Please use this identifier to cite or link to this item: http://www.repositorio.ufc.br/handle/riufc/30933
Title in Portuguese: Identification of the severity and use of interventions in neonates with perinatal asphyxia
Author: Carneiro, Jéssica Lourenço
Mendes, Igor Cordeiro
Gomes, Priscila Pereira de Souza
Brito, Edgla Graciela Ferreira Moreira de
Rebouças, Cristiana Brasil de Almeida
Damasceno, Ana Kelve de Castro
Keywords: Neonatal Nursing
Intensive Care Units, Neonatal
Enfermagem Neonatal
Unidades de Terapia Intensiva Neonatal
Issue Date: 2018
Publisher: Rev Rene
Citation: CARNEIRO, J. L. et al. Identification of the severity and use of interventions in neonates with perinatal asphyxia. Rev Rene, Fortaleza, v. 19, e3310, 2018.
Abstract in Portuguese: Objetivo: determinar os principais fatores de risco para a morte em pacientes com sepse em uma unidade de terapia intensiva. Métodos: trata-se de uma coorte retrospectiva, onde foram incluídos 124 prontuários de pacientes que tiveram diagnóstico clínico e laboratorial de sepse. A probabilidade condicional de morte foi calculada através do método de Kaplan-Meier; o risco de morte foi estimado pela razão de risco, utilizando modelo de regressão de Cox com p<0,050. Resultados: o foco principal da infecção foi o sistema respiratório. Em relação ao desfecho, morreram 40,3% pacientes com sepse, 73,9% com sepse grave e 69,2% com choque séptico. Os pacientes com sepse abdominal e que utilizaram vasopressores apresentaram maior risco de morte. Conclusão: pacientes sépticos com fonte abdominal de infecção e fazendo uso de agentes vasopressores apresentaram maior risco de morte, enquanto que pacientes traqueostomizados tiveram melhores chances de sobreviver.
Abstract: Objective: to determine the main risk factors for death in patients with sepsis in an intensive care unit. Methods: it is a retrospective cohort study, wich included 126 patient chorts lhat had clinical and clinical and laboratory diagnosis of sepsis were considered eligible. The conditional probability of death was calculated through the Kaplan-Meier method and the risk of death was estimated by the hazard ratio, using a Cox regression model with p<0.050. Results: a total of 124 patients were included in the study. The main focus of infection was the respiratory system. Regarding the outcome, 40.3% patients with sepsis, 73.9% with severe sepsis and 69.2% with septic shock died. Patients with abdominal sepsis and using vasopressors were at higher risk of death. Conclusion: septic patients with abdominal source of infection and using vasopressor agents had a higher risk of dying, while patients who were tracheostomized had a better chance of living.
URI: http://www.repositorio.ufc.br/handle/riufc/30933
metadata.dc.type: Artigo de Periódico
ISSN: 2175-6783 (On line)
Appears in Collections:DENF - Artigos publicados em revistas científicas

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