Estimación de gravedad en cuidados intensivos: validación de índice de estabilidad fisiológica
Autor: | Sara Pena R, Pedro Lorca O, Armando Caichac R, Sonia Banning K, Maria Neilson V |
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Jazyk: | Spanish; Castilian |
Rok vydání: | 1990 |
Předmět: |
medicine.medical_specialty
Cardiac output Stability index business.industry Hemodynamic measurements Mortality rate Significant difference Logistic regression índices de severidad pronostico Intensive care Pediatrics Perinatology and Child Health Severity of illness Emergency medicine medicine business cuidados intensivos |
Zdroj: | Revista chilena de pediatría v.61 n.3 1990 SciELO Chile CONICYT Chile instacron:CONICYT |
Popis: | Physiological stability index (PSI) is a score proposed to evaluate the severity of different diseases in pediatric intensive care units (PICU) by giving scores to the deterioration of 34 measurable physiological variables. In order to validate PSI, it was prospectively applied to 132 patients who entered our PICU. A significant difference (p less than 0.001) was found between the average score of those patients who survived (means: 6.1) versus those who did not (means: 21); No difference was found between theoretical mortality rates obtained by logistic regression analysis and those obtained according to PSI score ranks even thought direct hemodynamic measurements like cardiac output and capillary (wedge) pulmonary pressure were not considered in this study. In conclusion, the PSI is a useful method to measure the severity of illness in pediatric intensive care and to compare results among PICU. |
Databáze: | OpenAIRE |
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