Risk factors for death in patients with non-infectious adverse events

• Published in: Revista latino-americana de enfermagem Vol. 26; p. e3001
• Main Authors: Gadelha, Gilcilene Oliveira, Paixão, Hémilly Caroline da Silva, Prado, Patricia Rezende do, Viana, Renata Andréa Pietro Pereira, Amaral, Thatiana Lameira Maciel
• Format: Journal Article
• Language: English; Portuguese; Spanish
• Published: Brazil Universidade de São Paulo-USP, Escola de Enfermagem de Ribeirão Preto - USP 16.07.2018; Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo; Universidade de São Paulo
• Subjects: Adolescent; Adult; Age Factors; Age groups; Aged; Brazil - epidemiology; Critical Care; Female; Health risks; Hospital Mortality; Humans; Infections; Intensive Care Units; Intensive Care Units - standards; Intensive Care Units - statistics & numerical data; Male; Medical Errors - statistics & numerical data; Middle Aged; Mortality; NURSING; Original; Patient Discharge - statistics & numerical data; Patient Safety; Patient Safety - standards; Retrospective Studies; Risk Factors; Sepsis; Side effects; Simplified Acute Physiology Score; Survival Analysis; Young Adult; Brazil; Intensive Care Units; Risk Factors; Mortality; Enfermagem; Seguridad del Paciente; Unidades de Terapia Intensiva; Unidades de Cuidados Intensivos; Segurança do Paciente; Fatores de Risco; Factores de Riesgo; Nursing; Cuidados Críticos; Patient Safety; Critical Care; Mortalidade; Enfermería
• ISSN: 1518-8345; 0104-1169; 1518-8345
• DOI: 10.1590/1518-8345.2069.3001

to identify risk factors for death in patients who have suffered non-infectious adverse events. a retrospective cohort study with patients who had non-infectious Adverse Events (AE) in an Intensive Care Unit. The Kaplan Meier method was used to estimate the conditional probability of death (log-rank test 95%) and the risk factors associated with death through the Cox regression. patients over 50 years old presented a risk 1.57 times higher for death; individuals affected by infection/sepsis presented almost 3 times the risk. Patients with a Simplified Acute Physiology Score III (SAPS3) greater than 60 points had four times higher risk for death, while those with a Charlson scale greater than 1 point had approximately two times higher risk. The variable number of adverse events was shown as a protection factor reducing the risk of death by up to 78%. patients who had suffered an adverse event and who were more than 50 years of age, with infection/sepsis, greater severity, i.e., SAPS 3>30 and Charlson>1, presented higher risk of death. However, the greater number of AEs did not contributed to the increased risk of death.