<?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>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902024000401202</article-id>
<article-id pub-id-type="doi">10.29193/rmu.40.4.2</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estudio de la prevalencia, factores asociados y resultados de la ventilación mecánica prolongada en UCI como característica distintiva de la enfermedad crítica crónica]]></article-title>
<article-title xml:lang="en"><![CDATA[Study of the prevalence, associated factors, and outcomes of prolonged mechanical ventilation in ICU as a distinctive feature of chronic critical illness]]></article-title>
<article-title xml:lang="pt"><![CDATA[Estudo da prevalência, fatores associados e resultados da ventilação mecânica prolongada na UTI como característica distintiva da doença crítica crônica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreira]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[Milagros]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carámbula]]></surname>
<given-names><![CDATA[Agustín]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bellini]]></surname>
<given-names><![CDATA[Mercedes]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Godino]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barbato]]></surname>
<given-names><![CDATA[Marcelo]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Burghi]]></surname>
<given-names><![CDATA[Gastón]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="A">
<institution><![CDATA[,Administración de Servicios de Salud del Estado (ASSE) Unidad de Cuidados Intensivos Hospital Maciel]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>40</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902024000401202&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902024000401202&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902024000401202&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: El número de pacientes críticos que requieren Ventilación Mecánica Prolongada (VMP) está aumentando, lo que genera un incremento de la utilización de recursos con consecuencias para los sistemas sanitarios. Numerosos estudios han propuesto distintas definiciones, factores de riesgo y pronóstico para VMP. En nuestro medio son escasos los datos en referencia a esta población de pacientes críticos.  Objetivos: Este estudio tiene por objetivos identificar la prevalencia de la VMP en una UCI polivalente, así como identificar factores de riesgo para alcanzar esta condición. Asimismo, se compararán dos grupos de pacientes con VMP, aquellos con más de 14 días y aquellos con más de 21 días.  Material y método: Estudio de cohorte retrospectivo de 94 meses, utilizando una base de datos de UCI (Epimed Monitor ICU system) recopilada de forma prospectiva por el personal de la unidad.  Resultados: El 17% de los pacientes con VM requirieron VPM. Los pacientes con VMP presentaron una menor mortalidad en UCI y similar mortalidad hospitalaria que los pacientes sin VMP. La VM al ingreso, un mayor puntaje de Charlson y la necesidad de TRR al ingreso se asociaron con la VMP.  Conclusiones: La VPM presenta una frecuencia elevada, representando el 17% de los pacientes sometidos a VM. Identificamos tres factores de riesgo para alcanzar la condición de VPM. La mortalidad hospitalaria es similar en los pacientes sin VMP y en aquellos con VMP.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: The number of critically ill patients requiring prolonged mechanical ventilation (PMV) is increasing, leading to a rise in resource utilization with consequences for healthcare systems. Numerous studies have proposed various definitions, risk factors, and prognoses for PMV. In our setting, there is a lack of data regarding this population of critically ill patients.  Objectives: This study aims to identify the prevalence of PMV in a polyvalent ICU and to identify risk factors for reaching this condition. Additionally, two groups of patients with PMV will be compared: those with more than 14 days and those with more than 21 days.  Material and methods: A retrospective cohort study over 94 months utilizing an ICU database (Epimed Monitor ICU system) collected prospectively by unit staff.  Results: Seventeen percent of patients on mechanical ventilation (MV) required PMV. Patients with PMV had lower ICU mortality and similar hospital mortality compared to patients without PMV. MV at admission, a higher Charlson score, and the need for respiratory therapy at admission were associated with PMV.  Conclusions: PMV presents a high frequency, representing 17% of patients subjected to MV. We identified three risk factors for reaching the condition of PMV. Hospital mortality is similar in patients without PMV and in those with PMV.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: O número de pacientes críticos que requerem Ventilação Mecânica Prolongada (VMP) está aumentando, o que gera um incremento na utilização de recursos com consequências para os sistemas de saúde. Vários estudos propuseram diferentes definições, fatores de risco e prognóstico para a VMP. Em nosso meio, são escassos os dados referentes a essa população de pacientes críticos.  Objetivos: Este estudo tem como objetivos identificar a prevalência da VMP em uma UTI polivalente, assim como identificar fatores de risco para alcançar essa condição. Também serão comparados dois grupos de pacientes com VMP: aqueles com mais de 14 dias e aqueles com mais de 21 dias.  Material e método: Estudo de coorte retrospectivo de 94 meses utilizando uma base de dados de UTI (Epimed Monitor ICU system) coletada de forma prospectiva pela equipe da unidade.  Resultados: 17% dos pacientes com VM requereram VMP. Os pacientes com VMP apresentaram menor mortalidade na UTI e mortalidade hospitalar semelhante à dos pacientes sem VMP. A VM na admissão, um maior escore de Charlson e a necessidade de TRR na admissão foram associados à VMP.  Conclusões: A VMP apresenta uma frequência elevada, representando 17% dos pacientes submetidos a VM. Identificamos três fatores de risco para alcançar a condição de VMP. A mortalidade hospitalar é semelhante nos pacientes sem VMP e naqueles com VMP.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Ventilación mecánica]]></kwd>
<kwd lng="es"><![CDATA[Enfermedad crítica]]></kwd>
<kwd lng="es"><![CDATA[Factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[Mortalidad]]></kwd>
<kwd lng="en"><![CDATA[Mechanical ventilation]]></kwd>
<kwd lng="en"><![CDATA[Critical illness]]></kwd>
<kwd lng="en"><![CDATA[Risk factors]]></kwd>
<kwd lng="en"><![CDATA[Mortality]]></kwd>
<kwd lng="pt"><![CDATA[Ventilação mecânica]]></kwd>
<kwd lng="pt"><![CDATA[Doença crítica]]></kwd>
<kwd lng="pt"><![CDATA[Fatores de risco]]></kwd>
<kwd lng="pt"><![CDATA[Mortalidade]]></kwd>
</kwd-group>
</article-meta>
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