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[This corrects the article DOI: 10.3389/fmed.2023.1130218.].
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Objectives: To assess the ABC2-SPH score in predicting COVID-19 in-hospital mortality, during intensive care unit (ICU) admission, and to compare its performance with other scores (SOFA, SAPS-3, NEWS2, 4C Mortality Score, SOARS, CURB-65, modified CHA2DS2-VASc, and a novel severity score). Materials and methods: Consecutive patients (≥ 18 years) with laboratory-confirmed COVID-19 admitted to ICUs of 25 hospitals, located in 17 Brazilian cities, from October 2020 to March 2022, were included. Overall performance of the scores was evaluated using the Brier score. ABC2-SPH was used as the reference score, and comparisons between ABC2-SPH and the other scores were performed by using the Bonferroni method of correction. The primary outcome was in-hospital mortality. Results: ABC2-SPH had an area under the curve of 0.716 (95% CI 0.693-0.738), significantly higher than CURB-65, SOFA, NEWS2, SOARS, and modified CHA2DS2-VASc scores. There was no statistically significant difference between ABC2-SPH and SAPS-3, 4C Mortality Score, and the novel severity score. Conclusion: ABC2-SPH was superior to other risk scores, but it still did not demonstrate an excellent predictive ability for mortality in critically ill COVID-19 patients. Our results indicate the need to develop a new score, for this subset of patients.
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O artigo analisa a percepção de usuários da Atenção Básica de um município catarinense sobre eventuais mudanças imateriais tecidas no processo cotidiano de suas vidas após a chegada do Programa Mais Médicos. Trata-se de um estudo qualitativo, de abordagem humanística de análise da realidade, desenvolvido entre fevereiro e março de 2018 por meio de entrevistas semiestruturadas com 16 usuários indicados por agentes comunitários de saúde. Os resultados iluminaram a confiança como um valor-fonte da experiência de produção do cuidado, oportunizada pela valorização de um modo de fazer medicina de base que tem como farol o processo de rotina e a formação de vínculo. Concluiu-se que, sem um conhecimento prolongado, dirigido para relações simétricas, não se consolidam as garantias necessárias para a realização do tão caro encontro entre confiante (usuário) e confiável (médico) na Atenção Básica.(AU)
The article analyzes the perception of Primary Care users, in a city located in the state of Santa Catarina, about possible immaterial changes wove in the daily process of their lives after the implementation of the More Doctors Program. It is a qualitative study with a humanistic approach to the analysis of reality, developed in February and March 2018, by means of semi-structured interviews with sixteen users indicated by community health agents. The results revealed trust as a value sourced of the care production experience, enabled by the importance given to one way of providing primary care whose beacon is the routine process and the formation of bonds. The conclusion was that, without a long-lasting knowledge targeted at symmetrical relationships, the necessary guarantees to the fulfilment of the precious encounter between the one who trusts (user) and the one who can be trusted (doctor) are not consolidated in Primary Care.(AU)
El artículo analiza la percepción de usuarios de la Atención Básica de un municipio de Santa Catarina sobre eventuales cambios inmateriales tejidos en el proceso cotidiano de sus vidas después de la llegada del programa Más Médicos. Estudio cualitativo de abordaje humanístico de análisis de la realidad, desarrollado entre febrero y marzo de 2018 por medio de entrevistas semiestructuradas con dieciséis usuarios indicados por agentes comunitarias de la salud. Los resultados iluminaron la confianza como un valor-fuente de la experiencia de producción del cuidado, posibilitada por la valoración de una forma de hacer medicina de base que tiene como guía el proceso de rutina y la formación de vínculo. Se concluye que, sin un conocimiento prolongado, dirigido hacia relaciones simétricas, no se consolidan las garantías necesarias para la realización del tan deseado encuentro entre confiante (usuario) y confiable (médico) en la Atención Básica.(AU)
