Prognóstico do paciente cirrótico admitido na terapia intensiva

Rocco, José Rodolfo; Soares, Márcio

doi:10.1590/s0103-507x2010000100004

Cited by 3 publications

(1 citation statement)

References 24 publications

(31 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Estudos recentes apontam a pneumonia hospitalar como uma das complicações pulmonares mais comuns na UTI, enquanto a PAVM é um subgrupo da pneumonia hospitalar que ocorre até 48h a partir da entubação, que não estava incubada no período de admissão do paciente, e 72h após a extubação (GARCIA ET al, 2007;ROCCO, 2001).…”

Section: Discussionunclassified

Análise de correlação entre escore apache II e complicações respiratórias em pacientes vítimas de TCE na UTI

Albuquerque¹,

Silva²,

Lira-Batista³

et al. 2023

Arch. Health

View full text Add to dashboard Cite

O Traumatismo Cranioencefálico (TCE) é considerado um problema de saúde pública com elevada morbimortalidade e altos custos governamentais. Os índices prognósticos são ferramentas de avaliação e estão relacionados com a evolução clínica do paciente. Nessa perspectiva, o APACHE II é uma importante ferramenta para avaliar o prognóstico de pacientes críticos vitimas de TCE. O objetivo desse estudo foi correlacionar a gravidade dos pacientes vítimas de TCE admitidos nas UTIs, através do APACHE II, com a incidência de complicações respiratórias associadas. Foram avaliados 24 prontuários de pacientes vítimas de TCE hospitalizados nas UTIs do Hospital de Urgência de Teresina (HUT) entre os meses de junho de 2011 a maio de 2012. Houve predominância de pacientes do gênero masculino e a idade média foi de 27±7,7 anos. Em pacientes com valores do APACHE II maior ou igual a 20 observou-se uma maior ocorrência de complicações respiratórias (62,5%), sendo a pneumonia a mais comum, e aqueles que tiveram complicações respiratórias apresentaram mortalidade maior (33%). Portanto, o APACHE II é de grande valia para determinar o prognóstico de complicações respiratórias nos pacientes vítimas de TCE.

show abstract

Section: Discussionunclassified

Análise de correlação entre escore apache II e complicações respiratórias em pacientes vítimas de TCE na UTI

Albuquerque¹,

Silva²,

Lira-Batista³

et al. 2023

Arch. Health

View full text Add to dashboard Cite

show abstract

Long-term outcome of patients with liver cirrhosis admitted to a general intensive care unit

Warren

Soulsby

Puxty

et al. 2017

Ann. Intensive Care

View full text Add to dashboard Cite

ObjectivesThe prevalence of liver cirrhosis is increasing, and many patients have acute conditions requiring consideration of intensive care. This study aims to: (a) report the outcome at 12 months of patients with cirrhosis admitted to ICU, (b) identify factors predictive of long-term mortality and (c) evaluate the ability of scoring systems to predict long-term outcome.DesignObservational cohort study.SettingGeneral adult critical care unit in a UK teaching hospital.PatientsEighty-four patients admitted to critical care between June 2012 and December 2013.Primary outcome measuresCumulative survival at ICU discharge, hospital discharge and 12 months.ResultsEighty-four patients with diagnosed cirrhosis were followed up at 12 months. Clinical variables collected at ICU admission were entered into a multivariate regression analysis for mortality and eight predetermined scoring systems calculated. Cumulative survival at ICU discharge, hospital discharge and 12 months was 64.8, 47.1 and 44.1%, respectively. Twelve months of cumulative survival in patients with Child–Pugh class A was 100%, class B was 50% and class C was 25% (log rank p = 0.002). Independent predictors of mortality at 12 months were lactate, bilirubin, PT ratio and age. The Child–Pugh + Lactate score was modified to produce an objective score comprising Albumin, Bilirubin and Clotting (PT ratio) added to serum lactate concentration in mmol L−1 (ABC + Lactate). This score was the best predictor of 12-month survival, with an AUC of 0.83. A proposed classification by ABC + Lactate score was highly significant (p = 0.001), with those in the highest class having ICU mortality of 75% and hospital and 12-month mortality of 93%.ConclusionsPatients with cirrhosis admitted to ICU have high initial mortality but low mortality after hospital discharge. Child–Pugh class at ICU admission predicts outcome at 12 months. The ABC + Lactate classification system may be useful in identifying critically ill cirrhotic patients with very high long-term mortality.

show abstract

Oral health protocol for liver transplant patients

Lins¹,

Bastos²

2014

Transplant Technol

View full text Add to dashboard Cite

Chronic liver disease and cirrhosis were the ninth leading cause of death in Brazil in 2011. Infectious complications are major factors for morbidity and mortality in liver transplant recipients. Oral infection is a cause of systemic infection for both liver transplant candidates and recipients. Liver transplant patients are at high risk of oral infection and preventive measures are mandatory. Oral treatment is feasible to the majority of patients awaiting liver transplantation. However, protocols for oral lesions management in liver transplant patients are not established in literature yet. The aim of the present study is to describe an oral health protocol for liver transplant patients based in our 12 years of experience in diagnosing and treating oral disease in the Liver Transplantation Clinic, Federal University of Bahia, Brazil. This protocol was developed by a multidisciplinary team of transplant surgeons, hepatologists, transplant nurses and dentists. All patients are evaluated by the hepatology team that assess liver disease severity and refer them to oral care. The oral assessment is carefully carried out. Additional complementary examinations are necessary to conclude diagnosis and proceed to an individual treatment plan. When oral surgery is necessary, coagulation factors, liver disease severity and the extent of surgical procedure are evaluated for each patient.

show abstract

Prognóstico do paciente cirrótico admitido na terapia intensiva

Cited by 3 publications

References 24 publications

Análise de correlação entre escore apache II e complicações respiratórias em pacientes vítimas de TCE na UTI

Análise de correlação entre escore apache II e complicações respiratórias em pacientes vítimas de TCE na UTI

Long-term outcome of patients with liver cirrhosis admitted to a general intensive care unit

Oral health protocol for liver transplant patients

Contact Info

Product

Resources

About