Abstract
Cardiovascular intensive care units have evolved in time, from being exclusively dedicated to the care of myocardial infarction patients, to treating complex and varied cardiovascular pathologies. We do not have data about the characteristics of patients in cardiovascular intensive care units in Peru. We prospectively evaluated the clinical and epidemiological characteristics of patients admitted between July and November 2018 to the intensive and intermediate care unit of the National Cardiovascular Institute INCOR in Lima, Peru. A total of 199 patients were enrolled in the study. The median age was 67 years, 20% older than 80 years and 75.8% males. 60% of cases they came from the emergency unit. The most frequent admissions diagnoses were acute coronary syndromes (ACS) (35%) and acutely decompensated heart failure (20%). In-hospital mortality was 4.5%, higher (12%) in patients with readmissions to intensive care. In this first registry of cardiac critical care in Peru, ACS continues to be the main cause of admission followed by acutely decompensated heart failure. The in-hospital mortality was higher in patients with readmissions to the intensive care unit.
Highlights
Cardiovascular intensive care units have evolved in time, from being exclusively dedicated to the care of myocardial infarction patients, to treating complex and varied cardiovascular pathologies
The median age was 67 years, 20% older than 80 years and 75.8% males. 60% of cases they came from the emergency unit
In-hospital mortality was 4.5%, higher (12%) in patients with readmissions to intensive care. In this first registry of cardiac critical care in Peru, acute coronary syndromes (ACS) continues to be the main cause of admission followed by acutely decompensated heart failure
Summary
Epidemiología de una Unidad de Cuidado Intensivo Cardiovascular de Referencia Nacional. Los autores declaran que para esta investigación no se ha realizado experimentos en seres humanos ni en animales. No tenemos en el Perú datos sobre las características de los pacientes en estas unidades. Método: Evaluación prospectiva de las características clínico epidemiológicas de pacientes que ingresaron entre julio y noviembre de 2018 a la unidad de cuidado intensivo e intermedio del Instituto Nacional Cardiovascular INCOR en Lima, Perú. La mortalidad intrahospitalaria fue de 4.5%, siendo mayor (12%) en los pacientes con reingreso a cuidado intensivo. Conclusión: En este primer registro de cuidado cardiaco crítico en el Perú, el SCA fue la principal causa de ingreso seguido de la falla cardíaca agudamente descompensada. La mortalidad intrahospitalaria fue mayor en pacientes con reingreso a cuidado intensivo
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