Risk factors for death in patients with non-infectious adverse events
ABSTRACT Objetive: to identify risk factors for death in patients who have suffered non-infectious adverse events. Method: a retrospective cohort study with patients who had non-infectious Adverse Events (AE) in an Intensive Care Unit. The Kaplan Meier method was used to estimate the conditional probability of death (log-rank test 95%) and the risk factors associated with death through the Cox regression. Results: patients over 50 years old presented a risk 1.57 times higher for death; individuals affected by infection/sepsis presented almost 3 times the risk. Patients with a Simplified Acute Physiology Score III (SAPS3) greater than 60 points had four times higher risk for death, while those with a Charlson scale greater than 1 point had approximately two times higher risk. The variable number of adverse events was shown as a protection factor reducing the risk of death by up to 78%. Conclusion: patients who had suffered an adverse event and who were more than 50 years of age, with infection/sepsis, greater severity, i.e., SAPS 3>30 and Charlson>1, presented higher risk of death. However, the greater number of AEs did not contributed to the increased risk of death.
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Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
2018
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oai:scielo:S0104-116920180001003262018-07-11Risk factors for death in patients with non-infectious adverse eventsGadelha,Gilcilene OliveiraPaixão,Hémilly Caroline da SilvaPrado,Patricia Rezende doViana,Renata Andréa Pietro PereiraAmaral,Thatiana Lameira Maciel Critical Care Intensive Care Units Risk Factors Mortality Patient Safety Nursing ABSTRACT Objetive: to identify risk factors for death in patients who have suffered non-infectious adverse events. Method: a retrospective cohort study with patients who had non-infectious Adverse Events (AE) in an Intensive Care Unit. The Kaplan Meier method was used to estimate the conditional probability of death (log-rank test 95%) and the risk factors associated with death through the Cox regression. Results: patients over 50 years old presented a risk 1.57 times higher for death; individuals affected by infection/sepsis presented almost 3 times the risk. Patients with a Simplified Acute Physiology Score III (SAPS3) greater than 60 points had four times higher risk for death, while those with a Charlson scale greater than 1 point had approximately two times higher risk. The variable number of adverse events was shown as a protection factor reducing the risk of death by up to 78%. Conclusion: patients who had suffered an adverse event and who were more than 50 years of age, with infection/sepsis, greater severity, i.e., SAPS 3>30 and Charlson>1, presented higher risk of death. However, the greater number of AEs did not contributed to the increased risk of death.info:eu-repo/semantics/openAccessEscola de Enfermagem de Ribeirão Preto / Universidade de São PauloRevista Latino-Americana de Enfermagem v.26 20182018-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692018000100326en10.1590/1518-8345.2069.3001 |
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Gadelha,Gilcilene Oliveira Paixão,Hémilly Caroline da Silva Prado,Patricia Rezende do Viana,Renata Andréa Pietro Pereira Amaral,Thatiana Lameira Maciel |
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Gadelha,Gilcilene Oliveira Paixão,Hémilly Caroline da Silva Prado,Patricia Rezende do Viana,Renata Andréa Pietro Pereira Amaral,Thatiana Lameira Maciel Risk factors for death in patients with non-infectious adverse events |
author_facet |
Gadelha,Gilcilene Oliveira Paixão,Hémilly Caroline da Silva Prado,Patricia Rezende do Viana,Renata Andréa Pietro Pereira Amaral,Thatiana Lameira Maciel |
author_sort |
Gadelha,Gilcilene Oliveira |
title |
Risk factors for death in patients with non-infectious adverse events |
title_short |
Risk factors for death in patients with non-infectious adverse events |
title_full |
Risk factors for death in patients with non-infectious adverse events |
title_fullStr |
Risk factors for death in patients with non-infectious adverse events |
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Risk factors for death in patients with non-infectious adverse events |
title_sort |
risk factors for death in patients with non-infectious adverse events |
description |
ABSTRACT Objetive: to identify risk factors for death in patients who have suffered non-infectious adverse events. Method: a retrospective cohort study with patients who had non-infectious Adverse Events (AE) in an Intensive Care Unit. The Kaplan Meier method was used to estimate the conditional probability of death (log-rank test 95%) and the risk factors associated with death through the Cox regression. Results: patients over 50 years old presented a risk 1.57 times higher for death; individuals affected by infection/sepsis presented almost 3 times the risk. Patients with a Simplified Acute Physiology Score III (SAPS3) greater than 60 points had four times higher risk for death, while those with a Charlson scale greater than 1 point had approximately two times higher risk. The variable number of adverse events was shown as a protection factor reducing the risk of death by up to 78%. Conclusion: patients who had suffered an adverse event and who were more than 50 years of age, with infection/sepsis, greater severity, i.e., SAPS 3>30 and Charlson>1, presented higher risk of death. However, the greater number of AEs did not contributed to the increased risk of death. |
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Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo |
publishDate |
2018 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692018000100326 |
work_keys_str_mv |
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