Severity of postoperative cardiac surgery patients: na evolution analysis according to TISS-28

Guimarães, Rita de Cássia Mello; Rabelo, Eneida Rejane; Moraes, Maria Antonieta; Azzolin, Karina de Oliveira

doi:10.1590/s0104-11692010000100010

Cited by 11 publications

(16 citation statements)

References 9 publications

(6 reference statements)

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“…25,26 The association between "NAS versus SAPS III" (p < 0.0001) shows that there was a relationship between workload of the nursing team and severity, as previously shown in a study on workload in public and private ICUs in Brazil. 27 This finding corroborates the interference caused by the existing relationship between NAS and SAPS III.…”

Section: Severity and Workload Of Nursingmentioning

confidence: 53%

Severity and workload of nursing with patients seeking admission to an intensive care unit

et al. 2017

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Objective: To identify the severity and workload of nursing with adult patients seeking admission to an Intensive Care Unit (ICU). Methods:A cross-sectional study with a quantitative, exploratory and prospective approach was performed, developed in a hospital in the state of São Paulo. Demographic data on patients were collected, the Simplified Acute Physiology Score III (SAPS III) was applied to assess the severity of patients and the Nursing Activities Score (NAS) was used to evaluate nursing workload, between July and August 2014. Results: The overall mean score of the SAPS III was 30.52 ± 18.39 and that of the NAS was 58.18 ± 22.29. The group of patients admitted to the ICU showed higher severity and higher workload of nursing compared to non-admitted patients. Non-admitted patients had an NAS of 53.85. Conclusion: The nursing workload in patients who were not admitted to the ICU was also high. The evaluation of workload in other contexts where patients are seriously ill is important.The workload assessment in other contexts where severely ill patients are found is evident. resumen Objetivo: Identificar la gravedad y la carga de trabajo de enfermería requerida por pacientes adultos candidatos a una vacante en Unidad de Terapia Intensiva (UTI). Método: Estudio transversal, cuantitativo, exploratorio y prospectivo, realizado en un hospital del interior de São Paulo. La recolección de datos demográficos utilizó el Simplified Acute Physiology Score III (SAPS III), para evaluar la gravedad, y el Nursing Activities Score (NAS), para evaluar la carga de trabajo de enfermería, entre julio y agosto de 2014. Resultados: El promedio general de la puntuación SAPS III fue 30,52; el NAS, 58,18. Los pacientes admitidos en la UTI presentaron mayor gravedad y carga de trabajo en comparación con pacientes no admitidos (NAS promedio de 53,85). KeywordsConclusión: La carga de trabajo de enfermería en los pacientes que no son admitidos en la UTI también es alta. Se debe evaluar la carga de trabajo en otros contextos donde estén pacientes graves.

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Section: Severity and Workload Of Nursingmentioning

confidence: 53%

Severity and workload of nursing with patients seeking admission to an intensive care unit

et al. 2017

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“…The role of the intensive care nurse in prevention and monitoring to identify changes in the cornea is of fundamental importance (2)(3)(4) . Corneal injury is an infectious or inflammatory lesion in the corneal tissue that can affect the surface or deep layers, being classified as traumatic, superficial, infectious, degenerative, keratoconus or miscellaneous (5)(6)(7) .…”

Section: Introductionmentioning

confidence: 99%

“…They can be caused by ocular exposure, with ineffective palpebral closure and inadequate lacrimal fluid quality (1)(2)(3)(4) . Among the most common infectious lesions is infectious ulcerative keratitis or bacterial corneal ulcers (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) .…”

Section: Introductionmentioning

confidence: 99%

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Corneal injuries: incidence and risk factors in the Intensive Care Unit

Werli-Alvarenga

Ercole

Botoni

et al. 2011

Rev. Latino-Am. Enfermagem

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Patients hospitalized in the Intensive Care Unit (ICU) may present risk for corneal injury due to sedation or coma. This study aimed to estimate the incidence of corneal injuries; to identify the risk factors and to propose a risk prediction model for the development of corneal injury, in adult patients, in an intensive care unit of a public hospital. This is a one year, prospective cohort study with 254 patients. The data were analyzed using descriptive statistics, univariate and logistic regression. Of the 254 patients, 59.4% had corneal injuries and the mean time to onset was 8.9days. The independent variables that predispose to risk for punctate type corneal injury were: duration of hospitalization, other ventilatory support device, presence of edema and blinking less than five times a minute. The Glasgow Coma Scale and exposure of the ocular globe were the variables related to corneal ulcer type corneal injury. The injury frequencies were punctate type (55.1%) and corneal ulcers (11.8%). Risk prediction models for the development of punctate and corneal ulcer type corneal injury were established. Lesões na córnea: incidência e fatores de risco em Unidade de Terapia IntensivaPacientes internados em unidade de terapia intensiva (UTI) podem apresentar risco para lesão na córnea devido à sedação ou coma. Este estudo teve por objetivo estimar a incidência das lesões na córnea, identificar os fatores de risco e propor modelo de predição de risco para o desenvolvimento de lesão na córnea, em pacientes adultos, em unidade de terapia intensiva, de um hospital público. É estudo de coorte prospectiva de um ano, com 254 pacientes. Os dados foram analisados por estatística descritiva, univariada e de regressão logística. Dos 254 pacientes, 59,4% tiveram lesão na córnea e o tempo médio para o seu aparecimento foi de 8,9 dias. As variáveis independentes que predispõem ao risco para lesão na córnea, tipo puntacta, foram: tempo de internação, outro dispositivo de assistência ventilatoria, presença de edema e piscar de olhos menor que cinco vezes por minuto. Escala de coma de Glasgow e exposição de globo ocular foram as variáveis relacionadas à lesão na córnea do tipo úlcera de córnea. As lesões foram do tipo puntacta (55,1%) e úlceras de córnea (11,8%). Modelos de predição de risco para lesões na córnea do tipo puntacta e úlcera foram estabelecidos.Descritores: Doenças da Córnea; Úlcera da Córnea; Fatores de Risco; Diagnóstico de Enfermagem; Unidades de Terapia Intensiva; Enfermagem. Lesiones en la córnea: incidencia y factores de riesgo en Unidad de Terapia IntensivaPacientes internados en Unidad de Terapia Intensiva (UTI) pueden presentar riesgo de lesión en la córnea debido a la sedación o al coma. Este estudio tuvo por objetivo estimar la incidencia de las lesiones en la córnea; identificar los factores de riesgo y proponer un modelo de predicción de riesgo para el desarrollo de lesión en la córnea, en pacientes adultos, en Unidad de Terapia Intensiva, de un hospital público. Estudio de cohorte prospectivo de un año co...

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“…The fact of surgical patients admitted to ICU postoperatively developing SSI is justified by surgical stress due to the nature of the surgical procedure and clinical conditions. (29) At times, there are short periods of manifestation depending on the SSI etiology, usually between the fourth and the sixth postoperative day, requiring constant and effective surveillance during the hospitalization period. In other situations, the period is longer and according to the Center for Disease Control and Prevention (CDC) definition, SSI can occur within 30 or even 90 days of the procedure.…”

Section: Discussionmentioning

confidence: 99%

Pré-operatório de cirurgias potencialmente contaminadas: fatores de risco para infecção do sítio cirúrgico

et al. 2017

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Objective: To associate risk factors of the preoperative period of potentially contaminated surgeries performed in a teaching hospital in the southern region of Brazil with the occurrence of surgical site infection in the postoperative period in the hospital and at home. Methods: A quantitative descriptive cross-sectional study conducted from February to June 2015 with 90 participants by means of individual data collection and observation, from the preoperative period, immediate postoperative period and up to seven days after discharge. The Statistical Package for Social Sciences was used for data analysis. Categorical variables were analyzed descriptively by simple frequency and percentages, and numerical variables by position and dispersion measurements. Results: The surgical site infection in the postoperative period in the hospital occurred in 10% of participants, and in the postoperative period at home in 46.7%. Risk factors: gender, age, underlying diseases, medications, alcoholism and smoking habits were significant for the development of these infections. Conclusion: Checking the health history and performing follow-up of surgical patients during the preoperative period and surgical recovery to reduce surgical site infection are recommended. ResumoObjetivo: Associar fatores de risco do período pré-operatório, de cirurgias potencialmente contaminadas, realizadas em hospital escola da região Sul do Brasil, com a ocorrência da infecção do sítio cirúrgico no período pós-operatório hospitalar e em domicílio. Métodos: Estudo transversal descritivo quantitativo realizado de fevereiro a junho de 2015 com 90 participantes mediante a coleta de dados realizada sob a forma de entrevista individual e observação, desde o período pré-operatório, pós-operatório imediato e mediato até sete dias após alta hospitalar. Para análise de dados utilizou-se o Statistical Package for Social Sciences, sendo as variáveis categóricas analisadas descritivamente através da frequência simples e porcentagens e as numéricas pelas medidas de posição e dispersão. Resultados: A infecção do sítio cirúrgico no período pós-operatório hospitalar ocorreu em (10%) e no pós-operatório domiciliar em 46,7%. Fatores de risco: sexo, idade, doenças de base, medicações, etilismo e tabagismo foram significativos para o desenvolvimento destas infecções. Conclusão: Recomenda-se a realização de histórico de enfermagem e acompanhamento dos pacientes cirúrgicos, durante o período pré-operatório e recuperação operatória, para reduzir a infecção do sítio cirúrgico.

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Severity of postoperative cardiac surgery patients: na evolution analysis according to TISS-28

Cited by 11 publications

References 9 publications

Severity and workload of nursing with patients seeking admission to an intensive care unit

Severity and workload of nursing with patients seeking admission to an intensive care unit

Corneal injuries: incidence and risk factors in the Intensive Care Unit

Pré-operatório de cirurgias potencialmente contaminadas: fatores de risco para infecção do sítio cirúrgico

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