Abstract:
BACKGROUND AND OBJECTIVES:The SAPS 3 (Simplified Acute Physiology Score 3) prognostic system is composed of 20 parameters, represented by an acute physiology score and assessment of the previous status, aimed at establishing a predictive mortality index for patients admitted to intensive care units (ICU). The objective of this study was to validate this system and determine its discriminatory power in surgical patients in Brazil. METHODS:This is a prospective study undertaken in two surgical ICUs of two different hospitals over a one-year period; patients younger than 16 years, who stay at the ICU for less than 24 hours, readmitted to the unit, and those admitted for dialysis were excluded from the study. The predictive ability of the SAPS 3 index to differentiate survivors and non-survivors was determined by the ROC curve and calibration by the Hosmer-Lemeshow goodness-of-fit test. RESULTS:One thousand three-hundred and ten patients were included in the study. Gastrointestinal surgeries predominated (34.9%). Eighteen was the lower SAPS 3 index and the highest was 154, with a mean of 48.5 +/- 18.1. The predicted and real hospital mortality was 10.3% and 10.8%, respectively; the standardized mortality ratio (SMR) was 1.04 (95%CI = 1.03-1.07). Calibration by the Hosmer and Lemeshow method showed X(2) = 10.47 p = 0.234. The SAPS 3 score that better discriminated survivors and non-survivors was 57, with sensitivity of 75.8% and specificity 86%. Among the patients with SAPS 3 index higher than 57, 73.5% did not survive versus 26.5% who survived (OR= 1.32, 95%CI 1.23-1.42, p < 0.0001). CONCLUSIONS:The SAPS 3 system is valid for the Brazilian population of surgical patients, being a useful indicator of critical patients and to determine greater care in this group.
journal_name
Rev Bras Anestesioljournal_title
Revista brasileira de anestesiologiaauthors
Silva Junior JM,Malbouisson LM,Nuevo HL,Barbosa LG,Marubayashi LY,Teixeira IC,Nassar Junior AP,Carmona MJ,Silva IF,Auler Júnior JO,Rezende Esubject
Has Abstractpub_date
2010-01-01 00:00:00pages
20-31issue
1eissn
0034-7094issn
1806-907Xpii
S0034-70942010000100003journal_volume
60pub_type
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journal_title:Revista brasileira de anestesiologia
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doi:10.1016/j.bjan.2014.04.001
更新日期:2015-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,随机对照试验
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2016.09.011
更新日期:2017-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942008000600008
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942003000100010
更新日期:2003-02-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942006000500012
更新日期:2006-10-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,随机对照试验
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更新日期:2009-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,随机对照试验
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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更新日期:2005-10-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942003000300010
更新日期:2003-06-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942009000200006
更新日期:2009-03-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,评审
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更新日期:2009-05-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/S0034-7094(10)70079-9
更新日期:2010-11-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
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更新日期:2017-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:
更新日期:2004-10-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,随机对照试验
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更新日期:2008-07-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,评审
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更新日期:2020-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942003000200005
更新日期:2003-04-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942002000500010
更新日期:2002-09-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942002000600005
更新日期:2002-11-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942008000100003
更新日期:2008-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
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更新日期:2004-02-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
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更新日期:2011-09-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
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更新日期:2012-07-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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更新日期:2017-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942007000500009
更新日期:2007-10-01 00:00:00