<?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>1692-7273</journal-id>
<journal-title><![CDATA[Revista Ciencias de la Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cienc. Salud]]></abbrev-journal-title>
<issn>1692-7273</issn>
<publisher>
<publisher-name><![CDATA[Editorial Universidad del Rosario]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1692-72732017000200237</article-id>
<article-id pub-id-type="doi">10.12804/revistas.urosario.edu.co/revsalud/a.5760.</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de riesgo asociados con la extubación fallida en pacientes adultos de una unidad de cuidados intensivos de la ciudad de Cali]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk factors Associated to Extubation Failure in Adult Patients in an Intensive Care Unit of the City of Cali]]></article-title>
<article-title xml:lang="pt"><![CDATA[Fatores de risco associados a extubação falhada em pacientes adultos de uma unidade de cuidados intensivos da cidade de Cali]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alomía Ft]]></surname>
<given-names><![CDATA[Deiby]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coral Ft]]></surname>
<given-names><![CDATA[Mirdza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortegón Ft]]></surname>
<given-names><![CDATA[Sindy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soto MD]]></surname>
<given-names><![CDATA[Rodolfo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[Vilma]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Valle  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Médico Imbanaco Departamento de Cirugía ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<volume>15</volume>
<numero>2</numero>
<fpage>237</fpage>
<lpage>246</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1692-72732017000200237&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1692-72732017000200237&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1692-72732017000200237&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  identificar los factores de riesgo asociados a la extubación fallida en pacientes adultos hospitalizados en una Unidad de Cuidados Intensivo de una clínica de III nivel de la ciudad de Cali, durante el período transcurrido entre junio de 2012 y junio de 2014.  Materiales y métodos:  estudio de casos y controles, de pacientes adultos que requirieron ventilación mecánica mayor a 48 horas. Los pacientes que fallaron en la extubación (casos) se compararon con los pacientes que fueron extubados exitosamente (control), se analizaron la edad, el índice de oxigenación PaO2/ FIO2, el balance de líquidos, la hemoglobina, los días de ventilación mecánica, el tipo de destete y la mortalidad.  Resultados:  la población estuvo conformada por 130 pacientes, de los cuales 26 (20%) tuvieron una extubación fallida (casos). No hubo diferencias significativas entre los grupos en relación a la edad, género, diagnóstico y comorbilidades. El destete prolongado fue el único factor asociado a la extubación fallida 3,17 (IC 95% 1,01-9,90). No se observó una relación estadísticamente significativa entre PaO2/FIO2, Hb, balance hídrico o escala Apache II con la ocurrencia de extubación fallida. La mortalidad fue más alta en el grupo de casos (23,1% vs 2,9%) con un OR 10,1 (IC 95 % 1,9-65,8).  Conclusiones:  el destete prolongado fue el único factor asociado al fracaso en la extubación. El riesgo de morir de un paciente con una extubación fallida fue 10 veces el riesgo de un paciente con una extubación exitosa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective:  To identify risk factors associated with failed extubation in adult patients hospitalized in an intensive care unit of a level III hospital of Cali, during the period of June 2012 to June 2014.  Materials and methods:  Case-control study of adult patients requiring mechanical ventilation greater than 48 hours. Patients who failed extubation (cases) were compared with patients who were successfully extubated (control), age, oxygenation index PaO2/FIO2, fluid balance, hemoglobin, days of mechanical ventilation, type of weaning and mortality were analyzed.  Results:  The study population consisted of 130 patients, of whom 26 (20%) had failed extubation (cases). There were no significant differences between the groups regarding age, gender, diagnosis and comorbidities. Prolonged weaning was the only factor associated with failed extubation 3,17 (95 % CI 1,01-9,90). No statistically significant relationship between PaO2/FIO2, Hb, fluid balance or Apache II scale and the occurrence of failed extubation were observed. Mortality was higher in the case group (23,1% vs 2,9%) with an OR 10,1 (95% CI 1,9-65,8).  Conclusions:  Prolonged weaning was the only factor associated with extubation failure. The risk of dying from a patient with a failed extubation was 10 times the risk of a patient with a successful extubation.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo:  identificar os fatores de risco associados à extubação falhada em pacientes adultos hospitalizados em uma Unidade de Cuidados Intensivos de uma clínica de III Nível da cidade de Cali, durante o período transcorrido entre junho de 2012 até junho de 2014.  Materiais e métodos:  estudo de casos e controles, de pacientes adultos que requereram ventilação mecânica maior a 48 horas. Os pacientes que falharam a extubação (casos) compararam-se com os pacientes que foram extubados com sucesso (controle), analisando idade, índice de oxigenação PaO2/FIO2, balance de líquidos, hemoglobina, dias de ventilação mecânica, tipo de destete e mortalidade.  Resultados:  a população esteve conformada por 130 pacientes, dos quais 26 (20%) tiveram uma extubação falhada (casos). Não houve diferenças significativas entre os grupos em relação à idade, gênero, diagnóstico e comorbidades. O destete prolongado foi o único fator associado a extubação falhada 3.17 (IC 95% 1.01-9.90). Não se observou uma relação estatisticamente significativa entre PaO2/FIO2, Hb, balance hídrico ou escala APACHE II com a ocorrência de esxtubação falhada. A mortalidade foi mais alta no grupo de casos (23.1 vs 2,9%) com um OR 10.1 (IC 95% 1.9-65.8).  Conclusões:  o destete prolongado foi o único fator associado ao fracasso na extubação. O risco de morrer de um paciente com uma extubação falhada foi 10 vezes o risco de um paciente com uma extubação de sucesso.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[extubación]]></kwd>
<kwd lng="es"><![CDATA[destete]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="en"><![CDATA[Extubation]]></kwd>
<kwd lng="en"><![CDATA[weaning]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
<kwd lng="pt"><![CDATA[extubação]]></kwd>
<kwd lng="pt"><![CDATA[destete]]></kwd>
<kwd lng="pt"><![CDATA[fatores de risco]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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