Dados do Trabalho

Título

Unveiling Prognostic Layers: Insights from Postoperative ICU Patients

Objetivo

To assess clinical profiles, prognostic factors, and outcomes in postoperative ICU patients.

Métodos

Cohort study of postoperative patients admitted to a tertiary hospital ICU in João Pessoa, Brazil, in 2023.

Resultados

Among 438 postoperative ICU patients, 221 (50.5%) underwent emergency surgery, 55.7% were male, with a median age of 67 (53-75). The median MFI score was 0.18 (0.09-0.27), CCI 1 (0-3), and SAPS3 47.5 (38-58). At admission, 12.3% required vasoactive drugs, 23.5% had central venous catheters, 9.4% were invasively ventilated, and 41.8% received non-invasive ventilation. Median ICU stay was 3 (1-5) days, with a mortality rate of 8.9%. Patients who died had higher SAPS3 (70 vs. 47, p<0.001), CCI (3 vs. 1, p<0.001), MFI score (0.27 vs. 0.18, p<0.001), and EPM (40.09 vs. 4.36, p<0.001). In multivariate analysis, SAPS3 (OR 1.151, p<0.001) and EPM (OR 1.058, p<0.001) were robust mortality predictors. Non-invasive ventilation was more common among survivors (43.1% vs. 28.2%, p=0.006), while invasive ventilation was more frequent in those who died (12.8% vs. 9%, p<0.001).

Conclusão

Higher SAPS3, CCI, and MFI scores are key indicators of poor outcomes in postoperative ICU patients. Non-invasive ventilation correlated with better survival, while invasive ventilation was associated with mortality. SAPS3 and EPM demonstrated strong predictive power for mortality, underscoring their value in risk stratification.