Índices prognósticos na prática clínica de enfermagem em terapia intensiva: revisão integrativa

Silva, Lucilane Maria Sales da; Martins, Laércia Ferreira; Santos, Cecília Cesarino; Oliveira, Roberta Meneses

doi:10.5216/ree.v16i1.22830

Cited by 7 publications

(10 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Prognosis is defined as an early forecast of the patient's progression and chances of recovery based on clinical and diagnostic information from the patient. (Niewinski et al 2014, Silva et al 2014. This prediction is useful in several ways in human and veterinary medicine: it supports the type of treatment indicated (at home or in hospital, including intensive care); goal decisions regarding monitoring protocols; estimation of length of hospital stay (LoS); and when applicable, medical costs and chances of survival, as well as providing helpful information for making euthanasia decisions in animal patients (Cockcroft 2007, Rabelo et al 2009, Davis et al 2012, Fabretti et al 2014.…”

Section: Introductionmentioning

confidence: 97%

“…The strong bond of affection between humans and companion animals, coupled with easy access to information (especially online) has generated a high level of questioning of animal owners to veterinarians, with the clinical course of their sick animals (Rabelo et al 2009, Fabretti et al 2014. A similar scenario occurs in human medicine (Niewinski et al 2014, Silva et al 2014.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Determination of the reference interval of the C-reactive protein/albumin ratio and its efficiency, CRP and albumin as prognostic markers in dogs

et al. 2020

View full text Add to dashboard Cite

The objective of this research was to creates a reference interval for C-reactive protein (CRP)/albumin ratio (CAR) in the canine species and to analyze the potential of CRP, albumin and the relationship between both, to serve as indicators of disease severity, length of hospital stay (LoS) and mortality in this species. For this, an outcome study was conducted in a Veterinary Teaching Hospital in southern Brazil. One hundred ninety dogs were included randomly, without distinction of gender, age, or breed, from June 2013 to November 2016. Plasma was collected from them and analyzed for assessment of CRP and albumin. The reference range stipulated for CAR in dogs was 0.36-0.60, as determined by the confidence interval of mean resamplings (in percentiles). The frequencies mean, and standard deviations of the variables, correlation analysis, and comparative analysis (Kruskal-Wallis in α = 5%) were calculated. Elevation (above reference) of CAR was determined to be proportional to the severity of the underlying disease, and CRP means were reasonable. Besides, hypoalbuminemia was indicative of systemic disease, but not of severity. Thus, CAR was a better marker of disease severity than were CRP and albumin, analyzed separately. Concerning LoS, there was a positive correlation with CAR (p<0.01) in patients, and the same was not observed with CRP and albumin. Concerning mortality, hypoalbuminemia was the only marker valid in animals with a critical illness (p=0.04). In conclusion, CAR is a better marker of disease severity and LoS in dogs than are CRP and albumin analyzed separately.

show abstract

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Determination of the reference interval of the C-reactive protein/albumin ratio and its efficiency, CRP and albumin as prognostic markers in dogs

et al. 2020

View full text Add to dashboard Cite

show abstract

“…A utilização de marcadores de prognósticos auxiliam a selecionar adequadamente os animais que necessitam de cuidados intensivos, permite observar a evolução do paciente e a prever quais terão despesas médicas mais onerosas, permite avaliar o desempenho de um serviço de internamento e embasa as indicações pela eutanásia (COCKCROFT, 2007;SILVA et al, 2014).…”

Section: Introductionunclassified

“…A medicina humana dispõe de vários escores (APACHE -Acute Physiology and Chronic Health Evaluation, TISS -Therapeutic Intervention Scoring System, SAPS -Simplified Acute Physiology Score, MPM -Mortality Probability Model) para predizer a mortalidade de pacientes gravemente enfermos (MINNE; ABU-HANNA; DE JONGE, 2008;ALVES et al, 2009;SILVA et al, 2014 anos (mediana de seis anos). O peso variou de dois a 55,4 kg (mediana de 8,3 kg).…”

Section: Introductionunclassified

Avaliação clínica, laboratorial e perfil eletroforético na determinação do prognóstico de cães hospitalizados

et al. 2014

View full text Add to dashboard Cite

ResumoVárias são as doenças que podem acometer os animais de estimação. Reconhecer os enfermos em risco de óbito permitiria intervenções médicas precoces e o estabelecimento de protocolos de monitoração diferenciados, aumentando a sobrevida. O objetivo deste trabalho foi analisar o potencial para marcadores de prognóstico de variáveis clínicas e laboratoriais acessíveis em 185 cães hospitalizados. Os animais foram alocados em dois grupos: os que obtiveram alta e os que foram a óbito, sendo o estado nutricional (EN) clínico definido pela interpretação do escore de condição corporal (ECC), escore de massa muscular (EMM) e índice de massa corpórea (IMC). Foram avaliadas as seguintes variáveis laboratoriais: eritrograma, contagem total de leucócitos, concentração de fibrinogênio, glicemia, cálcio, fósforo, magnésio, colesterol, albumina, proteína total e perfil proteico sérico definido por eletroforese. Foram indicativos de mau prognóstico: baixos valores de ECC, baixos valores de EMM, número total de linfócitos reduzido, hiperfosfatemia, concentrações reduzidas de albumina e de proteína total e diminuição da fração betaglobulina, na eletroforese. Foram indicadores de bom prognóstico: ECC normal ou elevado, adequado EMM e elevação discreta da fração alfa2-globulina, na eletroforese. Os autores não consideraram a glicemia, colesterol e o cálcio como indicadores de prognóstico. Palavras-chave: Paciente crítico, bioquímica sérica, sobrevida AbstractThere are several diseases that can affect pets. Recognize the infirm at risk of death would allow early medical interventions and the establishment of different monitoring protocols, increasing survival. The objective of this work was to analyze the potential for prognostic markers of clinical and laboratory accessible variables in 185 hospitalized dogs. The animals were divided into two groups: those who had hospital outcome and those who have died, being the clinical nutritional status (NS) defined by the interpretation of body condition score (BCS), muscle mass score (MMS) and body mass index (BMI). The following laboratory variables were assessed: blood cell count, total leukocyte count, fibrinogen concentration, glucose, calcium, phosphorus, magnesium, cholesterol, total protein, albumin and serum protein profile defined by electrophoresis. In the present study, were indicative of poor prognosis: low values of BCS, low values of MMS, decreased total number of lymphocytes, hyperphosphatemia,

show abstract

“…This means that measurement is a constant challenge which, if effectively performed, can facilitate decision-making by the health team and family members 7 .…”

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.

View full text Add to dashboard Cite

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.

show abstract

Índices prognósticos na prática clínica de enfermagem em terapia intensiva: revisão integrativa

Cited by 7 publications

References 20 publications

Determination of the reference interval of the C-reactive protein/albumin ratio and its efficiency, CRP and albumin as prognostic markers in dogs

Determination of the reference interval of the C-reactive protein/albumin ratio and its efficiency, CRP and albumin as prognostic markers in dogs

Avaliação clínica, laboratorial e perfil eletroforético na determinação do prognóstico de cães hospitalizados

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

Contact Info

Product

Resources

About