Juliana El Hage Meyer de Barros Gulini1, Eliane Regina Pereira do Nascimento2, Rachel Duarte Moritz3, Mara Ambrosina de Oliveira Vargas4, Darlan Laurício Matte5, Rafael Pigozzi Cabral1. 1. Universidade Federal de Santa Catarina; Hospital Universitário, Florianópolis, SC, Brasil. 2. Universidade Federal de Santa Catarina, Departamento de Enfermagem, Programa de Pós-Graduação em Enfermagem, Florianópolis SC, Brasil. 3. Universidade Federal de Santa Catarina, Departamento de Medicina, Florianópolis, SC, Brasil. 4. Universidade Federal de Santa Catarina, Departamento de Enfermagem, Florianópolis, SC, Brasil. 5. Universidade do Estado de Santa Catarina, Departamento de Fisioterapia, Florianópolis, SC, Brasil.
Abstract
OBJECTIVE: To identify predictors of death in the Intensive Care Unit and relate eligible patients to preferential palliative care. METHOD: A prospective cohort study that evaluated patients hospitalized for more than 24 hours, subdivided into G1 (patients who died) and G2 (patients who were discharged from hospital). For identifying the predictors for death outcome, the intensivist physician was asked the "surprise question" and clinical-demographic data were collected from the patients. Data were analyzed by descriptive/inferential statistics (p<0.05 significance). RESULTS: 170 patients were evaluated. The negative response to the "surprise question" was related to death outcome. A greater possibility of death (p<0.05) was observed among older and more frail patients with less functionality, chronic cardiac and/or renal insufficiencies or acute non-traumatic neurological insult, with multiorgan failure for more than 5 days, and hospitalized for longer. CONCLUSION: Predictors of death were related to a subjective evaluation by the physician, the clinical condition of the patient, underlying diseases, the severity of the acute disease and the evolution of the critical illness. It is suggested that patients with two or more predictive criteria receive preferential palliative care.
OBJECTIVE: To identify predictors of death in the Intensive Care Unit and relate eligible patients to preferential palliative care. METHOD: A prospective cohort study that evaluated patients hospitalized for more than 24 hours, subdivided into G1 (patients who died) and G2 (patients who were discharged from hospital). For identifying the predictors for death outcome, the intensivist physician was asked the "surprise question" and clinical-demographic data were collected from the patients. Data were analyzed by descriptive/inferential statistics (p<0.05 significance). RESULTS: 170 patients were evaluated. The negative response to the "surprise question" was related to death outcome. A greater possibility of death (p<0.05) was observed among older and more frail patients with less functionality, chronic cardiac and/or renal insufficiencies or acute non-traumatic neurological insult, with multiorgan failure for more than 5 days, and hospitalized for longer. CONCLUSION: Predictors of death were related to a subjective evaluation by the physician, the clinical condition of the patient, underlying diseases, the severity of the acute disease and the evolution of the critical illness. It is suggested that patients with two or more predictive criteria receive preferential palliative care.
Authors: Luciana Mara Meireles Aguiar; Gabriela de Sousa Martins; Renato Valduga; André Paz Gerez; Eduardo Cunha do Carmo; Katiane da Costa Cunha; Graziella França Bernardelli Cipriano; Marianne Lucena da Silva Journal: Rev Bras Ter Intensiva Date: 2022-01-24
Authors: Carla Daniele Nascimento Pontes; Juliane Lúcia Gomes da Rocha; Janaina Maria Rodrigues Medeiros; Bruno Fernando Barros Dos Santos; Paulo Henrique Monteiro da Silva; Janine Maria Rodrigues Medeiros; Gabriela Góes Costa; Isabella Mesquita Sfair Silva; Daniel Libonati Gomes; Flávia Marques Santos; Rosana Maria Feio Libonati Journal: Rev Bras Ter Intensiva Date: 2022 Apr-Jun