De um universo de 284 pacientes que ingressaram na UTI, selecionaram-se 51 pacientes que apresentaram critérios de inclusão para sepse, correlacionando-se com variáveis de escala S.O.S e SOFA-O, encontrando como maior fator de risco para desenvolvimento da sepse ser: multigesta, apresentar pré-eclâmpsia, anemia, cesariana, controle pré-natal deficiente e procedimentos invasivos. As variáveis quantitativas relacionadas à morte materna foram: creatinina, relação PaO2/FIO2, freqüência cardíaca, lactato, saturação venosa. Com um escore mínimo e máximo de S.O.S para morte materna 7-22 e SOFA-O 10-18 pontos. Houve uma mortalidade de 7.8% (4 pacientes) da população estudada.  Conclusões  A incidência de sepse obstétrica está aumentando, de modo que reconhecimento rápido e uma terapia apropriada afetará a sobrevivência do paciente.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Escala SOS]]></kwd>
<kwd lng="es"><![CDATA[SOFA-O]]></kwd>
<kwd lng="es"><![CDATA[sepsis obstétrica]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="en"><![CDATA[SOS]]></kwd>
<kwd lng="en"><![CDATA[SOFA-O]]></kwd>
<kwd lng="en"><![CDATA[obstetric sepsis]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
<kwd lng="pt"><![CDATA[Escala S.O.S]]></kwd>
<kwd lng="pt"><![CDATA[SOFA-O]]></kwd>
<kwd lng="pt"><![CDATA[sepse obstétrica]]></kwd>
<kwd lng="pt"><![CDATA[mortalidade.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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