{"id":3139,"date":"2021-10-21T09:30:29","date_gmt":"2021-10-21T07:30:29","guid":{"rendered":"https:\/\/cendoc.h12o.es\/blog\/?p=3139"},"modified":"2021-10-21T09:30:29","modified_gmt":"2021-10-21T07:30:29","slug":"covid-19-ucis-ventilacion-mecanica-y-supervivencia","status":"publish","type":"post","link":"https:\/\/cendoc.h12o.es\/blog\/2021\/10\/21\/covid-19-ucis-ventilacion-mecanica-y-supervivencia\/","title":{"rendered":"COVID-19, UCIs, ventilaci\u00f3n mec\u00e1nica y supervivencia"},"content":{"rendered":"<p>Amanda Lesmes, del Servicio de Medicina Intensiva del Hospital 12 de Octubre, participa como autora en el presente art\u00edculo publicado en el <em>Annals of Intensive Care<img loading=\"lazy\" decoding=\"async\" class=\" wp-image-3871 alignright\" src=\"https:\/\/coronavirusbiblioh12o.files.wordpress.com\/2020\/05\/logo12.jpg?w=245&amp;h=166\" alt=\"logo12\" width=\"245\" height=\"166\" data-attachment-id=\"3871\" data-permalink=\"https:\/\/coronavirusbiblioh12o.wordpress.com\/2020\/05\/06\/7-mas-del-h12o\/logo12\/\" data-orig-file=\"https:\/\/coronavirusbiblioh12o.files.wordpress.com\/2020\/05\/logo12.jpg\" data-orig-size=\"275,183\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"logo12\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/coronavirusbiblioh12o.files.wordpress.com\/2020\/05\/logo12.jpg?w=275\" data-large-file=\"https:\/\/coronavirusbiblioh12o.files.wordpress.com\/2020\/05\/logo12.jpg?w=275\" \/><\/em>: \u201c<a href=\"https:\/\/annalsofintensivecare.springeropen.com\/articles\/10.1186\/s13613-021-00929-y\">Long-term survival of mechanically ventilated patients with severe COVID-19: an observational cohort study<\/a>\u201c.<\/p>\n<p>Su objetivo es analizar la mortalidad a 180 d\u00edas de los pacientes con COVID-19 que necesitaron ventilaci\u00f3n invasiva para desarrollar un modelo predictivo de mortalidad a largo plazo. Se trata de un estudio de cohorte nacional, retrospectivo y multic\u00e9ntrico, realizado en los primeros dos meses de la pandemia en 16 UCIs de toda Espa\u00f1a. Los resultados primarios fueron la supervivencia a 180 d\u00edas despu\u00e9s del ingreso hospitalario y los resultados secundarios fueron la duraci\u00f3n de la estancia en UCI y la mortalidad.<\/p>\n<p>En el estudio se incluyeron 868 pacientes (mediana de edad = 64 a\u00f1os). La gravedad al ingreso en UCI fue, estimada seg\u00fan Simplified Acute Physiology Score (SAPS3), de 56 puntos. Antes de la intubaci\u00f3n, el 26% necesit\u00f3 alg\u00fan tipo de soporte respiratorio no invasivo. La tasa de supervivencia general a 180 d\u00edas fue del 59%. Los factores predictivos fueron, entre otros, edad, SAPS3, diabetes, \u00edndice neutr\u00f3filo-linfocito, intento fallido de ventilaci\u00f3n antes de intubaci\u00f3n o administraci\u00f3n de dosis bajas de corticosteroides.<\/p>\n<p>La supervivencia a largo plazo de los pacientes COVID-19 con ventilaci\u00f3n mec\u00e1nica supera el 50% y su an\u00e1lisis puede ayudar a la estratificaci\u00f3n de los riesgos y al tratamiento.<\/p>\n<p><em>Equipo Biblioteca H12O<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Amanda Lesmes, del Servicio de Medicina Intensiva del Hospital 12 de Octubre, participa como autora en el presente art\u00edculo publicado en el Annals of Intensive Care: \u201cLong-term survival of mechanically ventilated patients with severe COVID-19: an observational cohort study\u201c. Su objetivo es analizar la mortalidad a 180 d\u00edas de los \u2026<\/p>\n<p class=\"continue-reading-button\"> <a class=\"continue-reading-link\" href=\"https:\/\/cendoc.h12o.es\/blog\/2021\/10\/21\/covid-19-ucis-ventilacion-mecanica-y-supervivencia\/\">Continuar leyendo<i class=\"crycon-right-dir\"><\/i><\/a><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[4,64,46],"tags":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p3G9TJ-OD","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/posts\/3139"}],"collection":[{"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/comments?post=3139"}],"version-history":[{"count":1,"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/posts\/3139\/revisions"}],"predecessor-version":[{"id":3140,"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/posts\/3139\/revisions\/3140"}],"wp:attachment":[{"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/media?parent=3139"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/categories?post=3139"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cendoc.h12o.es\/blog\/wp-json\/wp\/v2\/tags?post=3139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}