Gravidade dos pacientes admitidos à Unidade de Terapia Intensiva de um hospital universitário brasileiro

Feijó, Carlos Augusto Ramos; Júnior, Francisco Olon Leite; Martins, Ana Cecília Santos; Júnior, Alberto Hil Furtado; Cruz, Luiz Lacerda Souza; Meneses, Francisco Albano de

doi:10.1590/s0103-507x2006000100004

Cited by 28 publications

(47 citation statements)

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“…Disorders that affected the gastrointestinal system correlated most closely with death in the ICU, with elderly individuals admitted with pathologies that affected this system having more than twice the risk of an outcome of death than elderly persons who were not exposed to this situation. This corroborates the findings of other authors 16 , who affirmed that the disorders that most affected the elderly in ICUs were neurological, cardiovascular, respiratory, gastrointestinal and renal /metabolic.…”

Section: Discussionsupporting

confidence: 92%

Construction of an instrument for the prognostic evaluation of elderly persons in intensive care units

Pedrosa

Freire

Schneider

2017

Rev. bras. geriatr. gerontol.

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Objective: To create an instrument for the prognostic evaluation of elderly patients hospitalized in an intensive care unit. Methods: A cohort study, with prospective data collection, which included elderly persons aged 60 years or older, was carried out in the city of João Pessoa, in the state of Paraíba, Brazil. Data collection was performed using an instrument created from a pilot study and the Katz Index. Poisson's regression was used for data analysis. This technique estimates relative risk, retaining variables with p≤0.10 in the instrument, and ensures biological plausibility. The classification of risk of death was performed using quartile analysis, confirmed by the Receiver Operator Characteristic ( ROC) curve. Results: 205 elderly patients with an average age of 74.6 years and a 59% risk of mortality, were included. Of the total sample and based on the scores, 16.6% of elderly persons had a low risk of developing death, 23.9% were at moderate risk, 40% had a high risk, and 19.5% exhibited a very high risk of death. The positive predictive value of the instrument was 77% and the negative value was 67.5%, with a concordance index of 0.78. The cutoff score of the instrument was 9 points or over. The sensitivity was 77.7% and the specificity was 66.7%. Conclusions: The instrument developed may be useful in the identification of elderly people with risk factors who require increased care. The instrument described can therefore be applied in Brazilian intensive care units.

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Section: Discussionsupporting

confidence: 92%

Construction of an instrument for the prognostic evaluation of elderly persons in intensive care units

Pedrosa

Freire

Schneider

2017

Rev. bras. geriatr. gerontol.

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“…The curves of both indexes are very close to each other (Figure 2). The analysis of the age and gender of the study's participants corroborate the findings observed in the literature that indicate the patients hospitalized in ICUs are predominantly older and male (5)(6)(7)(8)(9) .…”

Section: Resultssupporting

confidence: 85%

“…The average duration of hospitalization in ICUs was high compared to the results of other studies (7)(8)(9)(10)12) . Among the comorbidities more frequently observed in the studied patients are those present in the Brazilian population's profile of morbidity and mortality (14) .…”

Section: Resultsmentioning

confidence: 52%

Desempenho de índices de gravidade para estimar risco de morte em Unidades de Terapia Intensiva

Silva

Nogueira

Settervall

et al. 2012

Rev. esc. enferm. USP

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O Simplified Acute Physiology Score II (SAPS II) e o Logistic Organ Dysfunction System (LODS) são instrumentos utilizados para classificar pacientes internados em Unidades de Terapia Intensiva (UTI) conforme a gravidade e o risco de morte, sendo um dos parâmetros da qualidade da assistência de enfermagem. Este estudo teve por objetivo avaliar e comparar as performances do SAPS II e do LODS para predizer mortalidade de pacientes admitidos em UTI. Participaram do estudo 600 pacientes de quatro diferentes UTIs de São Paulo, Brasil. A curva Receiver Operator Characteristic (ROC) foi utilizada para comparar o desempenho discriminatório dos índices. Os resultados foram: as áreas sob a curva do LODS (0.69) e do SAPS II (0.71) apresentaram moderada capacidade discriminatória para predizer mortalidade. Não foi encontrada diferença estatisticamente significativa entre as áreas (p=0,26). Concluiu-se que houve equivalência entre SAPS II e LODS para estimar risco de morte de pacientes em UTI.

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“…Other studies that evaluated the severity and duration of stay of patients admitted to the ICU found that mortality increased parallel to the increase in severity score and that the longer time of stay is associated with the admission of severely ill patients (14)(15) . …”

Section: Demographic and Clinical Characteristicsmentioning

confidence: 94%

Classification of Patients According to the Degree of Dependence on Nursing Care and Illness Severity in a Post-Anesthesia Care Unit

Lima

Borges

Costa

et al. 2010

Rev. Latino-Am. Enfermagem

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Gravidade dos pacientes admitidos à Unidade de Terapia Intensiva de um hospital universitário brasileiro

Cited by 28 publications

References 0 publications

Construction of an instrument for the prognostic evaluation of elderly persons in intensive care units

Construction of an instrument for the prognostic evaluation of elderly persons in intensive care units

Desempenho de índices de gravidade para estimar risco de morte em Unidades de Terapia Intensiva

Classification of Patients According to the Degree of Dependence on Nursing Care and Illness Severity in a Post-Anesthesia Care Unit

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