Abstract

ROSAS MARROQUIN, Victor Hugo et al. Factores de riesgo asociados a mortalidad por paro cardiaco intraoperatorio en el Hospital Nacional Guillermo Almenara Irigoyen, 2011-2015Risk factors associated with mortality due to intraoperative cardiac arrest at Hospital Nacional Guillermo Almenara Irigoyen, 2011-2015. An. Fac. med. [online]. 2019, vol.80, n.1, pp.6-11. ISSN 1025-5583.  http://dx.doi.org/10.15381/anales.v80i1.15858.

Introduction. The incidence and mortality of intraoperative cardiac arrest (PCI) are indicators of quality of care and efficiency in surgical centers. Objective. To determine the risk factors associated with mortality due to PCI in the Hospital Nacional Guillermo Almenara Irigoyen, Lima, Peru, during the years 2011 to 2015. Methods. An observational, descriptive and retrospective study of PCI occurred during the study period, where the relative risk was determined. Results. Between the years 2011 to 2015 there were 88 PCI out of a total of 74 096 surgeries performed; the incidence of PCI was 11,87 x 10 000 surgeries. Of the 88 PCI, 39 patients died (44,3%); the intraoperative mortality was 5,26 x 10 000 surgeries. The risk factors associated with mortality due to PCI were: CPR greater than 20 minutes (RR: 3,9), ASA classification (RR: 3,4), cardiovascular surgery (RR: 2,9), surgical causes (RR: 2,9 ), anesthetic maintenance stage (RR: 2,0). Conclusions. During the study period, the incidence of PCI was 11,87 x 10 000 surgeries; the risk factors associated with mortality due to PCI were CPR greater than 20 minutes, high ASA risk, surgery for cardiovascular disease, adverse events related to surgeries and anesthetic maintenance.

Keywords : Heart Arrest; Intraoperative Period; Risk Factors; Mortality; Peru.

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