Bem vindo, Visitante! [ Cadastre-se | Entrar

R$63.00

To predict mortality than APACHE II. However, the mortality was overestimated

  • Rua: Buelowstrasse 99
  • Cidade: Lirstal
  • Estado: Roraima
  • País: Guiana Francesa
  • CEP: 56767
  • Últimos itens listados 15/10/2021 8:38
  • Expira em: 9104 Dias, 11 Horas

Descrição

To predict mortality than APACHE II. However, the mortality was overestimated by this score.Table 1 (abstract P410) SPA score 1A 1B 2A 2BaLowSurgical factora Low complexity Low complexity Moderate complexity Moderate complexity High complexityPatient factorb ?comorbidities + comorbidities ?comorbidities + comorbidities ?comorbiditiesP409 Comparison of prognostic scores at a pediatric ICUD Soysal, Y Baran, N Uzel Istanbul Medical Faculty, Istanbul, Turkey Critical Care 2006, 10(Suppl 1):P409 (doi: 10.1186/cc4756) Objective The main aim of the pediatric intensive care unit (PICU) is promoting qualified care with the objective of achieving the best results and better prognosis for critically ill children. One means of comparing the quality and efficacy of care provided at a given unit is made by risk adjustment systems. The principal scores that have been developed for the pediatric population are the Pediatric Risk of Mortality (PRISM) and Pediatric Index of Mortality (PIM) scores. Our aim in this study was to compare the commonly used pediatric mortality risk scoring systems and to assess the feasibility of using these scoring systems in developing countries Methods The cohort study conducted prospectively in an eight-bed tertiary medical PICU in University Children’s Hospital from December 2002 to July 2004. The scoring systems compared were PRISM III-12, PRISM III-24 and PIM-2. Observed and expected mortality were compared PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/2805811 – https://www.ncbi.nlm.nih.gov/pubmed/2805811 by the Lemeshow osmer goodness-of-fit 2 test. Mortality was also standardized for case mix using the standardized mortality ratio (SMR). Mortality discrimination was quantified by calculation of the area under the receiver perating characteristic curve. Results During the study period, 334 patients enrolled to the study. Eighty-four (25.7 ) of the 334 patients studied died. Estimated mortality by PRISM III-12 was 38.71 with a standardized mortality rate of 2.17, by PRISM III-24 was 46.99 with a standardized mortality rate of 1.78, and 5-DHPG – https://best-ultrasonic-cleaner.blog/forum/profile/ariannefgs8025/ by PIM-2 was 32.4 with a standardized mortality rate of 2.45. The Hosmer emeshow test gave a chi-square of 31.1 (P PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/16266907 better capacity for discriminating between survivors and nonsurvivors in our country. We observed an underestimation of mortality in every scoring system. The underestimation of mortality may be associated with the existence of high proportion of chronic organ disease in our PICU.complexity, CABG, MVR or AVR; moderate complexity, heart Tx, CABG and VR; high complexity, VAD, lung Tx. bComorbidities: inotropes, IABP, LVEF < 20 , diabetes, severe systemic disease, lung disease requiring oxygen, ventricular arrhythmias.Figure 1 (abstract P410)essential. We developed the Surgical Procedure Assessment (SPA) score (see Table 1) as a simple preoperative tool to assess ICU needs for cardiac surgical patients. After a pilot study (182 patients), we applied this score to a larger prospective cohort to test its association with ICU length of stay (LOS). Methods SPA scores wer.

 

95 total de visualizações,1 hoje

  

Listing ID: 1826168de6d1e301

Relatar Problema

Processando seu pedido, Por favor aguarde ....

Links Patrocinados