Escore CR‐POSSUM e Índice de Apgar Cirúrgico como fatores preditivos para a alocação de pacientes após cirurgia colorretal
| Autor: | Carla Oliveira, Filipa Lagarto, Catarina S. Nunes, Blandina Gomes, Liliana Costa, Sílvia Pinho |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
CR‐POSSUM 030230 surgery Postoperative triage Cr possum lcsh:RD78.3-87.3 03 medical and health sciences 0302 clinical medicine Anesthesiology Internal medicine Intensive care CR-POSSUM Medicine Terapia intensiva RD78.3-87.3 Median score Adult patients business.industry 030208 emergency & critical care medicine General Medicine Colorectal surgery Triagem pós-operatória Anesthesiology and Pain Medicine Triagem pós‐operatória lcsh:Anesthesiology Apgar Observational study Apgar score business Surgical patients |
| Zdroj: | Revista Brasileira de Anestesiologia, Vol 68, Iss 4, Pp 351-357 (2018) Brazilian Journal of Anesthesiology, Vol 68, Iss 4, Pp 351-357 (2018) Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação instacron:RCAAP Revista Brasileira de Anestesiologia, Volume: 68, Issue: 4, Pages: 351-357, Published: AUG 2018 Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) Revista Brasileira de Anestesiologia v.68 n.4 2018 Revista Brasileira de Anestesiologia Sociedade Brasileira de Anestesiologia (SBA) instacron:SBA CIÊNCIAVITAE |
| Popis: | Background and objectives: Surgical patients frequently require admission in high-dependency units or intensive care units. Resources are scarce and there are no universally accepted admission criteria, so patients’ allocation must be optimized. The purpose of this study was to investigate the relationship between postoperative destination of patients submitted to colorectal surgery and the scores ColoRectal Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (CR-POSSUM) and Surgical Apgar Score (SAS) and, secondarily find cut-offs to aid this allocation. Methods: A cross-sectional prospective observational study, including all adult patients undergoing colorectal surgery during a 2 years period. Data collected from the electronic clinical process and anesthesia records. Results: A total of 358 patients were included. Median score for SAS was 8 and CR-POSSUM had a median mortality probability of 4.5%. Immediate admission on high-dependency units/intensive care units occurred in 51 patients and late admission in 18. Scores from ward and high-dependency units/intensive care units patients were statistically different (SAS: 8 vs. 7, p |
| Databáze: | OpenAIRE |
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