Fatores de risco para morte em pacientes com sepse em uma unidade de terapia intensiva

Patricia Rezende do Prado; Natasha Varjão Volpáti; Fernanda Raphael Escobar Gimenes; Elisabeth Atila; Luís Eduardo Maggi; Thatiana Lameira Maciel Amaral

doi:10.15253/2175-6783.2018193231

Autores/as

Patricia Rezende do Prado Universidade Federal do Acre http://orcid.org/0000-0002-3563-6602
Natasha Varjão Volpáti Universidade Federal do Acre http://orcid.org/0000-0003-0057-5325
Fernanda Raphael Escobar Gimenes Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto http://orcid.org/0000-0002-5174-112X
Elisabeth Atila Mona Vale Hospital of Sidney, Australia http://orcid.org/0000-0002-2867-2111
Luís Eduardo Maggi Universidade Federal do Acre http://orcid.org/0000-0003-3931-7921
Thatiana Lameira Maciel Amaral Universidade Federal do Acre http://orcid.org/0000-0002-9197-5633

DOI:

https://doi.org/10.15253/2175-6783.2018193231

Palabras clave:

Unidades de Terapia Intensiva; Sepse; Fatores de Risco; Morte; Cuidados de Enfermagem.

Resumen

Objetivo: determinar os principais fatores de risco para a morte em pacientes com sepse em uma unidade de terapia intensiva. Métodos: trata-se de uma coorte retrospectiva, onde foram incluídos 124 prontuários de pacientes que tiveram diagnóstico clínico e laboratorial de sepse. A probabilidade condicional de morte foi calculada através do método de Kaplan-Meier; o risco de morte foi estimado pela razão de risco, utilizando modelo de regressão de Cox com p<0,050. Resultados: o foco principal da infecção foi o sistema respiratório. Em relação ao desfecho, morreram 40,3% pacientes com sepse, 73,9% com sepse grave e 69,2% com choque séptico. Os pacientes com sepse abdominal e que utilizaram vasopressores apresentaram maior risco de morte. Conclusão: pacientes sépticos com fonte abdominal de infecção e fazendo uso de agentes vasopressores apresentaram maior risco de morte, enquanto que pacientes traqueostomizados tiveram melhores chances de sobreviver.

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