Disfunción mitocondrial como explicación del síndrome de disfunción orgánica múltiple en la sepsis.

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Title: Disfunción mitocondrial como explicación del síndrome de disfunción orgánica múltiple en la sepsis.
Authors: Duarte-Mote, Jesús1 hgnsjduarte@yahoo.com.mx, Domínguez H., Irene2, Vega H., Cristina3, Lee Eng C., Víctor4, Romero F., Socorro5, Espinosa L., Rogelio6, Sánchez R., Graciela7
Source: Medicina Interna de México. sep/oct2013, Vol. 29 Issue 5, p504-512. 9p.
Subjects: MITOCHONDRIAL pathology, INTENSIVE care units, MORTALITY, INFLAMMATION, SEPSIS, MULTIPLE organ failure, CALORIC expenditure, SCIENTIFIC observation
Abstract (English): Sepsis is still the leading cause of death in intensive care units. New therapeutic approach based on goals achieved to reduce the mortality rate, however continues to be high. During the evolution of the septic process, the systemic inflammatory response and metabolic response to trauma form the two main responses of compensatory type with which the organism is faced with sepsis. The different phases of the metabolic response to trauma denote different stages of organic adaptation, which often first evolves to a phase of multiple organ dysfunction and then a multiple organic failure. Basal energy expenditure in patients with sepsis is greatly diminished at the stage corresponding to multiple organ dysfunction. At this stage, the functional alterations that are observed are secondary to disoxia and decrease in the production of energy at the mitochondrial level. This phase of dysfunction is thought to be an adaptive phase of the body with the purpose of preserving the organic cell structure. In this article, we reviewed the mitochondrial alterations that are observed during the phase of multiple organ dysfunctions, its relationship with the therapeutic approach and the importance in mortality of these patients. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La sepsis sigue siendo la principal causa de muerte en las unidades de cuidados intensivos. El nuevo abordaje terapéutico basado en metas ha logrado disminuir el índice de mortalidad; sin embargo, continúa siendo alto. Durante la evolución del proceso séptico, las respuestas inflamatoria sistémica y metabólica al traumatismo conforman las dos principales respuestas de tipo compensatorio con los que el organismo hace frente a la sepsis. Las diferentes fases de la respuesta metabólica al traumatismo denotan diferentes etapas de adaptación orgánica, que muchas veces evolucionan primero a una fase de disfunción orgánica múltiple y luego a una franca insuficiencia orgánica múltiple. El gasto energético basal de los pacientes con sepsis disminuye de manera importante en la etapa de disfunción orgánica múltiple. Las alteraciones funcionales son secundarias a disoxia y menor producción energética en la mitocondria. Esta fase de disfunción puede ser adaptativa del organismo para preservar la citoestructura orgánica. En este artículo se revisan las alteraciones mitocondriales durante la fase de disfunción orgánica múltiple, su relación con el abordaje terapéutico y la importancia en la mortalidad. [ABSTRACT FROM AUTHOR]
Copyright of Medicina Interna de México is the property of Colegio de Medicina Interna de Mexico and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Disfunción mitocondrial como explicación del síndrome de disfunción orgánica múltiple en la sepsis.
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  Data: <searchLink fieldCode="AR" term="%22Duarte-Mote%2C+Jesús%22">Duarte-Mote, Jesús</searchLink><relatesTo>1</relatesTo><i> hgnsjduarte@yahoo.com.mx</i><br /><searchLink fieldCode="AR" term="%22Domínguez+H%2E%2C+Irene%22">Domínguez H., Irene</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Vega+H%2E%2C+Cristina%22">Vega H., Cristina</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Lee+Eng+C%2E%2C+Víctor%22">Lee Eng C., Víctor</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Romero+F%2E%2C+Socorro%22">Romero F., Socorro</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Espinosa+L%2E%2C+Rogelio%22">Espinosa L., Rogelio</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Sánchez+R%2E%2C+Graciela%22">Sánchez R., Graciela</searchLink><relatesTo>7</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Medicina+Interna+de+México%22">Medicina Interna de México</searchLink>. sep/oct2013, Vol. 29 Issue 5, p504-512. 9p.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22MITOCHONDRIAL+pathology%22">MITOCHONDRIAL pathology</searchLink><br /><searchLink fieldCode="DE" term="%22INTENSIVE+care+units%22">INTENSIVE care units</searchLink><br /><searchLink fieldCode="DE" term="%22MORTALITY%22">MORTALITY</searchLink><br /><searchLink fieldCode="DE" term="%22INFLAMMATION%22">INFLAMMATION</searchLink><br /><searchLink fieldCode="DE" term="%22SEPSIS%22">SEPSIS</searchLink><br /><searchLink fieldCode="DE" term="%22MULTIPLE+organ+failure%22">MULTIPLE organ failure</searchLink><br /><searchLink fieldCode="DE" term="%22CALORIC+expenditure%22">CALORIC expenditure</searchLink><br /><searchLink fieldCode="DE" term="%22SCIENTIFIC+observation%22">SCIENTIFIC observation</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Sepsis is still the leading cause of death in intensive care units. New therapeutic approach based on goals achieved to reduce the mortality rate, however continues to be high. During the evolution of the septic process, the systemic inflammatory response and metabolic response to trauma form the two main responses of compensatory type with which the organism is faced with sepsis. The different phases of the metabolic response to trauma denote different stages of organic adaptation, which often first evolves to a phase of multiple organ dysfunction and then a multiple organic failure. Basal energy expenditure in patients with sepsis is greatly diminished at the stage corresponding to multiple organ dysfunction. At this stage, the functional alterations that are observed are secondary to disoxia and decrease in the production of energy at the mitochondrial level. This phase of dysfunction is thought to be an adaptive phase of the body with the purpose of preserving the organic cell structure. In this article, we reviewed the mitochondrial alterations that are observed during the phase of multiple organ dysfunctions, its relationship with the therapeutic approach and the importance in mortality of these patients. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: La sepsis sigue siendo la principal causa de muerte en las unidades de cuidados intensivos. El nuevo abordaje terapéutico basado en metas ha logrado disminuir el índice de mortalidad; sin embargo, continúa siendo alto. Durante la evolución del proceso séptico, las respuestas inflamatoria sistémica y metabólica al traumatismo conforman las dos principales respuestas de tipo compensatorio con los que el organismo hace frente a la sepsis. Las diferentes fases de la respuesta metabólica al traumatismo denotan diferentes etapas de adaptación orgánica, que muchas veces evolucionan primero a una fase de disfunción orgánica múltiple y luego a una franca insuficiencia orgánica múltiple. El gasto energético basal de los pacientes con sepsis disminuye de manera importante en la etapa de disfunción orgánica múltiple. Las alteraciones funcionales son secundarias a disoxia y menor producción energética en la mitocondria. Esta fase de disfunción puede ser adaptativa del organismo para preservar la citoestructura orgánica. En este artículo se revisan las alteraciones mitocondriales durante la fase de disfunción orgánica múltiple, su relación con el abordaje terapéutico y la importancia en la mortalidad. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of Medicina Interna de México is the property of Colegio de Medicina Interna de Mexico and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Languages:
      – Code: spa
        Text: Spanish
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      Pagination:
        PageCount: 9
        StartPage: 504
    Subjects:
      – SubjectFull: MITOCHONDRIAL pathology
        Type: general
      – SubjectFull: INTENSIVE care units
        Type: general
      – SubjectFull: MORTALITY
        Type: general
      – SubjectFull: INFLAMMATION
        Type: general
      – SubjectFull: SEPSIS
        Type: general
      – SubjectFull: MULTIPLE organ failure
        Type: general
      – SubjectFull: CALORIC expenditure
        Type: general
      – SubjectFull: SCIENTIFIC observation
        Type: general
    Titles:
      – TitleFull: Disfunción mitocondrial como explicación del síndrome de disfunción orgánica múltiple en la sepsis.
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              M: 09
              Text: sep/oct2013
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              Y: 2013
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