Risk factors for death in patients with sepsis in an intensive care unit
Autor(a) principal: | |
---|---|
Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Rev Rene (Online) |
Texto Completo: | http://periodicos.ufc.br/rene/article/view/31646 |
Resumo: | Objective: to determine the main risk factors for death in patients with sepsis in an intensive care unit. Methods: it is a retrospective cohort study, wich included 126 patient chorts lhat had clinical and clinical and laboratory diagnosis of sepsis were considered eligible. The conditional probability of death was calculated through the Kaplan-Meier method and the risk of death was estimated by the hazard ratio, using a Cox regression model withp<0.050. Results: a total of 124 patients were included in the study. The main focus of infection was the respiratory system. Regarding the outcome, 40.3% patients with sepsis, 73.9% with severe sepsis and 69.2% with septic shock died. Patients with abdominal sepsis and using vasopressors were at higher risk of death. Conclusion: septic patients with abdominal source of infection and using vasopressor agents had a higher risk of dying, while patients who were tracheostomized had a better chance of living. |
id |
UFC-16_a7a59805c6d1c143f6963f5f9d4faa27 |
---|---|
oai_identifier_str |
oai:periodicos.ufc:article/31646 |
network_acronym_str |
UFC-16 |
network_name_str |
Rev Rene (Online) |
repository_id_str |
|
spelling |
Risk factors for death in patients with sepsis in an intensive care unitFatores de risco para morte em pacientes com sepse em uma unidade de terapia intensivaIntensive Care Units; Sepsis; Risk Factors; Death; Nursing Care.Unidades de Terapia Intensiva; Sepse; Fatores de Risco; Morte; Cuidados de Enfermagem.Objective: to determine the main risk factors for death in patients with sepsis in an intensive care unit. Methods: it is a retrospective cohort study, wich included 126 patient chorts lhat had clinical and clinical and laboratory diagnosis of sepsis were considered eligible. The conditional probability of death was calculated through the Kaplan-Meier method and the risk of death was estimated by the hazard ratio, using a Cox regression model withp<0.050. Results: a total of 124 patients were included in the study. The main focus of infection was the respiratory system. Regarding the outcome, 40.3% patients with sepsis, 73.9% with severe sepsis and 69.2% with septic shock died. Patients with abdominal sepsis and using vasopressors were at higher risk of death. Conclusion: septic patients with abdominal source of infection and using vasopressor agents had a higher risk of dying, while patients who were tracheostomized had a better chance of living.Objetivo: determinar os principais fatores de risco para a morte em pacientes com sepse em uma unidade de terapia intensiva. Métodos: trata-se de uma coorte retrospectiva, onde foram incluídos 124 prontuários de pacientes que tiveram diagnóstico clínico e laboratorial de sepse. A probabilidade condicional de morte foi calculada através do método de Kaplan-Meier; o risco de morte foi estimado pela razão de risco, utilizando modelo de regressão de Cox com p<0,050. Resultados: o foco principal da infecção foi o sistema respiratório. Em relação ao desfecho, morreram 40,3% pacientes com sepse, 73,9% com sepse grave e 69,2% com choque séptico. Os pacientes com sepse abdominal e que utilizaram vasopressores apresentaram maior risco de morte. Conclusão: pacientes sépticos com fonte abdominal de infecção e fazendo uso de agentes vasopressores apresentaram maior risco de morte, enquanto que pacientes traqueostomizados tiveram melhores chances de sobreviver.Universidade Federal do Ceará2018-04-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionEstudo retrospectivoapplication/pdfapplication/pdfhttp://periodicos.ufc.br/rene/article/view/3164610.15253/2175-6783.2018193231Rev Rene; Vol 19 (2018): Rev Rene; e3231Rev Rene; v. 19 (2018): Rev Rene; e32312175-67831517-3852reponame:Rev Rene (Online)instname:Universidade Federal do Ceará (UFC)instacron:UFCengporhttp://periodicos.ufc.br/rene/article/view/31646/pdfhttp://periodicos.ufc.br/rene/article/view/31646/pdf_1Copyright (c) 2018 Rev Renehttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessPrado, Patricia Rezende doVolpáti, Natasha VarjãoGimenes, Fernanda Raphael EscobarAtila, ElisabethMaggi, Luís EduardoAmaral, Thatiana Lameira Maciel2020-05-28T15:35:25Zoai:periodicos.ufc:article/31646Revistahttp://periodicos.ufc.br/renePUBhttp://periodicos.ufc.br/rene/oairene@ufc.br||2175-67831517-3852opendoar:2020-05-28T15:35:25Rev Rene (Online) - Universidade Federal do Ceará (UFC)false |
dc.title.none.fl_str_mv |
Risk factors for death in patients with sepsis in an intensive care unit Fatores de risco para morte em pacientes com sepse em uma unidade de terapia intensiva |
title |
Risk factors for death in patients with sepsis in an intensive care unit |
spellingShingle |
Risk factors for death in patients with sepsis in an intensive care unit Prado, Patricia Rezende do Intensive Care Units; Sepsis; Risk Factors; Death; Nursing Care. Unidades de Terapia Intensiva; Sepse; Fatores de Risco; Morte; Cuidados de Enfermagem. |
title_short |
Risk factors for death in patients with sepsis in an intensive care unit |
title_full |
Risk factors for death in patients with sepsis in an intensive care unit |
title_fullStr |
Risk factors for death in patients with sepsis in an intensive care unit |
title_full_unstemmed |
Risk factors for death in patients with sepsis in an intensive care unit |
title_sort |
Risk factors for death in patients with sepsis in an intensive care unit |
author |
Prado, Patricia Rezende do |
author_facet |
Prado, Patricia Rezende do Volpáti, Natasha Varjão Gimenes, Fernanda Raphael Escobar Atila, Elisabeth Maggi, Luís Eduardo Amaral, Thatiana Lameira Maciel |
author_role |
author |
author2 |
Volpáti, Natasha Varjão Gimenes, Fernanda Raphael Escobar Atila, Elisabeth Maggi, Luís Eduardo Amaral, Thatiana Lameira Maciel |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Prado, Patricia Rezende do Volpáti, Natasha Varjão Gimenes, Fernanda Raphael Escobar Atila, Elisabeth Maggi, Luís Eduardo Amaral, Thatiana Lameira Maciel |
dc.subject.por.fl_str_mv |
Intensive Care Units; Sepsis; Risk Factors; Death; Nursing Care. Unidades de Terapia Intensiva; Sepse; Fatores de Risco; Morte; Cuidados de Enfermagem. |
topic |
Intensive Care Units; Sepsis; Risk Factors; Death; Nursing Care. Unidades de Terapia Intensiva; Sepse; Fatores de Risco; Morte; Cuidados de Enfermagem. |
description |
Objective: to determine the main risk factors for death in patients with sepsis in an intensive care unit. Methods: it is a retrospective cohort study, wich included 126 patient chorts lhat had clinical and clinical and laboratory diagnosis of sepsis were considered eligible. The conditional probability of death was calculated through the Kaplan-Meier method and the risk of death was estimated by the hazard ratio, using a Cox regression model withp<0.050. Results: a total of 124 patients were included in the study. The main focus of infection was the respiratory system. Regarding the outcome, 40.3% patients with sepsis, 73.9% with severe sepsis and 69.2% with septic shock died. Patients with abdominal sepsis and using vasopressors were at higher risk of death. Conclusion: septic patients with abdominal source of infection and using vasopressor agents had a higher risk of dying, while patients who were tracheostomized had a better chance of living. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-04-10 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Estudo retrospectivo |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://periodicos.ufc.br/rene/article/view/31646 10.15253/2175-6783.2018193231 |
url |
http://periodicos.ufc.br/rene/article/view/31646 |
identifier_str_mv |
10.15253/2175-6783.2018193231 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
http://periodicos.ufc.br/rene/article/view/31646/pdf http://periodicos.ufc.br/rene/article/view/31646/pdf_1 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Rev Rene https://creativecommons.org/licenses/by-nc/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Rev Rene https://creativecommons.org/licenses/by-nc/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal do Ceará |
publisher.none.fl_str_mv |
Universidade Federal do Ceará |
dc.source.none.fl_str_mv |
Rev Rene; Vol 19 (2018): Rev Rene; e3231 Rev Rene; v. 19 (2018): Rev Rene; e3231 2175-6783 1517-3852 reponame:Rev Rene (Online) instname:Universidade Federal do Ceará (UFC) instacron:UFC |
instname_str |
Universidade Federal do Ceará (UFC) |
instacron_str |
UFC |
institution |
UFC |
reponame_str |
Rev Rene (Online) |
collection |
Rev Rene (Online) |
repository.name.fl_str_mv |
Rev Rene (Online) - Universidade Federal do Ceará (UFC) |
repository.mail.fl_str_mv |
rene@ufc.br|| |
_version_ |
1797174733197803520 |