Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
Introduction. Epidemiological surveillance studies improve health care quality, allowing identification of local trends and specific burden of disease. This study was carried out in a polyvalent Intensive Care Unit at a third level hospital in Quito-Ecuador. Objectives. Assess the epidemiologic profile of the main diseases; Establish mortality adjusted rates in patients staying longer than 48 hours; Compare our findings with other units. Materials and Methods. We performed a cross-sectional study of patients admitted in the ICU of adults-HECAM from 2014-2016. Quantitative variables were presented with central tendency and dispersion. Qualitative variables with percentages. Results. During of study were admitted in the ICU 4549 patients. 60,4% were male, crude mortality was of 23.4% and 21,16% for those hospitalizations superior to 48 hours. The median age was 59 years (IQR 41 - 72 years) and the group > 65 years of age was 38.7%. The median length of stay was 3,16 days (IQR 1,35 – 7,16 days) but mode was <48 hours. The mean APACHE II was 17.07±9.71. The most frequent pathologies were respiratory failure 48,10%, metabolic disorders 42,9% and septic shock 30,4%. The pathologies that increase the risk of mortality are: late VAP (OR: 13,02), delirium (OR 6,88), polineuropathy (OR 6,06). Conclusions. The Intensive Care Unit is mainly occupied by elderly patients. Mortality rates were similar to local and international studies ICU rates. The most frequent organ dysfunction was respiratory failure. Late VAP, delirium and polyneuropathy have an increased risk of mortality in the multivariate analysis.
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