The impact of body mass index on the prognostic performance of the simplified acute physiology Score 3: a prospective cohort study
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2022 |
| Outros Autores: | , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | por |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/52091 |
Resumo: | National Institute of Allergy and Infectious Doenças. Institutos Nacionais de Saúde (Programa de Pesquisa Intramural). EUA, Universidade do Estado da Bahia. Coordenação de Aperfeiçoamento de Pessoal de Nível Superior. Fundação de Amparo a Pesquisa do Estado da Bahia. Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq). |
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Ferreira, Isabella B.B.Menezes, Rodrigo C.Otero, Matheus L.Carmo, Thomas A.Agareno, Gabriel A.Telles, Gabriel P.Fahel, Bruno V.B.Arriaga, María B.Fukutani, Kiyoshi F.Pamplona Neto, LicurgoAgareno, SydneyAkrami, Kevan M.Filgueiras Filho, Nivaldo M.Andrade, Bruno B.2022-04-07T15:37:01Z2022-04-07T15:37:01Z2022FERREIRA, Isabella B.B. et al. The impact of body mass index on the prognostic performance of the simplified acute physiology score 3: a prospective cohort study. Heliyon, v. 8, n. 3, p. 1-17, 2022.2405-8440https://www.arca.fiocruz.br/handle/icict/5209110.1016/j.heliyon.2022.e09188National Institute of Allergy and Infectious Doenças. Institutos Nacionais de Saúde (Programa de Pesquisa Intramural). EUA, Universidade do Estado da Bahia. Coordenação de Aperfeiçoamento de Pessoal de Nível Superior. Fundação de Amparo a Pesquisa do Estado da Bahia. Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq).Universidade do Estado da Bahia. Salvador, BA, Brasil / Rede de Organizações Multinacionais Patrocinando Iniciativa de Pesquisa Translacional e Epidemiológica. Salvador, BA, Brasil / Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil / Hospital da Cidade. Salvador, BA, Brasil.Rede de Organizações Multinacionais Patrocinando Iniciativa de Pesquisa Translacional e Epidemiológica. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Faculdade de Medicina da Bahia. Salvador, BA, Brasil / Hospital da Cidade. Salvador, BA, Brasil.Universidade Salvador. Salvador, BA, Brasil.Rede de Organizações Multinacionais Patrocinando Iniciativa de Pesquisa Translacional e Epidemiológica. Salvador, BA, Brasil / Universidade Salvador. Salvador, BA, Brasil / Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Universidade Salvador. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil.Rede de Organizações Multinacionais Patrocinando Iniciativa de Pesquisa Translacional e Epidemiológica. Salvador, BA, Brasil/ Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Faculdade de Medicina da Bahia. Salvador, BA, Brasil.Rede de Organizações Multinacionais Patrocinando Iniciativa de Pesquisa Translacional e Epidemiológica. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil.Hospital da Cidade. Unidade de Tratamento Intensivo. Salvador, BA, Brasil.Hospital da Cidade. Unidade de Tratamento Intensivo. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Faculdade de Medicina da Bahia. Salvador, BA, Brasil / Hospital da Cidade. Unidade de Tratamento Intensivo. Salvador, BA, Brasil.Universidade do Estado da Bahia. Salvador, BA, Brasil / Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil / Hospital da Cidade. Salvador, BA, Brasil.Rede de Organizações Multinacionais Patrocinando Iniciativa de Pesquisa Translacional e Epidemiológica. Salvador, BA, Brasil / Universidade Salvador. Salvador, BA, Brasil / Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Faculdade de Medicina da Bahia. Salvador, BA, Brasil.Objective: To assess the Simplified Acute Physiology Score 3 (SAPS3) prognostic score performance across different body mass index categories. Methods: A retrospective cohort study in a general ICU in Brazil. A secondary analysis of medical records was performed with clinical and epidemiological data. Patients were stratified according to their body mass index (BMI) category, and a binary logistic regression was then performed to identify factors independently associated with mortality. SAPS3 accuracy was determined using the area under the receiver operating characteristics curve and the Hosmer-Lemeshow test. A modified Kaplan-Meyer plot was employed to evaluate death probability according to BMI. ICU mortality was evaluated as the primary outcome. Results: A total of 2,179 patients (mean age of 67.9 years and female predominance (53.1%)) were enrolled. SAPS3 was found accurate in all groups except in the underweight (AUC: 0.694 95% CI 0.616–0.773; HL = 0.042). The patients in the underweight group tended to be older, have longer hospital stay, have worse functional status, and have a higher value on prognostic scores. After the adjustments, no statistically significant difference between the BMI groups was noted in relation to mortality, except for the low weight that presented a likelihood of death of 3.50 (95% CI, 1.43–8.58, p = 0.006). Conclusion: This research showed that SAPS3 had poor accuracy in predicting ICU mortality in underweight patients. This group was shown to be an independent risk factor for worse clinical outcomes.porElsevierUnidades de Terapia IntensivaÍndice de Massa CorporalMortalidadePrognósticoIntensive Care UnitsBody Mass IndexMortalityPrognosisUnidades de Cuidados IntensivosÍndice de Masa CorporalMortalidadPronósticoUnités de soins intensifsIndice de masse corporelleMortalitéPronosticThe impact of body mass index on the prognostic performance of the simplified acute physiology Score 3: a prospective cohort studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/52091/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALFerreira, Isabella B.B. - The impact of body mass index on the prognostic.pdfFerreira, Isabella B.B. - The impact of body mass 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| dc.title.pt_BR.fl_str_mv |
The impact of body mass index on the prognostic performance of the simplified acute physiology Score 3: a prospective cohort study |
| title |
The impact of body mass index on the prognostic performance of the simplified acute physiology Score 3: a prospective cohort study |
| spellingShingle |
The impact of body mass index on the prognostic performance of the simplified acute physiology Score 3: a prospective cohort study Ferreira, Isabella B.B. Unidades de Terapia Intensiva Índice de Massa Corporal Mortalidade Prognóstico Intensive Care Units Body Mass Index Mortality Prognosis Unidades de Cuidados Intensivos Índice de Masa Corporal Mortalidad Pronóstico Unités de soins intensifs Indice de masse corporelle Mortalité Pronostic |
| title_short |
The impact of body mass index on the prognostic performance of the simplified acute physiology Score 3: a prospective cohort study |
| title_full |
The impact of body mass index on the prognostic performance of the simplified acute physiology Score 3: a prospective cohort study |
| title_fullStr |
The impact of body mass index on the prognostic performance of the simplified acute physiology Score 3: a prospective cohort study |
| title_full_unstemmed |
The impact of body mass index on the prognostic performance of the simplified acute physiology Score 3: a prospective cohort study |
| title_sort |
The impact of body mass index on the prognostic performance of the simplified acute physiology Score 3: a prospective cohort study |
| author |
Ferreira, Isabella B.B. |
| author_facet |
Ferreira, Isabella B.B. Menezes, Rodrigo C. Otero, Matheus L. Carmo, Thomas A. Agareno, Gabriel A. Telles, Gabriel P. Fahel, Bruno V.B. Arriaga, María B. Fukutani, Kiyoshi F. Pamplona Neto, Licurgo Agareno, Sydney Akrami, Kevan M. Filgueiras Filho, Nivaldo M. Andrade, Bruno B. |
| author_role |
author |
| author2 |
Menezes, Rodrigo C. Otero, Matheus L. Carmo, Thomas A. Agareno, Gabriel A. Telles, Gabriel P. Fahel, Bruno V.B. Arriaga, María B. Fukutani, Kiyoshi F. Pamplona Neto, Licurgo Agareno, Sydney Akrami, Kevan M. Filgueiras Filho, Nivaldo M. Andrade, Bruno B. |
| author2_role |
author author author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Ferreira, Isabella B.B. Menezes, Rodrigo C. Otero, Matheus L. Carmo, Thomas A. Agareno, Gabriel A. Telles, Gabriel P. Fahel, Bruno V.B. Arriaga, María B. Fukutani, Kiyoshi F. Pamplona Neto, Licurgo Agareno, Sydney Akrami, Kevan M. Filgueiras Filho, Nivaldo M. Andrade, Bruno B. |
| dc.subject.other.pt_BR.fl_str_mv |
Unidades de Terapia Intensiva Índice de Massa Corporal Mortalidade Prognóstico |
| topic |
Unidades de Terapia Intensiva Índice de Massa Corporal Mortalidade Prognóstico Intensive Care Units Body Mass Index Mortality Prognosis Unidades de Cuidados Intensivos Índice de Masa Corporal Mortalidad Pronóstico Unités de soins intensifs Indice de masse corporelle Mortalité Pronostic |
| dc.subject.en.pt_BR.fl_str_mv |
Intensive Care Units Body Mass Index Mortality Prognosis |
| dc.subject.es.pt_BR.fl_str_mv |
Unidades de Cuidados Intensivos Índice de Masa Corporal Mortalidad Pronóstico |
| dc.subject.fr.pt_BR.fl_str_mv |
Unités de soins intensifs Indice de masse corporelle Mortalité Pronostic |
| description |
National Institute of Allergy and Infectious Doenças. Institutos Nacionais de Saúde (Programa de Pesquisa Intramural). EUA, Universidade do Estado da Bahia. Coordenação de Aperfeiçoamento de Pessoal de Nível Superior. Fundação de Amparo a Pesquisa do Estado da Bahia. Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq). |
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2022 |
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2022-04-07T15:37:01Z |
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2022-04-07T15:37:01Z |
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2022 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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FERREIRA, Isabella B.B. et al. The impact of body mass index on the prognostic performance of the simplified acute physiology score 3: a prospective cohort study. Heliyon, v. 8, n. 3, p. 1-17, 2022. |
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https://www.arca.fiocruz.br/handle/icict/52091 |
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2405-8440 |
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10.1016/j.heliyon.2022.e09188 |
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FERREIRA, Isabella B.B. et al. The impact of body mass index on the prognostic performance of the simplified acute physiology score 3: a prospective cohort study. Heliyon, v. 8, n. 3, p. 1-17, 2022. 2405-8440 10.1016/j.heliyon.2022.e09188 |
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Elsevier |
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Elsevier |
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