lunes, 20 de marzo de 2017

Sepsis en el anciano / Sepsis in elderly patients

Marzo 19, 2017. No. 2633

Sepsis e inmuno senescencia en el paciente anciano. Una revisión
Sepsis and Immunosenescence in the Elderly Patient: A Review.
Front Med (Lausanne). 2017 Feb 28;4:20. doi: 10.3389/fmed.2017.00020. eCollection 2017.
Sepsis is a prevalent, serious medical condition with substantial mortality and a significant consumption of health-care resources. Its incidence has increased around 9% annually in general population over the last years and specially in aged patients group. Several risk factors such as comorbidities, preadmission status, malnutrition, frailty, and an impared function in the immune system called immunosenescence are involved in the higher predisposition to sepsis in the elderly patients. Immunosenescence status consists in a functional impairment in both cell-mediated immunity and humoral immune responses and increases not only the risk for develop sepsis but also lead to more severe presentation of infection and may be is also related with a higher mortality. There is a also a concern about to admit patients in the intensive care units taking into account that the outcome of elderly patients is poorer compared to younger people. Nevertheless, the management of septic elderly patients does not differ substantially from younger people. In addition, the quality of life in septic elderly survivors is also lower than in younger people. But age, as alone factor, should not be used to determine treatment options because the poorer outcomes is thought to be due to the increased comorbidities and frailty in this group of patients.
KEYWORDS: elderly patients; immunosenescence; outcome; quality of life; sepsis

Disminución del músculo esquelético como factor de riesgo en ancianos con sepsis. Estudio retrospectivo de cohortes
Decreasing skeletal muscle as a risk factor for mortality in elderly patients with sepsis: a retrospective cohort study.
J Intensive Care. 2017 Jan 11;5:8. doi: 10.1186/s40560-016-0205-9. eCollection 2017.
BACKGROUND: Older patients account for the majority of patients with sepsis. The objective of this study was to determine if decreased skeletal muscle mass is associated with outcomes in elderly patients with sepsis. ,, CONCLUSIONS: Less skeletal muscle mass is associated with higher in-hospital mortality in elderly patients with sepsis. The results of this study suggest that identifying patients with low muscularity contributes to better stratification in this population.
KEYWORDS: Intensive care; Mortality; Sarcopenia; Sepsis

Curso sobre Anestesia en Trasplantes, Cirugía abdominal, Plástica, Oftalmología y Otorrinolaringología.
Committee for European Education in Anaesthesiology (CEEA) 
y el Colegio de Anestesiólogos de León A.C.
Abril 7-9, 2017, León Guanajuato, México

Informes  (477) 716 06 16,
Congreso Latinoamericano de Anestesia Regional
Asociación Latinoamericana de Anestesia Regional, Capítulo México
Ciudad de México, Mayo 24-27, 2017
Vacante para Anestesiología Pediátrica
Hospital de Especialidades Pediátrico de León, Guanajuato  México 
Informes con la Dra Angélica García Álvarez o al teléfono 477 101 8700 Ext 1028
Regional Anesthesiology and Acute Pain Medicine Meeting
April 6-8, 2017, San Francisco, California, USA
ASRA American Society of Regional Anesthesia and Pain Medicine
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Anestesiología y Medicina del Dolor

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