The effects of performance status one week before hospital admission on the outcomes of critically ill patients
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2017 |
| Outros Autores: | , , , , , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/32001 |
Resumo: | 2020-12-31 |
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Zampieri, Fernando G.Bozza, Fernando A.Moralez, Giulliana M.Mazza, Débora D. S.Scotti, Alexandre V.Santino, Marcelo S.Ribeiro, Rubens A. B.Rodrigues Filho, Edison M.Cabral, Maurício M.Maia, Marcelo O.D'Alessandro, Patrícia S.Oliveira, Sandro V.Menezes, Márcia A. M.Caser, Eliana B.Lannes, Roberto S.Alencar Neto, Meton S.Machado, Maristela M.Sousa, Marcelo F.Salluh, Jorge I. F.Soares, Marcio2019-03-08T14:28:56Z2019-03-08T14:28:56Z2017ZAMPIERI, Fernando G. et al. The effects of performance status one week before hospital admission on the outcomes of critically ill patients. Intensive Care Medicine, v. 43, p. 39–47, 2017.0342-4642https://www.arca.fiocruz.br/handle/icict/3200110.1007/s00134-016-4563-51432-1238engSpringerThe effects of performance status one week before hospital admission on the outcomes of critically ill patientsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2020-12-31Hospital do Coração. Research Institute. São Paulo, SP, Brasil / Hospital Alemão Oswaldo Cruz. Intensive Care Unit. São Paulo, SP, Brasil.D’Or Institute for Research and Education. Department of Critical Care. Rio de Janeiro, RJ, Brazil / Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.D’Or Institute for Research and Education. Department of Critical Care. Rio de Janeiro, RJ, Brazil / Hospital Estadual Getúlio Vargas. Intensive Care Unit. Rio de Janeiro, RJ, Brasil.Hospital São Luiz. Intensive Care Unit. São Paulo, SP, Brasil.Hospital Israelita Albert Sabin. Intensive Care Unit. Rio de Janeiro, RJ, Brasil.Hospital Barra D’Or. Intensive Care Unit. Rio de Janeiro, RJ, Brasil.Hospital Anchieta. Intensive Care Unit. Taguatinga, DF, Brasil.Complexo Hospitalar Santa Casa de Misericórdia de Porto Alegre. Porto Alegre, RS, Brasil.Hospital São Marcos. Intensive Care Unit. Recife, PE, Brasil.Hospital Santa Luzia. Intensive Care Unit. Brasília, DF, Brasil.Clínica São Vicente. Intensive Care Unit. Rio de Janeiro, RJ, Brasil.Hospital Bangu. Intensive Care Unit. Rio de Janeiro, RJ, Brasil.Hospital Oeste D’Or. Intensive Care Unit. Rio de Janeiro, RJ, Brasil.Hospital Unimed Vitória. Intensive Care Unit. Vitória, ES, Brasil.Hospital Municipal Souza Aguiar. Intensive Care Unit. Rio de Janeiro, RJ, Brasil.Hospital Regional do Cariri. Intensive Care Unit. Juazeiro do Norte, CE, Brasil.Hospital Agenor Paiva. Intensive Care Unit. Salvador, BA, Brasil.Santa Casa de Caridade de Diamantina. Intensive Care Unit. Diamantina, MG, Brasil.D’Or Institute for Research and Education. Department of Critical Care. Rio de Janeiro, RJ, Brazil / Universidade Federal do Rio de Janeiro. Postgraduate Program of Internal Medicine. Rio de Janeiro, RJ, Brasil.D’Or Institute for Research and Education. Department of Critical Care. Rio de Janeiro, RJ, Brazil / Universidade Federal do Rio de Janeiro. Postgraduate Program of Internal Medicine. Rio de Janeiro, RJ, Brasil.Purpose: To assess the impact of performance status (PS) impairment 1 week before hospital admission on the outcomes in patients admitted to intensive care units (ICU). Methods: Retrospective cohort study in 59,693 patients (medical admissions, 67 %) admitted to 78 ICUs during 2013. We classified PS impairment according to the Eastern Cooperative Oncology Group (ECOG) scale in absent/minor (PS = 0–1), moderate (PS = 2) or severe (PS = 3–4). We used univariate and multivariate logistic regression analyses to investigate the association between PS impairment and hospital mortality. Results: PS impairment was moderate in 17.3 % and severe in 6.9 % of patients. The hospital mortality was 14.4 %. Overall, the worse the PS, the higher the ICU and hospital mortality and length of stay. In addition, patients with worse PS were less frequently discharged home. PS impairment was associated with worse outcomes in all SAPS 3, Charlson Comorbidity Index and age quartiles as well as according to the admission type. Adjusting for other relevant clinical characteristics, PS impairment was associated with higher hospital mortality (odds-ratio (OR) = 1.96 (95 % CI 1.63–2.35), for moderate and OR = 4.22 (3.32–5.35), for severe impairment). The effects of PS on the outcome were particularly relevant in the medium range of severity-of-illness. These results were consistent in the subgroup analyses. However, adding PS impairment to the SAPS 3 score improved only slightly its discriminative capability. Conclusion: PS impairment was associated with worse outcomes independently of other markers of chronic health status, particularly for patients in the medium range of severity of illness.Performance statusCritical careOutcomesMarkers of baseline health statusinfo: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/32001/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALve_Zampieri_Fernando_etal_INI_2017.pdfve_Zampieri_Fernando_etal_INI_2017.pdfapplication/pdf1715196https://www.arca.fiocruz.br/bitstream/icict/32001/2/ve_Zampieri_Fernando_etal_INI_2017.pdfdde7ac0d7d745cd5f1900ae082182ba0MD52TEXTve_Zampieri_Fernando_etal_INI_2017.pdf.txtve_Zampieri_Fernando_etal_INI_2017.pdf.txtExtracted 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| dc.title.pt_BR.fl_str_mv |
The effects of performance status one week before hospital admission on the outcomes of critically ill patients |
| title |
The effects of performance status one week before hospital admission on the outcomes of critically ill patients |
| spellingShingle |
The effects of performance status one week before hospital admission on the outcomes of critically ill patients Zampieri, Fernando G. Performance status Critical care Outcomes Markers of baseline health status |
| title_short |
The effects of performance status one week before hospital admission on the outcomes of critically ill patients |
| title_full |
The effects of performance status one week before hospital admission on the outcomes of critically ill patients |
| title_fullStr |
The effects of performance status one week before hospital admission on the outcomes of critically ill patients |
| title_full_unstemmed |
The effects of performance status one week before hospital admission on the outcomes of critically ill patients |
| title_sort |
The effects of performance status one week before hospital admission on the outcomes of critically ill patients |
| author |
Zampieri, Fernando G. |
| author_facet |
Zampieri, Fernando G. Bozza, Fernando A. Moralez, Giulliana M. Mazza, Débora D. S. Scotti, Alexandre V. Santino, Marcelo S. Ribeiro, Rubens A. B. Rodrigues Filho, Edison M. Cabral, Maurício M. Maia, Marcelo O. D'Alessandro, Patrícia S. Oliveira, Sandro V. Menezes, Márcia A. M. Caser, Eliana B. Lannes, Roberto S. Alencar Neto, Meton S. Machado, Maristela M. Sousa, Marcelo F. Salluh, Jorge I. F. Soares, Marcio |
| author_role |
author |
| author2 |
Bozza, Fernando A. Moralez, Giulliana M. Mazza, Débora D. S. Scotti, Alexandre V. Santino, Marcelo S. Ribeiro, Rubens A. B. Rodrigues Filho, Edison M. Cabral, Maurício M. Maia, Marcelo O. D'Alessandro, Patrícia S. Oliveira, Sandro V. Menezes, Márcia A. M. Caser, Eliana B. Lannes, Roberto S. Alencar Neto, Meton S. Machado, Maristela M. Sousa, Marcelo F. Salluh, Jorge I. F. Soares, Marcio |
| author2_role |
author author author author author author author author author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Zampieri, Fernando G. Bozza, Fernando A. Moralez, Giulliana M. Mazza, Débora D. S. Scotti, Alexandre V. Santino, Marcelo S. Ribeiro, Rubens A. B. Rodrigues Filho, Edison M. Cabral, Maurício M. Maia, Marcelo O. D'Alessandro, Patrícia S. Oliveira, Sandro V. Menezes, Márcia A. M. Caser, Eliana B. Lannes, Roberto S. Alencar Neto, Meton S. Machado, Maristela M. Sousa, Marcelo F. Salluh, Jorge I. F. Soares, Marcio |
| dc.subject.en.pt_BR.fl_str_mv |
Performance status Critical care Outcomes Markers of baseline health status |
| topic |
Performance status Critical care Outcomes Markers of baseline health status |
| description |
2020-12-31 |
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2017 |
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2017 |
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2019-03-08T14:28:56Z |
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2019-03-08T14:28:56Z |
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ZAMPIERI, Fernando G. et al. The effects of performance status one week before hospital admission on the outcomes of critically ill patients. Intensive Care Medicine, v. 43, p. 39–47, 2017. |
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https://www.arca.fiocruz.br/handle/icict/32001 |
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0342-4642 |
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10.1007/s00134-016-4563-5 |
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1432-1238 |
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ZAMPIERI, Fernando G. et al. The effects of performance status one week before hospital admission on the outcomes of critically ill patients. Intensive Care Medicine, v. 43, p. 39–47, 2017. 0342-4642 10.1007/s00134-016-4563-5 1432-1238 |
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Springer |
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Springer |
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