Mortality prognostic factors associated with SAPS 3 and APACHE II in elderly patients admitted in intensive care unit

Autor: Marcus Vinícius Ferraz de Lucena, Marcelo Antônio Oliveira Santos-Veloso, Geylson Rodrigo dos Santos Xavier, Inácio Borges Ferreira, Felipe de Castro Moraes, Renata Amorim de Lucena, Letícia Amorim de Lucena, Brivaldo Markman Filho, Sandro Gonçalves de Lima
Jazyk: portugalština
Rok vydání: 2019
Předmět:
Zdroj: Medicina, Vol 52, Iss 4 (2019)
Druh dokumentu: article
ISSN: 2176-7262
0076-6046
DOI: 10.11606/issn.2176-7262.v52i4p277-285
Popis: Study design: a descriptive, prospective cohort study. Objectives: identify the risk factors associated with SAPS 3 and APACHE II score to improve mortality prediction in elderly admitted in the intensive care unit (ICU). Methodology: a cohort study with 174 elderly patients admitted in ICU from July 2016 to June 2017. The primary independent variables analyzed were: presence of stress hyperglycemia, the need for invasive mechanical ventilation (IMV), acute renal failure, level of consciousness and use of vasopressors. The outcomes studied were death and hospital discharge. Results: ICU and hospital mortality were 17.8% and 29.8%, respectively. The multivariate analysis of factors associated with hospital death not contemplated in the obtaining of SAPS 3 demonstrated that IMV, Chronic Obstructive Pulmonary Disease (COPD) and Mean Arterial Pressure (MAP)
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