Avaliação da qualidade de vida e mortalidade em pacientes com eventos cardíacos graves no pós-operatório

Abelha, Fernando; Botelho, M.; Fernandes, Vera; Barros, Henrique

doi:10.1590/s0034-70942010000300006

Cited by 3 publications

(2 citation statements)

References 29 publications

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“…[28], has been proposed as a cardiac risk prediction index based on clinical characteristics. However, although this score is validated and widely used for estimating the risk of a perioperative major adverse myocardial event other studies have linked higher RCRI with higher mortality rates [29][30]. …”

Section: Discussionmentioning

confidence: 99%

Outcome after hepatectomy-delirium as an independent predictor for mortality

et al. 2013

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BackgroundMost studies that follow up hepatectomy cases are limited in scope to an investigation of mortality and morbidity rates or the costs and length of hospital stay. In this study the authors aimed to characterize the quality of life and to evaluate mortality and its determinants after hepatectomy.MethodsThis prospective study was carried in a Post-Anaesthesia Care Unit (PACU) over 15 months, and 70 patients submitted to hepatectomy were enrolled. Demographic and peri-operative characteristics were evaluated for associations with mortality. At admission and 6 months after discharge, patients completed a Short Form-36 questionnaire (SF-36) and have their independence in Activities of Daily Living (ADL) was evaluated. Binary and multiple logistic regression analyses were used to evaluate of associations with mortality, and the Wilcoxon signed rank test was used to compare SF-36 scores before and after 6 months after hepatectomy.ResultsThe mortality rate was 19% at 6 months. Multivariate analysis identified postoperative delirium as an independent determinant for mortality. Six months after discharge, 46% patients stated that their health in general was better or much better than that 1 year previously. Six months after hepatectomy, patients had worse scores in the physical function domain of SF-36; however, scores for all the other domains did not differ. At this time point, patients were more dependent in instrumental ADL than before surgery (32% versus 7%, p = 0.027).ConclusionThis study identified postoperative delirium as an independent risk factor for mortality 6 months after hepatectomy. After 6 months, survivors were more dependent in instrumental ADL tasks and had worse scores in the physical function domain of SF-36.

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Section: Discussionmentioning

confidence: 99%

Outcome after hepatectomy-delirium as an independent predictor for mortality

et al. 2013

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“…Nos últimos anos tem-se verificado um aumento da importância do estudo da QVRS de doentes cardíacos, [5][6][7][8][9] usando instrumentos genéricos como o Short Form 36 Health Survey Instrument (SF-36) ou o EuroQol (EQ-5D). Na realidade, o estudo da QVRS de doentes submetidos a esta cirurgia tem sido o foco de vários artigos, [10][11][12][13][14] mas poucos estudos têm sido realizados em Portugal 15,16 e em nenhum é realizada uma comparação com a população portuguesa, o que permitiria identificar e valorizar o impacto da doença nestes doentes.…”

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A Cirurgia de Substituição Valvular Aórtica Melhora a Qualidade de Vida dos Doentes?

et al. 2018

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Factors associated with functional impairment of elderly patients in the emergency departments

Lopes

Lage

Campanharo

et al. 2015

Einstein (São Paulo)

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Objective:To assess the functional capacity of elderly patients in the emergency department as to Basic and Instrumental Activities of Daily Living.Methods:A cross-sectional study of 200 elderly patients admitted to the emergency department of a teaching hospital in São Paulo (SP), Brazil. The functional capacity of the elderly was assessed by the Katz index and Lawton & Brody scale. Statistical analyses were performed using analysis of variance, Bonferroni correction, χ2 test, or the likelihood ratio test.Results:Most seniors were independent (65%), and the degree of dependence was related to age, female gender, being single and widowed, and presence of cerebrovascular disease and dementia. The more dependent elderly for Instrumental Activities of Daily Living had increased dependence for Basic Activities.Conclusion:We emphasize the importance of assessing the functional capacity of the elderly in the emergency department as it provides data for the nursing care in order to minimize or to avoid their functional impairment.

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Avaliação da qualidade de vida e mortalidade em pacientes com eventos cardíacos graves no pós-operatório

Cited by 3 publications

References 29 publications

Outcome after hepatectomy-delirium as an independent predictor for mortality

Outcome after hepatectomy-delirium as an independent predictor for mortality

A Cirurgia de Substituição Valvular Aórtica Melhora a Qualidade de Vida dos Doentes?

Factors associated with functional impairment of elderly patients in the emergency departments

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