Resumen

Temuco´s ICU is the only center who receives critical patients in all the ninth Region, which has a high number of mapuche population and the higher poverty index in Chile. Since 2002 Temuco has a new Critical Patient Unit. We wanted to show our reality from June 2002 to June 2003. Metod: Discharges from the one year period described were revised and analized age, sex, etnicity, procedence, admission diagnosis, Apache II, comorbility, hospitalization days, mechanical ventilation and mortality. Results: From 876 discharges in the study period, were obtained 369 (42%) clinicals files with enough data for revision: 59% male and 41% female. Mean age 58,3% (16-100), 17% mapuche etnicity. 71% comorbility (Diabetes, Arterial hipertensión, Chronic obstructive lung disease, Coronary cardiopathy). 44% of the patient came from surgery, 28% from Emergency room, 17% UTI and 10% from other services . Admission diagnosis were 33% cardiovascular, 27% sepsis, 14% neurologic, 8% digestive, 7% respiratory, 5% trauma and intoxication and 3% others. Admissions´s Apache II was 16 (1-46). Hospitalization days were 6,5%. 80% of the admissions were patients who needed mechanical ventilation, mostly because of acute respiratory failure 45% (ADRS, pneumonia, APE), post anesthesic respiratory depression 40% (cardiosurgery, neurosurgery and emergency surgeries), neurological 6% Mortality of 25%. Conclutions: We are a high complex unit in part because of the complexity of the surgeries here performed, which needs post surgery ICU stay. Our mortality correlates with the scores obtained. Most of our admissions were for mechanical ventilation.

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2007-05-10   |   940 visitas   |   1 valoraciones

Vol. 18 Núm.4. Octubre-Diciembre 2003 Pags. 230-232 Rev Chil Med Inten 2003; 18(4)