Deterioração clínica no código sepse em pacientes graves: estudo retrospectivo
DOI:
https://doi.org/10.55892/jrg.v7i15.1453Palavras-chave:
Deterioração clínica, Sepse, Gravidade do Paciente, Escore de Alerta PrecoceResumo
Objetivos: Analisar a deterioração clínica em pacientes graves com comorbidades complexas no código sepse em internamento hospitalar. Método: Estudo transversal, retrospectivo, descritivo e qualitativo entre 2022 e 2023, com 80 participantes. Aplicado o modelo misto linear generalizado (GLMM) como técnica estatística e teste F foi para avaliar a significância dos GLMMs, com aplicação do método Kenward-Roger. Resultados: Ao distribuir a população entre os desfechos UTI, óbito e UTI com óbito, houve aumento em 60% da mediana do NEWS 18 horas e 70% nas 6 horas antes do acionamento. Em relação a amostra geral e pacientes na UTI, houve aumento superior a 60% 6 horas antes do código. Todos os dados de elevação do NEWS, para o mesmo paciente, 6 horas antes do código apresentou significância estatística para piores desfechos(p<0,001). Conclusão: O NEWS em conjunto com o ICCi apresentou significância para população grave em código sepse, apresentando comportamento bimodal em desfechos óbitos, que sugere predizer deterioração clínica em toda a amostra.
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