Desempeño de índices de gravedad para estimar riesgo de muerte en Unidades de Terapia Intensiva

• Autor(a) principal: Silva, Lilian Carvalho da
• Data de Publicação: 2012
• Outros Autores: Nogueira, Lilia de Souza, Settervall, Cristina Helena Costanti, Sousa, Regina Marcia Cardoso de, Padilha, Katia Grillo
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista da Escola de Enfermagem da USP (Online)
• Texto Completo: https://www.revistas.usp.br/reeusp/article/view/48096
• topic: Mortalidad; Unidades de Cuidados Intensivos; Índice de Severidad de la Enfermedad; Atención de enfermería; Mortality; Intensive Care Units; Severity of Illness Index; Nursing care; Mortalidade; Unidades de Terapia Intensiva; Índice de Gravidade de Doença; Cuidados de enfermagem

The Simplified Acute Physiology Score II (SAPS II) and Logistic Organ Dysfunction System (LODS) are instruments used to classify Intensive Care Unit (ICU) inpatients according to the severity of their condition and risk of death, and evaluate the quality of nursing care. The objective of this study is to evaluate and compare the performance of SAPS II and LODS to predict the mortality of patients admitted to the ICU. The participants were 600 patients from four ICUs located in São Paulo, Brazil. Receiver Operator Characteristic (ROC) curves were used to compare the performance of the indexes. Results: The areas under the ROC curves of LODS (0.69) and SAPS II (0.71) indicated moderate discriminatory capacity to identify death or survival. No statistically significant differences were found between these areas (p=0.26). In conclusion, there was equivalence between SAPS II and LODS to estimate the risk of death of ICU patients.