Fatores de risco para óbito em pacientes idosos gravemente enfermos

Alves, Gisele Collyer; Júnior, Geraldo Bezerra da Silva; Lima, Rafael Siqueira Athayde; Barros, Juliana Sobral de; Mota, Rosa Maria Salani; Abreu, Krasnalhia Lívia S.; Rocha, Natália A.; Nogueira, Charlys Barbosa; Daher, Elizabeth De Francesco

doi:10.1590/s0103-507x2010000200007

Cited by 18 publications

(16 citation statements)

References 23 publications

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“…Elderly pa ents currently correspond to 42 -52% of admissions to ICU (19) . In the sample studied, the majority (68.3%) of the pa ents were concentrated in the age range of people aged 60 or over, which supports the percep on that the average age of pa ents in ICU has risen in the last few years, and that it will increase s ll further with the ageing of the popula on in general.…”

Section: Discussionmentioning

confidence: 99%

Diagnósticos de enfermagem identificados em pacientes internados em Unidade de Terapia Intensiva Adulto

Chianca

Lima²,

Salgado

2012

Rev. esc. enferm. USP

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This descrip ve study was performed to iden fy the nursing diagnoses in the records of the inpa ents of an adult intensive care unit, and map the most frequent diagnosis according to the Fundamental Human Needs. The sample consisted of 44 pa ent records. A total of 1,087 nursing diagnoses were iden fi ed. A er excluding the repe ons, 28 diff erent diagnoses were iden fi ed. Twenty-fi ve diagnoses were related to psychobiological needs, and three to psychosocial needs. Further studies should iden fy, among the formulated nursing diagnoses and the aff ected human needs, which problems were solved and for what needs the care is predominantly developed. The present study results are important for the organiza on of teaching content for students and nurses, preparing them to consider human beings as a whole when providing care, considering their biological, emo onal, and spiritual aspects. DESCRIPTORS Nursing careNursing Diagnosis Classifi ca on Intensive Care Units Humaniza on of assistance RESUMOEstudo descri vo para iden fi car nos registros de prontuários de pacientes internados em uma Unidade de Terapia Intensiva de Adultos os diagnós cos de enfermagem e mapear os diagnós cos mais frequentes às Necessidades Humanas Básicas. Obteve-se uma amostra de 44 prontuários. Iden fi caram-se 1.087 diagnós cos de enfermagem. Após exclusão de repe ções, encontraram-se 28 diferentes tulos de diagnós cos. Vinte e cinco diagnós cos estavam relacionados às necessidades psicobiológicas, e três, às necessidades psicossociais. Sugere-se a realização de estudos que iden fi quem, entre os diagnós cos de enfermagem formulados e as necessidades humanas afetadas, quais foram solucionados e para quais necessidades são predominantemente elaborados os cuidados. Os resultados deste estudo são importantes para a organização de conteúdos de ensino para alunos e enfermeiros, preparando-os para que, ao prestar o cuidado, considerem o ser humano, tanto nos aspectos biológi-cos, como emocionais e espirituais.

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Section: Discussionmentioning

confidence: 99%

Diagnósticos de enfermagem identificados em pacientes internados em Unidade de Terapia Intensiva Adulto

Chianca

Lima²,

Salgado

2012

Rev. esc. enferm. USP

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“…Identifying factors associated with greater severity in the ICU is fundamental for care practice, since this implies in a higher risk of death and other negative outcomes in the ICU. Mortality is expected to be higher in severe patients, notably among older adults (14) . Implementing interventions aimed at reducing severity depends on early identification of the associated factors.…”

Section: Discussionmentioning

confidence: 99%

Level of acuity, severity and intensity of care of adults and older adults admitted to the Intensive Care Unit

Ferretti‐Rebustini

Bispo²,

Alves

et al. 2019

Rev. esc. enferm. USP

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Objective: To characterize the level of acuity, severity and intensity of care of adults and older adults admitted to Intensive Care Units and to identify the predictors of severity with their respective predictive capacity according to the age group. Method: A retrospective cohort based on the analysis of medical records of individuals admitted to eight adult intensive care units in the city of São Paulo. The clinical characteristics at admission in relation to severity profile and intensity of care were analyzed through association and correlation tests. The predictors were identified by linear regression and the predictive capacity through the ROC curve. Results: Of the 781 cases (41.1% from older adults), 56.2% were males with a mean age of 54.1 ± 17.3 years. The burden of the disease, the organic dysfunction and the number of devices were the predictors associated with greater severity among adults and older adults, in which the organic dysfunction had the highest predictive capacity (80%) in both groups. Conclusion: Adults and older adults presented a similar profile of severity and intensity of care in admission to the Intensive Care Unit. Organic dysfunction was the factor with the best ability to predict severity in adults and older adults.

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“…Scholars have identified age as a factor related to higher mortality 5 , but warn that age on its own should not be related to a worse prognosis 8,9 . Other associated factors, such as the severity of an acute illness, comorbidities and functional status appear to be more responsible for such an outcome 8,9 .…”

Section: Discussionmentioning

confidence: 99%

“…The overall rate of mortality in adult intensive care units (ICUs) is between 10 and 56% 3,4 while the mortality of the elderly in such units ranges from 28 to 62% 5,6 .…”

Section: Introductionmentioning

confidence: 99%

Construction of an instrument for the prognostic evaluation of elderly persons in intensive care units

Pedrosa

Freire

Schneider

2017

Rev. bras. geriatr. gerontol.

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Objective: To create an instrument for the prognostic evaluation of elderly patients hospitalized in an intensive care unit. Methods: A cohort study, with prospective data collection, which included elderly persons aged 60 years or older, was carried out in the city of João Pessoa, in the state of Paraíba, Brazil. Data collection was performed using an instrument created from a pilot study and the Katz Index. Poisson's regression was used for data analysis. This technique estimates relative risk, retaining variables with p≤0.10 in the instrument, and ensures biological plausibility. The classification of risk of death was performed using quartile analysis, confirmed by the Receiver Operator Characteristic ( ROC) curve. Results: 205 elderly patients with an average age of 74.6 years and a 59% risk of mortality, were included. Of the total sample and based on the scores, 16.6% of elderly persons had a low risk of developing death, 23.9% were at moderate risk, 40% had a high risk, and 19.5% exhibited a very high risk of death. The positive predictive value of the instrument was 77% and the negative value was 67.5%, with a concordance index of 0.78. The cutoff score of the instrument was 9 points or over. The sensitivity was 77.7% and the specificity was 66.7%. Conclusions: The instrument developed may be useful in the identification of elderly people with risk factors who require increased care. The instrument described can therefore be applied in Brazilian intensive care units.

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Fatores de risco para óbito em pacientes idosos gravemente enfermos

Cited by 18 publications

References 23 publications

Diagnósticos de enfermagem identificados em pacientes internados em Unidade de Terapia Intensiva Adulto

Diagnósticos de enfermagem identificados em pacientes internados em Unidade de Terapia Intensiva Adulto

Level of acuity, severity and intensity of care of adults and older adults admitted to the Intensive Care Unit

Construction of an instrument for the prognostic evaluation of elderly persons in intensive care units

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