Postoperative Haematocrit and Outcome in Critically Ill Surgical Patients
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7930 |
Resumo: | Introduction: Haematocrit has been studied as an outcome predictor. The aim of this study was to evaluate the correlation between low haematocrit at surgical intensive care unit admission and high disease scoring system score and early outcomes.Material and Methods: This retrospective study included 4398 patients admitted to the surgical intensive care unit between January 2006 and July 2013. Acute physiology and chronic health evaluation and simplified acute physiology score II values were calculated and all variables entered as parameters were evaluated independently. Patients were classified as haematocrit if they had a haematocrit < 30% at surgical intensive care unit admission. The correlation between admission haematocrit and outcome was evaluated by univariate analysis and linear regression.Results: A total of 1126 (25.6%) patients had haematocrit. These patients had higher rates of major cardiac events (4% vs 1.9%, p < 0.001), acute renal failure (11.5% vs 4.7%, p < 0.001), and mortality during surgical intensive care unit stay (3% vs 0.8%, p < 0.001) and hospital stay (12% vs 5.9%, p < 0.001).Discussion: A haematocrit level < 30% at surgical intensive care unit admission was frequent and appears to be a predictor for poorer outcome in critical surgical patients.Conclusion: Patients with haematocrit had longer surgical intensive care unit and hospital stay lengths, more postoperative complications, and higher surgical intensive care unit and hospital mortality rates. |
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Postoperative Haematocrit and Outcome in Critically Ill Surgical PatientsHematócrito Pós-operatório e Resultados numa População de Doentes Críticos CirúrgicosAnemiaCritical CareHematocritOutcome AssessmentPostoperative ComplicationsPostoperative PeriodAnemiaAvaliação de ResultadosComplicações Pós-OperatóriasCuidados CríticosHematócritoPeríodo Pós-OperatórioIntroduction: Haematocrit has been studied as an outcome predictor. The aim of this study was to evaluate the correlation between low haematocrit at surgical intensive care unit admission and high disease scoring system score and early outcomes.Material and Methods: This retrospective study included 4398 patients admitted to the surgical intensive care unit between January 2006 and July 2013. Acute physiology and chronic health evaluation and simplified acute physiology score II values were calculated and all variables entered as parameters were evaluated independently. Patients were classified as haematocrit if they had a haematocrit < 30% at surgical intensive care unit admission. The correlation between admission haematocrit and outcome was evaluated by univariate analysis and linear regression.Results: A total of 1126 (25.6%) patients had haematocrit. These patients had higher rates of major cardiac events (4% vs 1.9%, p < 0.001), acute renal failure (11.5% vs 4.7%, p < 0.001), and mortality during surgical intensive care unit stay (3% vs 0.8%, p < 0.001) and hospital stay (12% vs 5.9%, p < 0.001).Discussion: A haematocrit level < 30% at surgical intensive care unit admission was frequent and appears to be a predictor for poorer outcome in critical surgical patients.Conclusion: Patients with haematocrit had longer surgical intensive care unit and hospital stay lengths, more postoperative complications, and higher surgical intensive care unit and hospital mortality rates.Introdução: O valor do hematócrito tem sido estudado como preditor de resultados. O objetivo deste estudo foi avaliar a relação entre um hematócrito baixo na admissão a uma unidade de cuidados intensivos cirúrgica e os sistemas de gravidade bem como o seu impacto nos resultados tendo em conta as complicações e a mortalidade.Material e Métodos: Estudo retrospetivo incluindo 4398 doentes internados numa Unidade de Cuidados Intensivos Cirúrgica entre janeiro de 2006 e julho de 2013. Foram calculados os scores de gravidade acute physiology and chronic health evaluation II e o simplified acute physiology score II, e todas as variáveis inseridas como parâmetros foram avaliadas separadamente. Os doentes com um hematócrito à admissão na Unidade de Cuidados Intensivos Cirúrgica inferior a 30 foram classificados como doentes com hematócrito baixo. A relação entre o hematócrito na admissão e as complicações e o resultado foram avaliados com uma análise univariada e uma regressão linear.Resultados: Os doentes com classificados como doentes com hematócrito baixo foram 1126 (25,6%). Os doentes classificados como doentes com hematócrito baixo tiveram mais frequentemente eventos cardíacos major (4% vs 1,9%, p < 0,001), lesão renal aguda(11,5% vs 4,7%, p < 0,001) e maiores taxas de mortalidade quer na Unidade de Cuidados Intensivos Cirúrgica (3% vs 0,8%, p < 0,001) quer no internamento hospitalar (12% vs 5,9%, p < 0,001).Discussão: Um valor de hematócrito < 30% na admissão na Unidade de Cuidados Intensivos foi frequente e parece ser um preditor de piores resultados em doentes cirúrgicos críticos.Conclusão: Os doentes com hematócrito baixo tiveram mais tempo de internamento na Unidade de Cuidados Intensivos Cirúrgica e no hospital, tiveram mais complicações pós-operatórias e taxas de mortalidade na Unidade de Cuidados Intensivos Cirúrgica e no hospital mais elevadas.Ordem dos Médicos2017-08-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/mswordapplication/mswordapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7930oai:ojs.www.actamedicaportuguesa.com:article/7930Acta Médica Portuguesa; Vol. 30 No. 7-8 (2017): July-August; 555-560Acta Médica Portuguesa; Vol. 30 N.º 7-8 (2017): Julho-Agosto; 555-5601646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7930https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7930/5106https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7930/8598https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7930/8962https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7930/9304https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7930/9368Direitos de Autor (c) 2017 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessLopes, Ana MartinsSilva, DianaSousa, GabrielaSilva, JoanaSantos, AliceAbelha, Fernando José2022-12-20T11:05:22Zoai:ojs.www.actamedicaportuguesa.com:article/7930Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:31.306974Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Postoperative Haematocrit and Outcome in Critically Ill Surgical Patients Hematócrito Pós-operatório e Resultados numa População de Doentes Críticos Cirúrgicos |
title |
Postoperative Haematocrit and Outcome in Critically Ill Surgical Patients |
spellingShingle |
Postoperative Haematocrit and Outcome in Critically Ill Surgical Patients Lopes, Ana Martins Anemia Critical Care Hematocrit Outcome Assessment Postoperative Complications Postoperative Period Anemia Avaliação de Resultados Complicações Pós-Operatórias Cuidados Críticos Hematócrito Período Pós-Operatório |
title_short |
Postoperative Haematocrit and Outcome in Critically Ill Surgical Patients |
title_full |
Postoperative Haematocrit and Outcome in Critically Ill Surgical Patients |
title_fullStr |
Postoperative Haematocrit and Outcome in Critically Ill Surgical Patients |
title_full_unstemmed |
Postoperative Haematocrit and Outcome in Critically Ill Surgical Patients |
title_sort |
Postoperative Haematocrit and Outcome in Critically Ill Surgical Patients |
author |
Lopes, Ana Martins |
author_facet |
Lopes, Ana Martins Silva, Diana Sousa, Gabriela Silva, Joana Santos, Alice Abelha, Fernando José |
author_role |
author |
author2 |
Silva, Diana Sousa, Gabriela Silva, Joana Santos, Alice Abelha, Fernando José |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Lopes, Ana Martins Silva, Diana Sousa, Gabriela Silva, Joana Santos, Alice Abelha, Fernando José |
dc.subject.por.fl_str_mv |
Anemia Critical Care Hematocrit Outcome Assessment Postoperative Complications Postoperative Period Anemia Avaliação de Resultados Complicações Pós-Operatórias Cuidados Críticos Hematócrito Período Pós-Operatório |
topic |
Anemia Critical Care Hematocrit Outcome Assessment Postoperative Complications Postoperative Period Anemia Avaliação de Resultados Complicações Pós-Operatórias Cuidados Críticos Hematócrito Período Pós-Operatório |
description |
Introduction: Haematocrit has been studied as an outcome predictor. The aim of this study was to evaluate the correlation between low haematocrit at surgical intensive care unit admission and high disease scoring system score and early outcomes.Material and Methods: This retrospective study included 4398 patients admitted to the surgical intensive care unit between January 2006 and July 2013. Acute physiology and chronic health evaluation and simplified acute physiology score II values were calculated and all variables entered as parameters were evaluated independently. Patients were classified as haematocrit if they had a haematocrit < 30% at surgical intensive care unit admission. The correlation between admission haematocrit and outcome was evaluated by univariate analysis and linear regression.Results: A total of 1126 (25.6%) patients had haematocrit. These patients had higher rates of major cardiac events (4% vs 1.9%, p < 0.001), acute renal failure (11.5% vs 4.7%, p < 0.001), and mortality during surgical intensive care unit stay (3% vs 0.8%, p < 0.001) and hospital stay (12% vs 5.9%, p < 0.001).Discussion: A haematocrit level < 30% at surgical intensive care unit admission was frequent and appears to be a predictor for poorer outcome in critical surgical patients.Conclusion: Patients with haematocrit had longer surgical intensive care unit and hospital stay lengths, more postoperative complications, and higher surgical intensive care unit and hospital mortality rates. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-08-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7930 oai:ojs.www.actamedicaportuguesa.com:article/7930 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7930 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/7930 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7930 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7930/5106 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7930/8598 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7930/8962 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7930/9304 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7930/9368 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2017 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa |
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openAccess |
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application/pdf application/pdf application/msword application/msword application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 30 No. 7-8 (2017): July-August; 555-560 Acta Médica Portuguesa; Vol. 30 N.º 7-8 (2017): Julho-Agosto; 555-560 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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