<?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>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022016000100022</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Sobrevida a los 28 días y condición mental y física de los pacientes egresados de una Unidad de Cuidados Intensivos de tercer nivel]]></article-title>
<article-title xml:lang="en"><![CDATA[28-day survival and mental and physical condition of patients discharged from a third level intensive care unit]]></article-title>
<article-title xml:lang="en"><![CDATA[28-day survival and mental and physical condition of patients discharged from a third level intensive care unit]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrantes-Morales]]></surname>
<given-names><![CDATA[Faride]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campos-Vargas]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Argüello-Quirós]]></surname>
<given-names><![CDATA[María Fernanda]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salas-Segura]]></surname>
<given-names><![CDATA[Donato A.]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Caja Costarricense de Seguro Social, Hospital Dr. Rafael Ángel Calderón Guardia Unidad de Cuidado Intensivo]]></institution>
<addr-line><![CDATA[ San José,]]></addr-line>
<country>Costa Rica.</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<volume>58</volume>
<numero>1</numero>
<fpage>22</fpage>
<lpage>26</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022016000100022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022016000100022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022016000100022&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Justificación: La sobrevida y la calidad de vida de los pacientes egresados de las unidades de cuidado intensivo, se ha vuelto una preocupación frecuente, por la alta incidencia de secuelas cognitivas y funcionales que padece esta población. Este trabajo presenta datos sobre la supervivencia y calidad de vida de un grupo de pacientes egresados de la Unidad de Cuidados Intensivos al momento del alta hospitalaria, y a los 28 días del egreso; es parte de una investigación mayor que dio seguimiento a los pacientes por espacio total de 6 meses.  Método: Estudio observacional, descriptivo y prospectivo, de un año de duración, que dio seguimiento a los pacientes egresados de la Unidad de Cuidados Intensivos, hasta los 28 días del egreso. La información recabada incluyó datos demográficos y de condición de salud que se recolectaron al ingreso, al momento del alta hospitalaria y a los 28 días. Además, se evaluó la calidad de vida a partir de su grado de independencia y reinserción laboral, o regreso a las actividades normales.  Resultados: Se reclutó un total de 120 pacientes, un 51% de ellos hombres, con una edad promedio de 51 años, con una mortalidad intrahospitalaria del 2% y una mortalidad a los 28 días de un 3%. La mayor parte de los pacientes (41%) ingresó por cardiopatía isquémica. La estancia promedio en la Unidad de Cuidados Intensivos fue de 6,5 días y la estancia promedio de hospitalización posterior a la Unidad de Cuidados Intensivos fue de 6 días. A los 28 días el 55% de los pacientes tenía un reinserción adecuada, el 26% tenía problemas en dos áreas o más y el 12,5% en un área; el 6,5% presentó incapacidad total de reinserción. Los mayores de 60 años presentaron una mejor tasa de reinserción (64%). La mortalidad luego del egreso fue del 5%.  Conclusión: A los 28 días los pacientes egresados de la Unidad de Cuidados Intensivos aún presentan un alto porcentaje de reinserción incompleta, por encontrarse convalecientes. Los mayores de 60 años, contrario a lo esperado, tuvieron una mejor reinserción y regreso a sus condiciones basales en comparación con los pacientes más jóvenes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Justification: Long-term survival and quality of life of patients that are discharged from intensive care units has become a frequent concerns because of the high incidence of cognitive and functional sequels suffered by this population. This paper presents data on survival and quality of life of a group of patients discharged from the intensive care unit; at time of discharge from the hospital and 28 days later. This study is part of a larger investigation that followed patients for total period of six months.  Method: An observational, descriptive and prospective study with a duration of one year which followed patients discharged from the intensive care unit until 28 days after discharge. The information gathered included demographic and health status data that was collected on admission to the intensive care unit, at hospital discharge and 28 days later. The quality of life was evaluated measuring the patient´s independence and reintegration to work or normal activities.  Results: A total of 120 patients were enrolled, 51% were men, the average age was 51 years, hospital mortality was 2% and mortality after 28 days was 3%. Most patients (41%) were admitted due to ischemic heart disease. The average hospital stay in the intensive care unit was 6.5 days and the average post- ICU hospital stay was 6 days. At 28 days after hospital discharge, 55% of patients had a proper reintegration, 26% had problems in two or more areas and 12.5% had problems in one area; 6.5% had total disability for reintegration. Those over 60 years had a better rate of reintegration (64%). Mortality after discharge was 5%.  Conclusion: At 28 days, patients discharged from the intensive care unit had a high percentage of incomplete reintegration because they were still convalescing. Contrary to expectations, patients older than 60 years had a better reintegration and return to their basal conditions than younger ones.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[sobrevida]]></kwd>
<kwd lng="es"><![CDATA[cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[estado de salud]]></kwd>
<kwd lng="es"><![CDATA[calidad de vida]]></kwd>
<kwd lng="en"><![CDATA[Outcome]]></kwd>
<kwd lng="en"><![CDATA[intensive care]]></kwd>
<kwd lng="en"><![CDATA[health status]]></kwd>
<kwd lng="en"><![CDATA[quality of life.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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