Level of acuity, severity and intensity of care of adults and older adults admitted to the Intensive Care Unit

  • Renata Eloah de Lucena Ferretti-Rebustin Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica
  • Nilmar da Silva Bispo Grupo de Pesquisa em Enfermagem em Unidade de Terapia Intensiva, EEUSP/ CNPq
  • Winnie da Silva Alves Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica
  • Thiago Negreiro Dias Grupo de Pesquisa em Enfermagem em Unidade de Terapia Intensiva, EEUSP/ CNPq
  • Cristiane Moretto Santoro Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica
  • Katia Grillo Padilha Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica
Keywords: Critical Care Nursing, Aged, Adult, Patient Acuity, Intensive Care Units

Abstract

Objective: To characterize the level of acuity, severity and intensity of care of adults and older adults admitted to Intensive Care Units and to identify the predictors of severity with their respective predictive capacity according to the age group. Method: A retrospective cohort based on the analysis of medical records of individuals admitted to eight adult intensive care units in the city of São Paulo. The clinical characteristics at admission in relation to severity profile and intensity of care were analyzed through association and correlation tests. The predictors were identified by linear regression and the predictive capacity through the ROC curve. Results: Of the 781 cases (41.1% from older adults), 56.2% were males with a mean age of 54.1 ± 17.3 years. The burden of the disease, the organic dysfunction and the number of devices were the predictors associated with greater severity among adults and older adults, in which the organic dysfunction had the highest predictive capacity (80%) in both groups. Conclusion: Adults and older adults presented a similar profile of severity and intensity of care in admission to the Intensive Care Unit. Organic dysfunction was the factor with the best ability to predict severity in adults and older adults.

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Published
2019-03-12
How to Cite
Ferretti-Rebustin, R., Bispo, N., Alves, W., Dias, T., Santoro, C., & Padilha, K. (2019). Level of acuity, severity and intensity of care of adults and older adults admitted to the Intensive Care Unit. Revista Da Escola De Enfermagem Da USP, 53, e03416. https://doi.org/10.1590/s1980-220x2017051403416
Section
Original Articles