Factors associated with death and readmission into the Intensive Care Unit

Silva, Maria Claudia Moreira da; Sousa, Regina Márcia Cardoso de; Padilha, Kátia Grillo

doi:10.1590/s0104-11692011000400009

Cited by 33 publications

(26 citation statements)

References 18 publications

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“…Several national studies indicate that, as the average length of stay of patients, from one to six days, however, other investigations have already identified a longer average stay between 7.64 and 17 days. [19][20] Regarding the ICU discharge condition, it is evident that 42% of the total number of patients studied in the period, were nonsurvivors. The high mortality found is higher than that observed in Brazilian studies, with a variation of 20% to 35%.…”

Section: Methods Introductionmentioning

confidence: 99%

Fatores associados à carga de trabalho de enfermagem em terapia intensiva: quais se devem considerar?

Laüs¹,

Menegüeti

Auxiliadora‐Martins³

et al. 2017

Rev enferm UFPE on line.

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Objective: to analyze comparatively the Nursing workload in two intensive care units. Method: quantitative, cross-sectional, descriptive study performed in two ICUs of a university hospital. The sample was random and consisted of 100 patients. The analysis was performed through multivariate regression, whose dependent variable was Nursing workload, remaining, in the final model, the independent variables with statistical significance lower than 0.05. Results: the majority of the patients were male (60%), with a mean age of 52.3 years. The workload of Nursing in the ICU presented the mean of the total NAS score of the set of patients of 75.65 and APACHE II score of 25.5. Conclusion: length of stay, sex and age group did not present a significant association with the nursing workload, however, this was associated with the severity score (APACHE II) and the patient's exit status (discharge / death). Descritores: Workload; Intensive Care Units, Nursing. RESUMOObjetivo: analisar comparativamente a carga de trabalho de Enfermagem em duas unidades de terapia intensiva. Método: estudo quantitativo, de coorte transversal, descritivo, realizado em duas UTI de um hospital universitário. A amostra foi aleatória constituindo-se de 100 pacientes. A análise foi realizada por meio da regressão multivariada, cuja variável dependente foi carga de trabalho de Enfermagem, permanecendo, no modelo final, as variáveis independentes com significância estatística menor que 0,05. Resultados: a maioria dos pacientes foi do sexo masculino (60%), com média de idade de 52,3 anos. A carga de trabalho de Enfermagem nas UTI apresentou a média do escore NAS total do conjunto de pacientes de 75,65 e escore APACHE II de 25,5. Conclusão: o tempo de permanência, o sexo e a faixa etária não apresentaram associação significativa com a carga de trabalho de Enfermagem, porém, esta se associou ao escore de gravidade (APACHE II) e à condição de saída do paciente (alta/óbito). Descritores: Carga de trabalho; Unidades de Terapia Intensiva; Enfermagem. RESUMENObjetivo: analizar comparativamente la carga de trabajo de Enfermería en dos unidades de terapia intensiva. Método: estudio cuantitativo, de cohorte transversal, descriptivo, realizado en dos UTI de un hospital universitario. La muestra fue aleatoria constituyéndose de 100 pacientes. El análisis fue realizado por medio de la regresión multivariada, cuya variable dependiente fue carga de trabajo de Enfermería, permaneciendo, en el modelo final, las variables independientes con significancia estadística menor que 0,05. Resultados: la mayoría de los pacientes fue la del sexo masculino (60%), con promedio de edad de 52,3 años. La carga de trabajo de Enfermería en las UTI presentó la media del score NAS total del conjunto de pacientes de 75,65 y score APACHE II de 25,5. Conclusión: el tiempo de permanencia, el sexo y el grupo de edad no presentaron asociación significativa con la carga de trabajo de Enfermería, pero, ésta se asoció al score de gravedad (APACHE II) y la condición de salida del pacient...

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Section: Methods Introductionmentioning

confidence: 99%

Fatores associados à carga de trabalho de enfermagem em terapia intensiva: quais se devem considerar?

Laüs¹,

Menegüeti

Auxiliadora‐Martins³

et al. 2017

Rev enferm UFPE on line.

View full text Add to dashboard Cite

show abstract

“…Both the quality of care and the health of nurses are negatively associated with nurses' workloads (4)(5) . A workday characterized by situations of stress as a result of understaffing, and therefore increased workloads for individual nurses, may increase the risk of unwanted medical incidents, and thus the quality of health services (6)(7)(8)(9) . The actual workload for ICU nurses, in our study named ICU-CCN, relates to the nurse responsible for daily care of patients.…”

Section: Introductionmentioning

confidence: 99%

Interrater reliability of Nursing Activities Score among Intensive Care Unit health professionals

Stuedahl

Vold

Klepstad

et al. 2015

Rev. esc. enferm. USP

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Objective: To analyze the interrater reliability of NAS among critical care nurses and managers in an ICU. Method: This was a methodological study performed in an adult, general ICU in Norway. In a random selection of patients, the NAS was scored on 101 patients by three raters: a critical care nurse, an ICU physician and a nurse manager. Interrater reliability was analyzed by agreement between groups and kappa statistics. Results: The mean NAS were 88.4 (SD=16.2) and 88.7 (SD=24.5) respectively for the critical care nurses and nurse managers. A lower mean of 83.7 (SD=21.1) was found for physicians. The 18 medical interventions showed higher agreement between critical care nurses and physicians (85.6%), than between critical care nurses and nurse managers (78.7). In the five nursing activities the Kappa-coefficients were low for all activities in all compared groups. Conclusion: The study indicated a satisfactory agreement of nursing workload between critical care nurses and managers.

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“…There has been a significant increase in recent years in the use of NAS in clinical practice and in scientific studies (Lachance, Douville, Dallaire, Padilha, & Gallani, 2015) (Oliveira, Garcia, & Nogueira, 2016). There has also been recent growing interest in applying NAS to trauma victims (Nogueira, Domingues, Poggetti, & Sousa, 2014;Nogueira et al, 2015;Peng, Mayner, & Wang, 2014;Ragab, Torky, & Abdalla, 2013) and in predicting the continuity of care after leaving the ICU (Silva, Sousa, & Padilha, 2010, 2011.…”

Section: )mentioning

confidence: 99%

Model to estimate the nursing workload required by trauma victims on intensive care unit discharge

et al. 2020

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Aim To validate a model to estimate the nursing workload required by trauma victims on intensive care unit (ICU) discharge. Background Identifying a reliable model of nursing workload measurement that can assist professionals. Methods A prospective cohort study conducted in 2010 (first phase) and 2015 (second phase) with 342 trauma victims admitted into the ICU of four hospitals located in São Paulo, Brazil. The original model was created during the first phase and included the Simplified Acute Physiology Score and New Injury Severity Score variables. Coefficients of determination (R2) were calculated to identify the reliability. Results The original model presented high reliability (R2 = 44%) in the hospital of origin, and unsatisfactory performance (R2 < 4%) in the other institutions. An improvement in R2 was observed after adjusting the coefficients for each hospital. Conclusion For the Nursing Activities Score prediction of survivors for ICU discharge, trauma centres must validate the original model with coefficient adjustments for their population, or preferably derive their own models. Implications for nursing management Although models are useful in predicting discharge of these ICU patients, for treatment continuity after critical care and for organising services, the study showed that they should be evaluated prior to use for nursing management.

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Factors associated with death and readmission into the Intensive Care Unit

Cited by 33 publications

References 18 publications

Fatores associados à carga de trabalho de enfermagem em terapia intensiva: quais se devem considerar?

Fatores associados à carga de trabalho de enfermagem em terapia intensiva: quais se devem considerar?

Interrater reliability of Nursing Activities Score among Intensive Care Unit health professionals

Model to estimate the nursing workload required by trauma victims on intensive care unit discharge

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