Factores asociados a la Mortalidad intrahospitalaria en Pacientes Adultos con Sepsis Atendidos en el Servicio de Emergencia
DOI:
https://doi.org/10.5281/zenodo.23205616Palabras clave:
pronóstico, disfunción orgánica, emergencia, mortalidad hospitalaria, sepsisResumen
La mortalidad por sepsis depende de vulnerabilidad, disfunción orgánica y proceso asistencial. Se realizó una revisión narrativa crítica de cohortes, ensayos y guías, incluida la actualización de 2026. Se diferenciaron diagnóstico, pronóstico y efecto del tratamiento, conservando ámbito y horizonte de cada desenlace. SOFA, qSOFA, lactato y fragilidad aportan información complementaria, pero ningún indicador aislado sustituye evaluación clínica dinámica. Los ensayos de reanimación muestran la necesidad de interpretar fase, comparador y respuesta. Se propone una ruta de reconocimiento, atención simultánea, reevaluación y continuidad. Se concluye que los factores asociados deben orientar decisiones contextualizadas, evitando atribuir causalidad a marcadores de gravedad o trasladar resultados de UCI sin validación.
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Referencias
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