Assessment of Acute Physiology and Chronic Health Evaluation, Modified Early Warning and Worthing Physiological Scores as Predictor for Mechanical Ventilation in Acute Organophosphorus Toxicity Patients

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Manar Helmy ◽  
Alsayed Farahat ◽  
Magdy Ismael ◽  
Sherif Mahmoud ◽  
Abdel Aziz Ghanem
Keyword(s):  
Mechanical Ventilation ◽  
Early Warning ◽  
Chronic Health Evaluation ◽  
Health Evaluation ◽  
Chronic Health

scholarly journals The significance of National Early Warning Score for predicting prognosis and evaluating conditions of patients in resuscitation room

2018 ◽  
Vol 25 (6) ◽  
pp. 324-330 ◽  
Author(s):  
Wang Chang Yuan ◽  
Cao Tao ◽  
Zhu Dan Dan ◽  
Sun Chang Yi ◽  
Wang Jing ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Early Warning ◽  
Chronic Health Evaluation ◽  
Early Warning Score ◽  
Health Evaluation ◽  
Chronic Health ◽  
Resuscitation Room ◽  
Receiver Operating Characteristic Curves ◽  
National Early Warning Score

Background: For critical patients in resuscitation room, the early prediction of potential risk and rapid evaluation of disease progression would help physicians with timely treatment, leading to improved outcome. In this study, it focused on the application of National Early Warning Score on predicting prognosis and conditions of patients in resuscitation room. The National Early Warning Score was compared with the Modified Early Warning Score) and the Acute Physiology and Chronic Health Evaluation II. Objectives: To assess the significance of NEWS for predicting prognosis and evaluating conditions of patients in resuscitation rooms. Methods: A total of 621 consecutive cases from resuscitation room of Xuanwu Hospital, Capital Medical University were included during June 2015 to January 2016. All cases were prospectively evaluated with Modified Early Warning Score, National Early Warning Score, and Acute Physiology and Chronic Health Evaluation II and then followed up for 28 days. For the prognosis prediction, the cases were divided into death group and survival group. The Modified Early Warning Score, National Early Warning Score, and Acute Physiology and Chronic Health Evaluation II results of the two groups were compared. In addition, receiver operating characteristic curves were plotted. The areas under the receiver operating characteristic curves were calculated for assessing and predicting intensive care unit admission and 28-day mortality. Results: For the prognosis prediction, in death group, the National Early Warning Score (9.50 ± 3.08), Modified Early Warning Score (4.87 ± 2.49), and Acute Physiology and Chronic Health Evaluation II score (23.29 ± 5.31) were significantly higher than National Early Warning Score (5.29 ± 3.13), Modified Early Warning Score (3.02 ± 1.93), and Acute Physiology and Chronic Health Evaluation II score (13.22 ± 6.39) in survival group ( p < 0.01). For the disease progression evaluation, the areas under the receiver operating characteristic curves of National Early Warning Score, Modified Early Warning Score, and Acute Physiology and Chronic Health Evaluation II were 0.760, 0.729, and 0.817 ( p < 0.05), respectively, for predicting intensive care unit admission; they were 0.827, 0.723, and 0.883, respectively, for predicting 28-day mortality. The comparison of the three systems was significant ( p < 0.05). Conclusion: The performance of National Early Warning Score for predicting intensive care unit admission and 28-day mortality was inferior than Acute Physiology and Chronic Health Evaluation II but superior than Modified Early Warning Score. It was able to rapidly predict prognosis and evaluate disease progression of critical patients in resuscitation room.

scholarly journals Análise de eventos adversos em pacientes internados em unidade de terapia intensiva

2017 ◽  
Vol 30 (2) ◽  
pp. 168-173
Author(s):  
Daniela Benevides Ortega ◽  
Maria D’Innocenzo ◽  
Lucia Marta Giunta da Silva ◽  
Elena Bohomol
Keyword(s):  
Chronic Health Evaluation ◽  
Apache Ii ◽  
Health Evaluation ◽  
Chronic Health ◽  
Terapia Intensiva

Resumo Objetivo Avaliar a incidência de eventos adversos e associá-los com a carga de trabalho de enfermagem, o dimensionamento da equipe de enfermagem e o perfil de gravidade do paciente. Métodos Foi realizado um estudo transversal, prospectivo, com abordagem quantitativa, em 304 pacientes consecutivos internados em Unidade de Terapia Intensiva geral de um hospital privado, admitidos entre setembro e dezembro de 2013 (quatro meses). Resultados Ocorreram 39 eventos adversos sendo a lesão por pressão a mais prevalente. Os pacientes que apresentaram algum evento tiveram maior média de idade, maior prevalência de internações clínicas, internações mais prolongadas, maior escala Acute Physiology and Chronic Health Evaluation (APACHE) II, maior pontuação do Nursing Activities Score (NAS), menor escore na escala de Braden e menor escala de Glasgow e não tiveram diferenças significantes em relação ao dimensionamento da equipe de enfermagem. Conclusão Houve maior incidência de eventos adversos em pacientes que exibiram um perfil de maior risco e gravidade identificados por meio de escalas preditoras.

scholarly journals Impacto de la bacteriemia en una cohorte de pacientes con neumonía neumocócica

2012 ◽  
Vol 38 (4) ◽  
pp. 422-430 ◽  
Author(s):  
Ileana Palma ◽  
Ricardo Mosquera ◽  
Carmen Demier ◽  
Carlos Vay ◽  
Angela Famiglietti ◽  
...  
Keyword(s):  
Streptococcus Pneumoniae ◽  
Pneumonia Severity Index ◽  
Severity Index ◽  
Chronic Health Evaluation ◽  
Apache Ii ◽  
Health Evaluation ◽  
Pneumonia Severity ◽  
Chronic Health

OBJETIVO: Bacteriemia es la forma invasiva más común de neumonía adquirida en la comunidad (NAC) por Streptococcus pneumoniae. Investigamos si la bacteriemia en NAC neumocócica empeora los resultados y si ella guarda relación con la vacunación antineumocócica (VAN). MÉTODOS: Análisis secundario de una cohorte de pacientes con NAC neumocócica confirmada por cultivo de sangre o esputo o antígeno urinario. Se registraron datos demográficos, clínicos, radiográficos y de laboratorio, escores Acute Physiology and Chronic Health Evaluation II (APACHE II) y pneumonia severity index (PSI), comorbilidades y antecedente de VAN. Se compararon pacientes con NAC neumocócica bacteriémica (NNB) vs. no bacteriémica (NNNB). RESULTADOS: Cuarenta y siete pacientes tenían NNB y 71 NNNB (45 por cultivo de esputo y 26 por antígeno urinario); 107 tenían alguna indicación de VAN. Ningún paciente con NNB, pero 9 con NNNB, habían recibido VAN (p = 0,043). Los pacientes con NNB eran mayores (76,4 ± 11,5 vs. 67,5 ± 20,9 años), tenían mayor APACHE II (16,4 ± 4,6 vs. 14,1 ± 6,5) y PSI (129,5 ± 36 vs. 105,2 ± 45), más frecuentemente cardiopatía e insuficiencia renal crónica e internación en UTI (42,5% vs. 22,5%) y menor hematocrito (35,7 ± 5,8 vs. 38,6 ± 6,7%) y sodio plasmático (133,9 ± 6,0 vs. 137,1 ± 5,5 mEq/L). La mortalidad fue similar (29,8% vs. 28,2%). CONCLUSIONES: Los niveles de VAN (8,4%) en esta población con alto riesgo de NAC por S. pneumoniae fueron extremadamente bajos. Los pacientes con NNB estaban más graves, pero la mortalidad fue similar entre los dos grupos. La VAN reduce la incidencia de NNB y es razonable incrementar el nivel de vacunación de la población en riesgo.

scholarly journals The express-diagnostics of versions of a DIC-syndrome in trauma and acute haemorrhage patients

2008 ◽  
Vol 7 (4) ◽  
pp. 77-82
Author(s):  
Ye. G. Ripp ◽  
V. Ye. Shipakov ◽  
M. N. Shpisman
Keyword(s):  
Organ Dysfunction ◽  
Chronic Health Evaluation ◽  
Instrumental Method ◽  
Health Evaluation ◽  
Chronic Health ◽  
Early Stages ◽  
Apache Iii ◽  
Acute Haemorrhage ◽  
Multi Organ Dysfunction Syndrome

The research of a haemostatic system in trauma and acute haemorrhage patients by a new instrumental method — haemocoagulographia — allows at early stages of disease to reveal patients having the tendency to development haemostatic anomalies, Multi Organ Dysfunction Syndrome and failure of disease, that increases accuracy of an evaluation of weight of a condition and prognosis on APACHE-III system (Acute Physiology And Chronic Health Evaluation).

scholarly journals Relação entre a gravidade clínica do paciente e as horas de cuidados de enfermagem

Rev Rene ◽  
2020 ◽  
Vol 21 ◽  
pp. e43218
Author(s):  
Simone Silva Sabino ◽  
Laura Menezes Silveira ◽  
Angelita Maria Stabile
Keyword(s):  
Chronic Health Evaluation ◽  
Health Evaluation ◽  
Chronic Health

Objetivo: avaliar a relação entre a gravidade clínica de pacientes e as horas de cuidados dos profissionais de enfermagem em um pronto socorro. Métodos: estudo correlacional, que se utilizou dos instrumentos Nursing Activities Score e Acute Physiology and Chronic Health Evaluation I. Resultados: incluíram-se 338 pacientes. As médias mais altas foram identificadas no grupo óbitos sendo (22,0%) para Acute Physiology and Chronic Health Evaluation II e (56,8%) para Nursing Activities Score, (p=0,000). Obteve-se relação moderada entre esses escores. Ademais, os dois instrumentos utilizados se mostraram capazes de predizer o óbito. Conclusão: as avaliações do agravamento dos pacientes e da demanda por cuidados, podem contribuir com a adequação do número de pessoal, a redução do tempo de permanência nas salas de emergência e o planejamento assistencial de qualidade elevada.

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