APACHE—acute physiology and chronic health evaluation: a physiologically based classification system

Knaus, William A.; Zimmerman, Jack E.; Wagner, Douglas P.; Draper, Elizabeth A.; Lawrence, Diane E.

doi:10.1097/00003246-198108000-00008

Cited by 1,870 publications

(938 citation statements)

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“…[2][3][4][5] Entretanto, os índices de gravidade não são capazes de avaliar a carga de trabalho da equipe de enfermagem, pois são direcionados às condições clínicas dos pacientes e à terapêutica médica. Por isso, a gravidade do paciente ou o número de intervenções nem sempre serão proporcionais à carga de trabalho de enfermagem.…”

Section: Introductionunclassified

Aplicativo informatizado com o nursing activities score: instrumento para gerenciamento da assistência em unidade de terapia intensiva

Castro¹,

Dell’Acqua²,

Corrente

et al. 2009

Texto contexto - enferm.

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RESUMO:A gravidade do paciente ou o número de intervenções nem sempre serão proporcionais à carga de trabalho de enfermagem. Este estudo descritivo teve como objetivo demonstrar a trajetória da construção de um aplicativo (software) com o conteúdo do Nursing Activities Score e suas características operacionais. Foi realizado um teste piloto com 12 pacientes seguindo-se a coleta de dados por 90 dias consecutivos em 123 pacientes. Houve compatibilidade na transmissão de dados do Personal Digital Assistent para o computador de mesa, via wireless. A construção do aplicativo resultou em um sistema com coleta e administração de dados e permitiu realizar a interface gráfica. A utilização do aplicativo possibilita o uso de um sistema tecnológico para aplicação diária, com alimentação de um banco de dados sobre as características dos cuidados requeridos. Conhecendo a evolução destas variáveis durante a internação, o enfermeiro poderá planejar, intervir e avaliar a qualidade do cuidado. DESCRITORES:Enfermagem. Unidade de terapia intensiva. Informática. Carga de trabalho. Nursing activities score. COMPUTER APPLICATION WITH THE NURSING ACTIVITIES SCORE: AN INTENSIVE CARE MANAGEMENT INSTRUMENT ABSTRACT:Patients severity or the number of interventions will not always be proportional to the nursing staff's work load. This descriptive study aimed at demonstrating the trajectory for designing a computer application (software) with Nursing Activities Score content and its operational characteristics. A pilot test was conducted with 12 patients, which was followed by data collection from 123 patients for 90 consecutive days. Compatibility was observed in wireless data transmission from the Personal Digital Assistent to the desk computer. This application's construction resulted in a data collection and administration system, as well as enabled graphic interface. The use of the software allows for the utilization of a technological system with daily applications, with the support of a database concerning the characteristics of required care. With better understanding of the development of such variables during hospitalization, nurses will be able to plan, intervene, and evaluate care quality. DESCRIPTORS:Nursing. Intensive care unit. Informatics. Workload. Nursing activities score. APLICATIVO INFORMATIZADO CON EL NURSING ACTIVITIES SCORE: INSTRUMENTO PARA GESTIÓN DE LA ATENCIÓN EN LA UNIDAD DE CUIDADOS INTENSIVOSRESUMEN: La gravedad de la enfermedad del paciente o el número de intervenciones no son siempre proporcionales a la carga de trabajo de la enfermería. Este estudio descriptivo tuvo como objetivo demostrar la trayectoria de la construcción de un aplicativo (software) con el contenido del Nursing Activities Score y sus características operacionales. Se realizó un test piloto con 12 pacientes y se recolectaron los datos por 90 días consecutivos en 123 pacientes. Hubo compatibilidad en la transmisión de datos del Personal Digital Assistent para la computadora de mesa inalámbrica. La construcción del aplicativo resultó en un sis...

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Section: Introductionunclassified

Aplicativo informatizado com o nursing activities score: instrumento para gerenciamento da assistência em unidade de terapia intensiva

Castro¹,

Dell’Acqua²,

Corrente

et al. 2009

Texto contexto - enferm.

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“…These include mortality risk prediction scores, such as the Acute Physiology and Chronic Health Evaluation (APACHE) for adults and the Pediatric Risk of Mortality (PRISM) score for children [1,2]. Both scores are complicated and consist of an extensive list of vital signs and laboratory tests and do not allow for immediate scoring.…”

Section: Introductionmentioning

confidence: 99%

Meningococcal disease: A comparison of eight severity scores in 125 children

et al. 1996

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General rightsIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: http://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. Download date: 12 May 2018Intensive Care Med (1996)

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“…Several validated scoring systems are available that aim to predict the severity of acute pancreatitis including Ranson's criteria, the Imrie scoring system, the Acute Physiology and Chronic Health Evaluation (APACHE II) scale, and the CT Severity Index (CTSI) ( Table 2). [40][41][42][43] In 1992, the Atlanta Classification of acute pancreatitis was developed to provide a rational approach in predicting disease severity, thus allowing for comparison between clinical trials. It defines severe acute pancreatitis (SAP) on the basis of standard clinical manifestations, a Ranson's score 3, an APACHE II score 8, and evidence of organ failure and intrapancreatic pathological findings.…”

Section: Prognosismentioning

confidence: 99%

Acute pancreatitis

Munsell

Buscaglia

2010

Journal of Hospital Medicine

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Acute pancreatitis is a common disease most frequently caused by gallstone disease or excess alcohol ingestion. Diagnosis is usually based on characteristic symptoms, often in conjunction with elevated serum pancreatic enzymes. Imaging is not always necessary, but may be performed for many reasons, such as to confirm a diagnosis of pancreatitis, rule out other causes of abdominal pain, elucidate the cause of pancreatitis, or to evaluate for complications such as necrosis or pseudocysts. Though the majority of patients will have mild, self‐limiting disease, some will develop severe disease associated with organ failure. These patients are at risk to develop complications from ongoing pancreatic inflammation such as pancreatic necrosis, fluid collections, pseudocysts, and pancreatic duct disruption. Validated scoring systems can help predict the severity of pancreatitis, and thus, guide monitoring and intervention.Treatment of acute pancreatitis involves supportive care with fluid replacement, pain control, and controlled initiation of regular food intake. Prophylactic antibiotics are not recommended in acute pancreatitis if there is no evidence of pancreatic infection. In patients who fail to improve, further evaluation is necessary to assess for complications that require intervention such as pseudocysts or pancreatic necrosis. Endoscopy, including ERCP and EUS, and/or cholecystectomy may be indicated in the appropriate clinical setting. Ultimately, the management of the patient with severe acute pancreatitis will require a multidisciplinary approach. Journal of Hospital Medicine 2010;5:241–250. © 2010 Society of Hospital Medicine.

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APACHE—acute physiology and chronic health evaluation: a physiologically based classification system

Cited by 1,870 publications

References 0 publications

Aplicativo informatizado com o nursing activities score: instrumento para gerenciamento da assistência em unidade de terapia intensiva

Aplicativo informatizado com o nursing activities score: instrumento para gerenciamento da assistência em unidade de terapia intensiva

Meningococcal disease: A comparison of eight severity scores in 125 children

Acute pancreatitis

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