1. Repositório Institucional da UFMG
  2. Publicações Científicas e Culturais
  3. Artigo de Periódico
Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/41211
Full metadata record
DC FieldValueLanguage
dc.creatorAntônio Luis Eiras Falcãopt_BR
dc.creatorAlexandre Guimarães de Almeida Barrospt_BR
dc.creatorAngela Alcântara Magnani Bezerrapt_BR
dc.creatorNatália Lopes Ferreirapt_BR
dc.creatorClaudinéia Muterle Logatopt_BR
dc.creatorFilipa Pais Silvapt_BR
dc.creatorAna Beatriz Francioso Oliveira do Montept_BR
dc.creatorRodrigo Marques Tonellapt_BR
dc.creatorLuciana Castilho de Figueiredopt_BR
dc.creatorRui Morenopt_BR
dc.creatorDesanka Dragosavacpt_BR
dc.creatorNelson Adami Andreollopt_BR
dc.date.accessioned2022-04-28T17:14:49Z-
dc.date.available2022-04-28T17:14:49Z-
dc.date.issued2019-01-
dc.citation.volume9pt_BR
dc.citation.issue18pt_BR
dc.citation.spage1pt_BR
dc.citation.epage10pt_BR
dc.identifier.doihttps://doi.org/10.1186/s13613-019-0488-9pt_BR
dc.identifier.issn2110-5820pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/41211-
dc.description.resumoBackground: The early postoperative period is critical for surgical patients. SOFA, SAPS 3 and APACHE II are prognostic scores widely used to predict mortality in ICU patients. This study aimed to evaluate these index tests for their prognostic accuracy for intra-ICU and in-hospital mortalities as target conditions in patients admitted to ICU after urgent or elective surgeries and to test whether they aid in decision-making. The process comprised the assessment of discrimination through analysis of the areas under the receiver operating characteristic curves and calibration of the prognostic models for the target conditions. After, the clinical relevance of applying them was evaluated through the measurement of the net benefit of their use in the clinical decision. Results: Index tests were found to discriminate regular for both target conditions with a poor calibration (C statistics—intra-ICU mortality AUROCs: APACHE II 0.808, SAPS 3 0.821 and SOFA 0.797/in-hospital mortality AUROCs: APACHE II 0.772, SAPS 3 0.790 and SOFA 0.742). Calibration assessment revealed a weak correlation between the observed and expected number of cases in several thresholds of risk, calculated by each model, for both tested outcomes. The net benefit analysis showed that all score’s aggregate value in the clinical decision when the calculated probabilities of death ranged between 10 and 40%. Conclusions: In this study, we observed that the tested ICU prognostic scores are fair tools for intra-ICU and in-hospital mortality prediction in a cohort of postoperative surgical patients. Also, they may have some potential to be used as ancillary data to support decision-making by physicians and families regarding the level of therapeutic investment and palliative care.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofAnnals of Intensive Carept_BR
dc.rightsAcesso Abertopt_BR
dc.subjectPrognostic scorespt_BR
dc.subjectCritical carept_BR
dc.subjectSurgical intensive care unitpt_BR
dc.subject.otherPrognóstico - Métodos estatísticospt_BR
dc.subject.otherUnidade de tratamento intensivopt_BR
dc.subject.otherTratamento intensivo cirúrgicopt_BR
dc.subject.otherMortalidadept_BR
dc.titleThe prognostic accuracy evaluation of SAPS 3, SOFA and APACHE II scores for mortality prediction in the surgical ICU: an external validation study and decision-making analysispt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-019-0488-9pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0001-6874-8494pt_BR
dc.identifier.orcidhttp://orcid.org/0000-0001-5363-0717pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-9795-8316pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0001-6730-3020pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0001-7452-1165pt_BR
Appears in Collections:Artigo de Periódico

Files in This Item:
File Description SizeFormat 
The prognostic accuracy evaluation of SAPS 3 SOFA and APACHE II scores for mortality prediction in the surgical ICU.pdf1.69 MBAdobe PDFView/Open
Show simple item record


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.