APACHE IV score in postoperative kidney transplantation

Rodrigues-Filho, Edison Moraes; Garcez, Anderson

doi:10.5935/0103-507x.20180032

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…In the past, we used APACHE II/III for the assessment, but this version proved to overestimate the mortality rate [ 1 , 5 ]. Most studies have suggested that APACHE IV has a good ability to discriminate and calibrate hospital mortality predictions, but there are few reports of significant differences among patients admitted to the emergency ICU (EICU) after organ transplantation [ 6 – 8 ]. Previous studies have shown that APACHE IV can better predict the severity of disease in EICU patients with acute trauma [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Association between the Predicted Value of APACHE IV Scores and Intensive Care Unit Mortality: A Secondary Analysis Based on EICU Dataset

Chao

Niu

2022

Computational and Mathematical Methods in Medicine

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Objective. The evidence regarding the relationship between Acute Physiological and Chronic Health Assessment (APACHE) IV scores and emergency intensive care unit (EICU) mortality in patients following organ transplantation remains controversial. The purpose of this study was to investigate the relationship between APACHE IV score and EICU mortality. Methods. Data from 391 American men and women admitted to the EICU after undergoing organ transplants including heart, bone marrow, liver, kidney, lung, and pancreas in the United States. We used this data to analyze the relationship between APACHE IV scores and in-hospital mortality in the postoperative EICU. The primary endpoint was ICU hospitalization mortality after organ transplantation. The entire study data was extracted from the EICU database and uploaded to the DataDryad website. Results. Interaction tests indicate age, respiratory failure, and hormone use can modify the association between APACHE IV and EICU mortality. A stronger association of APACHE and mortality can be observed at <60 years old, no respiratory failure, and no use of hormones. In contrast, there was no association between respiratory failure, hormone use, APACHE, and ICU mortality in patients over 60 years of age. Conclusion. When using the APACHE score for risk stratification of critically ill patients after transplantation, the patient’s age, respiratory failure, and use of hormones should be taken into account.

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Section: Introductionmentioning

confidence: 99%

Association between the Predicted Value of APACHE IV Scores and Intensive Care Unit Mortality: A Secondary Analysis Based on EICU Dataset

Chao

Niu

2022

Computational and Mathematical Methods in Medicine

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“…In the first 24 hours after kidney transplantation, nursing actions aim to prevent complications and prioritize the continuous evaluation of general health status with noninvasive monitoring of vital signs and evaluation of the nursing team of 1 hour/1 hour in the first 12 postoperative hours, which allows early and appropriate interventions for each type of worsening. This period of great potential for hemodynamic instability, cardiovascular and neurological complications, important metabolic alterations and the need for replacement of parenteral fluids in large volumes that require intensive care for the maintenance of life (5,23,43,(44)(45)(46)(47)(48)(49).…”

Section: Resultsmentioning

confidence: 99%

Nursing Care for Kidney Transplant Patients: A Scoping Review

et al. 2021

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Objectives: Mapping nursing care in kidney transplant patients. Materials and method: A scoping review was conducted according to the recommendations of the Joanna Briggs Institute Reviewers’ Manual. Data were collected through 13 national and international databases from December 2020 to January 2021, following scientific rigor in the selection of the material. The pre-selection was made by reading the title, abstract and introductory text in advance; the materials included in this stage were read in full to define the content for the study. Results: Fifteen studies were included. Of these, 60% are articles; dissertations, manuals, protocols, guidelines and bulletins totaled 40% of the material studied. 86.6% of the material has a quantitative approach. Regarding the methodological design, 73.3% were descriptive/transversal character studies. Regarding the mapping of nursing care, it was possible to divide them into two categories: nursing care after kidney transplantation (immediate, mediated and late) and nursing care after kidney transplantation in primary health/extra-hospital care. Conclusions: It is concluded that the study allowed mapping nursing care to kidney transplant patients in the immediate, late and primary health care periods.

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APACHE IV score in postoperative kidney transplantation

Cited by 2 publications

References 14 publications

Association between the Predicted Value of APACHE IV Scores and Intensive Care Unit Mortality: A Secondary Analysis Based on EICU Dataset

Association between the Predicted Value of APACHE IV Scores and Intensive Care Unit Mortality: A Secondary Analysis Based on EICU Dataset

Nursing Care for Kidney Transplant Patients: A Scoping Review

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