Epidemiologia e avaliação da mortalidade em uma UTI mista de Sergipe segundo o escore SAPS 3

• Autor(a) principal: Assis, Luiz Gabriel Ribeiro de
• Data de Publicação: 2019
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UFS
• Texto Completo: http://ri.ufs.br/jspui/handle/riufs/12771
• topic: Epidemiologia; Unidade de tratamento intensivo; Mortalidade; Cuidados críticos; Unidade de terapia intensiva; Mortalidade hospitalar; Índice de gravidade de doença; SAPS 3; Critical care; Hospital Mortality; Intensive Care Units; Epidemiology; Severity of illness index; SAPS 3

Objective: To describe ver epidemiological profile and evaluate the mortality of the patients admitted to ver intensive care unit (ICU) according to the prognostic index Simplified Acute Physiology Score (SAPS) 3 calculation through its global and customized equation for Latin America. Methods: It is a prospective cohort performed at a mixed ICU in Sergipe between September 2018 and March 2019. The clinical and demographic data, besides the variables for the score calculation were collected in medical records. The Standardized Mortality Ratio (SMR), discrimination and calibration were calculated for both equations. Results: We included 78 patients, 60% of them male. The mean age was 61.7 ± 17.2 years. Respiratory infections were the main causes of hospitalization (32.1%). The lowest value of SAPS 3 was 13 and the highest 90, mean of 65.9 ± 25.5. The observed mortality rate was 61.5%, and the assumed average was 47.4% for the global equation (SMR = 1.3) and 57.8% for the customized (SMR = 1.04). SAPS 3 demonstrated adequate discrimination and calibration. Conclusion: A high mortality rate was identified in the study, however, the average SAPS 3 score found was also superior to most publications. The epidemiological profile observed was close to those of other similar units. Both equations presented adequate calibration and discrimination, the customized one showing superior performance.