EuroScore na UTI Cardiológica: Estudo piloto da estratificação de risco em Cirurgia Cardíaca, implicações para a assistência e correlação com SAPS, APACHE e NAS

Abstract

Background: Cardiac surgeries are complex procedures, often performed in patients with risk factors prior to the procedure, which can result in fatal outcomes; routinely admitted to the Cardiology Intensive Care Unit (CICU). The use of prognostic scores, such as EuroSCORE and SAPS, has been key to predicting mortality and optimizing CICU care. Objective: To evaluate the applicability of EuroSCORE II in the CICU of a tertiary care hospital, providing a detailed analysis of its use in this context, and its correlation with APACHE II, SAPS III and NAS. Materials and Methods: This is a retrospective, documentary, quantitative study of patients who underwent cardiac surgeries and were admitted to the CICU in a high-complexity hospital. Results: Patients are predominantly male, with a mean age of over 60 years. Age was correlated with mortality risk and the EuroSCORE was correlated with the SAPS. Patients who died had, on average, greater clinical severity, according to APACHE. The EuroSCORE relationship with NAS indicates that patients at high risk of death are not always those who require a high nursing workload. Conclusion: The findings demonstrate that the EuroSCORE was effective in predicting mortality, while the SAPS revealed a good discriminatory power and the NAS proved to be a reliable tool to measure the nursing workload in this group. The results obtained reinforce the need to validate these scores in different populations and clinical contexts.