Critical Care Nurses Inadequately Assess SAPS II Scores of Very Ill Patients in Real Life

Perren, Andréas; Previsdomini, Marco; Perren, Ilaria; Merlani, Paolo

doi:10.1155/2012/919106

Cited by 7 publications

(5 citation statements)

References 22 publications

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“…SOFA and APACHE II) are weakly or moderately correlated with NAS [37]. In addition, the results of the SAPS 2 and SAPS 3 studies did not always reflect nursing needs [57]. Nevertheless, some NAS items allowed us to describe our sample from a medical point of view (e.g.…”

Section: Discussionmentioning

confidence: 96%

Measuring the nursing workload in intensive care with the Nursing Activities Score (NAS): A prospective study in 16 hospitals in Belgium

Bruyneel

Tack

Droguet

et al. 2019

Journal of Critical Care

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The evaluation of nursing workload is a common practice in intensive care units (ICUs). It allows the calculation of an optimal nurse/patient ratio (N/P) which is a major challenge to ensuring the quality of care while controlling the costs of health care. The objectives of this study were, therefore, to evaluate the N/P ratio and to study nursing activities in intensive care in French-speaking Belgium. Methods: The Nursing Activities Score (NAS) was prospectively recorded by shift for two periods of one month each in 16 French-speaking Belgian hospitals for a total of 316 ICU beds in 24 ICUs. Results: We included 3377 patients in the study, of which 64% were medical (versus surgical). The results for 24hour NAS (68.6%) were significantly different from the NAS per shift (Morning: 61.3%, Afternoon: 58.4%, Night: 55.0%). Outliers were significantly more prevalent among men and patients who died and outliers had longer stays in the ICU. Finally, mobilization-positioning and clinical-administrative tasks took, on average, more time for nurses in the ICU. Conclusions: There is a significant difference in N/P ratio between the Belgian regulation (1/3) and the one calculated by the NAS (1/1.5). A systematic objective assessment of shift workload should be done to avoid N/P ratio differences in intensive care.

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Section: Discussionmentioning

confidence: 96%

Measuring the nursing workload in intensive care with the Nursing Activities Score (NAS): A prospective study in 16 hospitals in Belgium

Bruyneel

Tack

Droguet

et al. 2019

Journal of Critical Care

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“…Another aspect that may have led to this finding was the short training time of the nurses who calculated the severity scores. In the evaluation of reliability of the SAPS II score, the authors observed that nurses who received little training for the application of the scores performed overestimated or underestimated measurements (22) . In accordance with a previous study, the increased workload in nursing was associated with the time of hospitalization of the patient (10) .…”

Section: Discussionmentioning

confidence: 99%

Avaliação da carga de trabalho no pós-operatório de cirurgia cardíaca segundo o Nursing Activities Score

Oliveira

Rodrigues

Püschel

et al. 2015

Rev. esc. enferm. USP

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RESUMO Objetivo Identificar os fatores associados à carga de trabalho de enfermagem no cuidado a pacientes no pós-operatório de cirurgia cardíaca. Método Estudo de coorte prospectivo, conduzido com 187 pacientes da Unidade de Terapia Intensiva Cirúrgica (UTI) do Instituto do Coração. Os dados foram coletados nas primeiras 24 e 72 horas do paciente na UTI. A variável dependente foi a carga de trabalho calculada por meio do Nursing Activities Score (NAS) e as independentes foram de natureza demográfico-clínicas e escores de morbimortalidade. Para análise dos dados utilizou-se os testes de Wilcoxon-Mann-Whitney e de correlação de Spearman, e a regressão linear com modelo de efeitos mistos. Resultados A maioria dos pacientes era do sexo masculino (59,4%), com média de idade de 61 anos (±12,7) e 43,9% desenvolveram algum tipo de complicação no pós-operatório. Nas 24 horas, a carga de trabalho foi de 82,4% (±3,4) e foi de 58,1% (±3,4) nas 72 horas. Os fatores associados ao aumento do NAS foram: tempo de internação do paciente na UTI (p=0,036) e a presença de complicações (p<0,001). Conclusão A gravidade do paciente nas 24 horas, em oposição a inúmeros estudos, não influenciou no aumento da carga de trabalho, a qual se mostrou associada ao tempo de internação e às complicações.

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“…For example, it has been reported that whereas the SAPS II is positively associated with mortality in acute renal failure (ARF) (Strand et al, 2010), the SOFA score is widely used in the management of severe sepsis, and can be used to predict the duration of admission and risk of mortality (Siddiqui et al, 2017). Some studies showed that although both the SAPS II and SOFA score could predict the prognosis of septic shock, the SAPS II was a little worse in doing so compared to the SOFA score, which was more reflective of the patient's circulatory system (Kim et al, 2013;Perren et al, 2012). Currently, there are few reports about the application of the SAPS II and SOFA in the prediction of HFRS.…”

Section: Introductionmentioning

confidence: 99%

Performance assessment of the SAPS II and SOFA scoring systems in Hanta virus Hemorrhagic Fever with Renal Syndrome

Zhou

et al. 2017

International Journal of Infectious Diseases

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Background: Hemorrhagic Fever with Renal Syndrome (HFRS), caused by the hantavirus, is a natural infectious disease characterized by fever, hemorrhage and renal damage. China is the most severely endemic area for HFRS in the world. In recent years, critical scoring systems based on quantitative classification have become an important clinical tool for predicting and evaluating the prognosis of critical illness, and provide guidelines for clinical practice. Methods: The sample comprised 384 patients with HFRS treated in the Taizhou Hospital from January 2006 to February 2017. The patients were divided into the severe group and the mild group according to their clinical characteristics. By comparing the differences in clinical symptoms, signs and laboratory data between the two groups, the clinically relevant indicators of severe HFRS were explored. According to the previous studies, we incorporated the positive fecal occult blood test (FOBT) into the sepsis-related organ failure assessment (SOFA) tool and formulated a new scoring system specifically for HFRS, named H-SOFA. By comparing the simplified acute physiology score II (SAPS II), SOFA and H-SOFA scores of the two groups, their predictive values for the progression of HFRS were assessed. Results: Compared to the mild group, patients in the severe group had longer hospital stays; higher frequencies of nausea, vomiting, abdomen pain, signs of congestion and hemorrhage; and more pronounced impairment of liver and renal function. The levels of PLT, PCT, TB, and FOBT were positively correlated with the progression of HFRS (P < 0.001). Patients with HFRS in the severe group got significantly higher scores on the SAPS II, SOFA, and H-SOFA scoring systems (P < 0.001). The values of SAPS II, SOFA and H-SOFA, were significantly correlated with the severity of HFRS, and the AUC values were 0.90, 0.96, and 0.98, respectively. Conclusion: PLT, PCT, TB, and FOBT were independent predictors of severe HFRS; SAPS II, SOFA, and H-SOFA had high predictive value for the progression of severe HFRS, with H-SOFA being the highest.

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Critical Care Nurses Inadequately Assess SAPS II Scores of Very Ill Patients in Real Life

Cited by 7 publications

References 22 publications

Measuring the nursing workload in intensive care with the Nursing Activities Score (NAS): A prospective study in 16 hospitals in Belgium

Measuring the nursing workload in intensive care with the Nursing Activities Score (NAS): A prospective study in 16 hospitals in Belgium

Avaliação da carga de trabalho no pós-operatório de cirurgia cardíaca segundo o Nursing Activities Score

Performance assessment of the SAPS II and SOFA scoring systems in Hanta virus Hemorrhagic Fever with Renal Syndrome

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