Document Detail


Influence of time elapsed from end of emergency surgery until admission to intensive care unit, on Acute Physiology and Chronic Health Evaluation II (APACHE II) prediction and patient mortality rate.
MedLine Citation:
PMID:  16389414     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT AND OBJECTIVE: Patients are often admitted to intensive care units with delay in relation to when this service was indicated. The objective was to verify whether this delay influences hospital mortality, length of stay in the unit and hospital, and APACHE II prediction. DESIGN AND SETITNG: Prospective and accuracy study, in intensive care unit of Santa Casa de São Paulo, a tertiary university hospital. METHODS: We evaluated all 94 patients admitted following emergency surgery, from August 2002 to July 2003. The variables studied were APACHE II, death risk, length of stay in the unit and hospital, and hospital mortality rate. The patients were divided into two groups according to the time elapsed between end of surgery and admission to the unit: up to 12 hours and over 12 hours. RESULTS: The groups were similar regarding gender, age, diagnosis, APACHE II score and hospital stay. The death risk factors were age, APACHE II and elapsed time (p < 0.02). The mortality rate for the over 12-hour group was higher (54% versus 26.1%; p = 0.018). For the over 12-hour group, observed mortality was higher than expected mortality (p = 0.015). For the up to 12-hour group, observed and expected mortality were similar (p = 0.288). CONCLUSION: APACHE II foresaw the mortality rate among patients that arrived faster to the intensive core unit, while the mortality rate was higher among those patients whose admission to the intensive care unit took longer.
Authors:
Paulo Antonio Chiavone; Samir Rasslan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  São Paulo medical journal = Revista paulista de medicina     Volume:  123     ISSN:  1516-3180     ISO Abbreviation:  Sao Paulo Med J     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2006-01-04     Completed Date:  2006-05-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100897261     Medline TA:  Sao Paulo Med J     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  167-74     Citation Subset:  IM    
Affiliation:
Department of Intensive Care, Hospital Santa Casa de Misericórdia de São Paulo, São Paulo, Brazil. dir.uti@santacasasp.org.br
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MeSH Terms
Descriptor/Qualifier:
APACHE*
Adolescent
Adult
Aged
Emergency Treatment / mortality,  standards,  statistics & numerical data*
Hospital Mortality*
Humans
Intensive Care Units / statistics & numerical data*
Length of Stay
Middle Aged
Outcome Assessment (Health Care)
Predictive Value of Tests
Prognosis
Prospective Studies
Surgical Procedures, Operative / mortality,  standards,  statistics & numerical data*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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