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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Main Authors: Gadelha,Gilcilene Oliveira, Paixão,Hémilly Caroline da Silva, Prado,Patricia Rezende do, Viana,Renata Andréa Pietro Pereira, Amaral,Thatiana Lameira Maciel
Format: Digital revista
Language:English
Published: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2018
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692018000100326
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spelling 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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country Brasil
countrycode BR
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databasecode rev-scielo-br
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region America del Sur
libraryname SciELO
language English
format Digital
author Gadelha,Gilcilene Oliveira
Paixão,Hémilly Caroline da Silva
Prado,Patricia Rezende do
Viana,Renata Andréa Pietro Pereira
Amaral,Thatiana Lameira Maciel
spellingShingle 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
title_full_unstemmed 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.
publisher 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
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