Your browser doesn't support javascript.
loading
Proposta de escore preditor de desfechos para abdome agudo / Outcomes prediction score for acute abdomen: a proposal
Cacciatori, Felipe Antônio; Ronchi, Arthur Dajori; Sasso, Sérgio Emerson.
  • Cacciatori, Felipe Antônio; Universidade do Extremo Sul Catarinense (UNESC). Curso de Medicina. Criciúma. BR
  • Ronchi, Arthur Dajori; Universidade do Extremo Sul Catarinense (UNESC). Curso de Medicina. Criciúma. BR
  • Sasso, Sérgio Emerson; Universidade do Extremo Sul Catarinense (UNESC). Curso de Medicina. Criciúma. BR
Rev. Col. Bras. Cir ; 46(6): e20192285, 2019. tab, graf
Article in Portuguese | LILACS | ID: biblio-1057186
RESUMO
RESUMO

Objetivo:

estabelecer a correlação entre dados objetivos coletados na avaliação inicial e os desfechos nos casos de dor abdominal aguda.

Métodos:

estudo retrospectivo, de caso controle, em que foram revisados prontuários de pacientes atendidos em um serviço de urgência e emergência no ano de 2016, diagnosticados com dor abdominal e pélvica.

Resultados:

de 2.352 prontuários avaliados, 330 foram considerados válidos para o estudo. Destes pacientes, 235 (71,2%) receberam alta e os 95 (28,8%) restantes foram internados, submetidos à cirurgia ou morreram. A análise estatística demonstrou que sexo masculino, idade ≥50 anos, temperatura axilar >37,3ºC, anemia, leucocitose >10.000/mm3, neutrocitose acima de 7.700/mm3, linfopenia <2.000/mm3 e hiperamilasemia são variáveis isoladamente associadas a pior desfecho.

Conclusão:

a presença de três ou mais das variáveis avaliadas aumenta fortemente a chance de um paciente sofrer os desfechos de cirurgia ou morte, sendo a chance de óbito tanto maior quanto maior o número de variáveis presentes.
ABSTRACT
ABSTRACT

Objective:

to establish a correlation between objective data collected at the initial evaluation and the outcomes in cases of acute abdominal pain.

Methods:

we conducted a retrospective, case-control study in which we reviewed medical records of patients treated at an emergency room in 2016, diagnosed with abdominal and pelvic pain.

Results:

of the 2,352 medical records evaluated, we considered 330 valid for the study. Of these patients, 235 (71.2%) were discharged and the remaining 95 (28.8%) were hospitalized, submitted to surgery, or died. The statistical analysis demonstrated that male gender, age ≥50, axillary temperature >37.3ºC, anemia, leukocytosis >10,000/mm3, neutrophil count above 7,700/mm3, lymphocyte count less than 2,000/mm3 and hyperamylasemia were variables in independently associated with worse outcome.

Conclusion:

the presence of three or more of the evaluated variables greatly increases the chances of a patient suffering the outcomes of surgery or death, the chance of death being greater the greater the number of variables present.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Abdominal Pain / Abdomen, Acute Type of study: Etiology study / Observational study / Prognostic study / Risk factors Limits: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Male Language: Portuguese Journal: Rev. Col. Bras. Cir Journal subject: General Surgery Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade do Extremo Sul Catarinense (UNESC)/BR

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: LILACS (Americas) Main subject: Abdominal Pain / Abdomen, Acute Type of study: Etiology study / Observational study / Prognostic study / Risk factors Limits: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Male Language: Portuguese Journal: Rev. Col. Bras. Cir Journal subject: General Surgery Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade do Extremo Sul Catarinense (UNESC)/BR