APACHE II: TECNOLOGIA PARA PREVISIBILIDADE DE PROGNÓSTICO EM UNIDADE INTENSIVA

Autores

  • Gabriela Alves de Araújo Silva
  • Antonia Mauryane Lopes
  • Grazielle Roberta Freitas Silva

Palavras-chave:

Mortalidade, Unidades de Terapia Intensiva, APACHE, Tecnologia Biomédica

Resumo

Introdução: No contexto tecnológico em que a enfermagem está inserida, muitas escalas e testes vêm sendo elaborados, traduzidos, adaptados, validados e aplicados, com vistas a mensurar e/ou identificar situações nas quais se possam atuar para a adoção de boas práticas de enfermagem. Assim, o Acute Physiology and Chronic Health Evaluation II (APACHE II) é um índice prognóstico utilizado em Unidade de Terapia Intensiva (UTI) para determinar a gravidade da doença e calcular a expectativa de mortalidade. Objetivo: Descrever as características da escala APACHE II como tecnologia para previsibilidade de prognóstico de mortalidade em UTI. Material e métodos: Trata-se de uma revisão narrativa da literatura. Realizou-se uma leitura integral dos artigos e dissertações que possibilitaram reunir informações gerais/pontuais. Resultados: O APACHE II é uma escala mundialmente validada e recomendada pelo Ministério da Saúde brasileiro para ser utilizada em UTI. Composta por 12 variáveis fisiológicas, o escore fisiológico agudo, idade e doença crônica em uma equação de regressão logística, transformando os pontos em probabilidade de óbito, devendo ser calculado após as primeiras 24 horas do paciente no ambiente de UTI. Por meio dessa pontuação aliada à etiologia da patologia de base, um software calcula a mortalidade prevista e individualizada para cada paciente empregando os piores valores registrados nas primeiras 24h após a admissão na UTI. O resultado varia de 0 a 71 pontos: quanto maior este valor, maior será o risco de mortalidade. Como desvantagens a literatura aponta o fato do APACHE II ter sido desenvolvido por bancos de dados norte-americanos, induzindo o víeis, no entanto o uso na pesquisa clínica ainda é justificado. Conclusão: O APACHE II apresenta fácil aplicabilidade sem exigir medidas invasivas ou diretas ao paciente, além de ser capaz de prevê a letalidade em terapia intensiva.

Revista Multidisciplinar em Saúde - V. 1, N. 4, 2020

Publicado

2020-12-01

Como Citar

Silva, . G. A. de A., Lopes, A. M., & Silva, G. R. F. (2020). APACHE II: TECNOLOGIA PARA PREVISIBILIDADE DE PROGNÓSTICO EM UNIDADE INTENSIVA. Revista Multidisciplinar Em Saúde, 1(4), 31. Recuperado de http://editoraime.com.br/revistas/rems/article/view/578

Edição

v. 1 n. 4 (2020): Edição Especial: Anais do I Congresso Nacional Multidisciplinar em Enfermagem On-line

Seção

Anais de Evento

Licença

Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

O conteúdo desta revista foi migrado para https://editoraintegrar.com.br

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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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