Artigo Original/Original Article
Prevalência e caracterização clínica dos doentes com insuficiência respiratória parcial grave internados numa UCI
Prevalence and clinical characterisation of patients with severe partial respiratory failure admitted to an intensive care unit
Alexandra Borba1, Sofia Lourenço2, Paulo Marcelino3,
, Susan Marum3, Ana Paula Fernandes3
Corresponding author
pmarcelino@fm.ul.pt
Correspondência / Corresponding author: Paulo Marcelino, Hospital de Curry Cabral, Unidade de Cuidados Intensivos, Rua da Beneficência, 8, 1069-166 Lisboa.
Correspondência / Corresponding author: Paulo Marcelino, Hospital de Curry Cabral, Unidade de Cuidados Intensivos, Rua da Beneficência, 8, 1069-166 Lisboa.
1 Interna do Internato Complementar de Pneumologia / Resident, specialising in Pulmonology, Hospital de Curry Cabral, Unidade de Cuidados Intensivos
2 Interna do Internato Complementar de Medicina Interna / Resident, specialising in Internal Medicine, Hospital de Curry Cabral, Unidade de Cuidados Intensivos
3 Assistente Hospitalar de Medicina Interna, subespecialista em Medicina Intensiva / Consultant, Internal Medicine, sub-specialist in Intensive Medicine, Hospital de Curry Cabral, Unidade de Cuidados Intensivos
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Com este trabalho pretendeu-se estudar a prevalência e caracterizar clinicamente a população de doentes internados numa UCI que apresentam insuficiência respiratória parcial aguda grave.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material e métodos:</span> Numa unidade de cuidados intensivos médico-cirúrgica avaliaram-se retrospectiva-mente os doentes internados durante o ano de 2004.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados:</span> 37,6% dos doentes apresentaram IRPA grave. A análise estatística demonstrou que estes doentes diferiam dos doentes sem IRPA nos tempos de internamento e ventilação, índices de gravidade e mortalidade.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusão:</span> A IRPA é uma situação com elevada prevalência e relevância em cuidados intensivos, mas as carac-terísticas destes doentes estão mal definidas, em parte devido à ausência de critérios claros na sua definição. Para melhor compreender este fenómeno são necessá-rios mais estudos, prospectivos e multicêntricos.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008; XIV (3): 339-352</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objective:</span> The authors analysed patients with severe partial respiratory failure (SPRF) admitted to a general Intensive Care Unit (ICU). The prevalence and clinical characteristics of these patients were evaluated.</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">This work aims to study the rate of and to clinically characterise the patient population admitted to an Intensive Care Unit with acute severe partial respiratory failure.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material and methods:</span> In 16-bed ICU of a central Hospital in Lisbon, patients admitted in the year 2004 were analysed. Patients with SPRF were recruited form patients with an ICU stay<span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>24 hours. They were selected according to PaO2 and FiO2 and clinically characterized.</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results:</span> During the study period 472 patients were admitted, and 378 presented an ICU stay<span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>24 hours and were enrolled. From those, 142 (37.6%) met criteria for SPRF. Of these, 45 (31.7%) a pulmonary aetiology of SPRF was identified. Patients with SRPF were older, had longer ICU stay, and presented higher severity indexes and mortality.</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall">The prevalence of adult respiratory distress syndrome was possible to evaluate in the deceased patients with SPRF (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>52). In these we could find 12 (23%) patients that met criteria for that entity. By multivariate analysis the mortality of patients with SRPF correlated with older age and the presence of circulatory failure (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.001).</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusions:</span> SPRF is a situation highly prevalent in the ICU studied. To better understand the prevalence of this entity, properly designed studies are needed in order to establish its epidemiology and clinical characteristics.</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008; XIV (3): 339-352</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia / Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:13 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The epidemiology of acute respiratory failure in critically ill patients" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:2 [ 0 => "J.L. Vincent" 1 => "S. 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Aggarwal" 2 => "D. Gupta" 3 => "D. Behera" 4 => "S.K. Jindal" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "2006" "volumen" => "130" "numero" => "3" "paginaInicial" => "9" "paginaFinal" => "724" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bb0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Incidence, clinical course and outcome in 217 patients with acute respiratory distress syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E. Estenssoro" 1 => "A. Dubin" 2 => "E. Laffaire" 3 => "H. Canales" 4 => "G. Sáenz" 5 => "M. Moseinco" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Crit Care Med" "fecha" => "2002" "volumen" => "30" "paginaInicial" => "6" "paginaFinal" => "2450" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bb0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acute respiratory distress syndrome: frequency, clinical course and costs of care" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P. Valta" 1 => "A. Uusaro" 2 => "S. Nunes" 3 => "E. Ruokonen" 4 => "J. 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Article information
ISSN: 08732159Original language: Portuguese
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| 2024 November | 8 | 5 | 13 |
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| 2023 May | 19 | 28 | 47 |
| 2023 April | 23 | 18 | 41 |
| 2023 March | 23 | 22 | 45 |
| 2023 February | 21 | 29 | 50 |
| 2023 January | 14 | 9 | 23 |
| 2022 December | 26 | 21 | 47 |
| 2022 November | 38 | 36 | 74 |
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| 2021 May | 24 | 24 | 48 |
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| 2020 December | 25 | 4 | 29 |
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| 2019 December | 45 | 13 | 58 |
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| 2018 December | 31 | 5 | 36 |
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| 2018 May | 70 | 20 | 90 |
| 2018 April | 49 | 25 | 74 |
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| 2018 February | 28 | 9 | 37 |
| 2018 January | 35 | 10 | 45 |
| 2017 December | 23 | 18 | 41 |
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| 2017 April | 14 | 2 | 16 |
| 2017 March | 18 | 4 | 22 |
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| 2016 December | 11 | 5 | 16 |
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| 2016 June | 0 | 9 | 9 |
| 2016 May | 2 | 0 | 2 |
| 2016 April | 3 | 4 | 7 |
| 2016 March | 1 | 3 | 4 |
| 2016 February | 5 | 7 | 12 |
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| 2015 December | 8 | 4 | 12 |
| 2015 November | 1 | 1 | 2 |
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