Mortalidade oculta em pacientes sépticos após alta da unidade de terapia intensiva
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/87238 |
Resumo: | OBJECTIVE: To evaluate the impact of the presence of sepsis on in-hospital mortality after intensive care unit discharge. METHODS: Retrospective, observational, single-center study. All consecutive patients discharged alive from the intensive care unit of Hospital Vila Franca de Xira (Portugal) from January 1 to December 31, 2015 (N = 473) were included and followed until death or hospital discharge. In-hospital mortality after intensive care unit discharge was calculated for septic and non-septic patients. RESULTS: A total of 61 patients (12.9%) died in the hospital after being discharged alive from the intensive care unit. This rate was higher among the patients with sepsis on admission, 21.4%, whereas the in-hospital, post-intensive care unit mortality rate for the remaining patients was nearly half that, 9.3% (p < 0.001). Other patient characteristics associated with mortality were advanced age (p = 0.02), male sex (p < 0.001), lower body mass index (p = 0.02), end-stage renal disease (p = 0.04) and high Simplified Acute Physiology Score II (SAPS II) at intensive care unit admission (p < 0.001), the presence of shock (p < 0.001) and medical admission (p < 0.001). We developed a logistic regression model and identified the independent predictors of in-hospital mortality after intensive care unit discharge. CONCLUSION: Admission to the intensive care unit with a sepsis diagnosis is associated with an increased risk of dying in the hospital, not only in the intensive care unit but also after resolution of the acute process and discharge from the intensive care unit. |
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Mortalidade oculta em pacientes sépticos após alta da unidade de terapia intensivaHidden hospital mortality in patients with sepsis discharged from the intensive care unitOBJECTIVE: To evaluate the impact of the presence of sepsis on in-hospital mortality after intensive care unit discharge. METHODS: Retrospective, observational, single-center study. All consecutive patients discharged alive from the intensive care unit of Hospital Vila Franca de Xira (Portugal) from January 1 to December 31, 2015 (N = 473) were included and followed until death or hospital discharge. In-hospital mortality after intensive care unit discharge was calculated for septic and non-septic patients. RESULTS: A total of 61 patients (12.9%) died in the hospital after being discharged alive from the intensive care unit. This rate was higher among the patients with sepsis on admission, 21.4%, whereas the in-hospital, post-intensive care unit mortality rate for the remaining patients was nearly half that, 9.3% (p < 0.001). Other patient characteristics associated with mortality were advanced age (p = 0.02), male sex (p < 0.001), lower body mass index (p = 0.02), end-stage renal disease (p = 0.04) and high Simplified Acute Physiology Score II (SAPS II) at intensive care unit admission (p < 0.001), the presence of shock (p < 0.001) and medical admission (p < 0.001). We developed a logistic regression model and identified the independent predictors of in-hospital mortality after intensive care unit discharge. CONCLUSION: Admission to the intensive care unit with a sepsis diagnosis is associated with an increased risk of dying in the hospital, not only in the intensive care unit but also after resolution of the acute process and discharge from the intensive care unit.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNAguiar-Ricardo, InêsMateus, HéliaGonçalves-Pereira, João2019-11-13T23:47:05Z2019-06-102019-06-10T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article7application/pdfhttp://hdl.handle.net/10362/87238por0103-507XPURE: 15406844https://doi.org/10.5935/0103-507X.20190037info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:38:55Zoai:run.unl.pt:10362/87238Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:36:44.197088Repositório 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 |
Mortalidade oculta em pacientes sépticos após alta da unidade de terapia intensiva Hidden hospital mortality in patients with sepsis discharged from the intensive care unit |
title |
Mortalidade oculta em pacientes sépticos após alta da unidade de terapia intensiva |
spellingShingle |
Mortalidade oculta em pacientes sépticos após alta da unidade de terapia intensiva Aguiar-Ricardo, Inês |
title_short |
Mortalidade oculta em pacientes sépticos após alta da unidade de terapia intensiva |
title_full |
Mortalidade oculta em pacientes sépticos após alta da unidade de terapia intensiva |
title_fullStr |
Mortalidade oculta em pacientes sépticos após alta da unidade de terapia intensiva |
title_full_unstemmed |
Mortalidade oculta em pacientes sépticos após alta da unidade de terapia intensiva |
title_sort |
Mortalidade oculta em pacientes sépticos após alta da unidade de terapia intensiva |
author |
Aguiar-Ricardo, Inês |
author_facet |
Aguiar-Ricardo, Inês Mateus, Hélia Gonçalves-Pereira, João |
author_role |
author |
author2 |
Mateus, Hélia Gonçalves-Pereira, João |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
dc.contributor.author.fl_str_mv |
Aguiar-Ricardo, Inês Mateus, Hélia Gonçalves-Pereira, João |
description |
OBJECTIVE: To evaluate the impact of the presence of sepsis on in-hospital mortality after intensive care unit discharge. METHODS: Retrospective, observational, single-center study. All consecutive patients discharged alive from the intensive care unit of Hospital Vila Franca de Xira (Portugal) from January 1 to December 31, 2015 (N = 473) were included and followed until death or hospital discharge. In-hospital mortality after intensive care unit discharge was calculated for septic and non-septic patients. RESULTS: A total of 61 patients (12.9%) died in the hospital after being discharged alive from the intensive care unit. This rate was higher among the patients with sepsis on admission, 21.4%, whereas the in-hospital, post-intensive care unit mortality rate for the remaining patients was nearly half that, 9.3% (p < 0.001). Other patient characteristics associated with mortality were advanced age (p = 0.02), male sex (p < 0.001), lower body mass index (p = 0.02), end-stage renal disease (p = 0.04) and high Simplified Acute Physiology Score II (SAPS II) at intensive care unit admission (p < 0.001), the presence of shock (p < 0.001) and medical admission (p < 0.001). We developed a logistic regression model and identified the independent predictors of in-hospital mortality after intensive care unit discharge. CONCLUSION: Admission to the intensive care unit with a sepsis diagnosis is associated with an increased risk of dying in the hospital, not only in the intensive care unit but also after resolution of the acute process and discharge from the intensive care unit. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-11-13T23:47:05Z 2019-06-10 2019-06-10T00:00:00Z |
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 |
http://hdl.handle.net/10362/87238 |
url |
http://hdl.handle.net/10362/87238 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
0103-507X PURE: 15406844 https://doi.org/10.5935/0103-507X.20190037 |
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info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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7 application/pdf |
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RCAAP |
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RCAAP |
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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) |
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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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