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.
Área
Índices Prognósticos
Autores
PAULO CESAR GOTTARDO, BEATRIZ DE LIMA FERNANDES GOTTARDO, RUI PAULO JINO MORENO, Caroline Helen Santos Gonçalves, Heloisa Assis wanderley, LIVIA BEZERRA DE ,MELO, CAROL MOURA DI PACE, MARIANNE PAULO COSTA