Rev. Esc. Enferm. USP; 59 (), 2025
Publication year: 2025
ABSTRACT Objective:
To determine the impact of the Simplified Acute Physiology Score 3 and the Sequential Organ Failure Assessment in assessing the severity of acute kidney injury in patients after cardiopulmonary bypass. Method:
A retrospective cohort study with a non-probabilistic sample. Inferential analysis was performed using Pearson's chi-square, Fisher's exact and Mann-Whitney tests, with a significance level of 5%. Results:
The prevalence of acute kidney injury was 31.4%. The Simplified Acute Physiology Score 3 and the Sequential Organ Failure Assessment showed higher scores in patients with kidney injury (58 (48-64) versus 48 (37-57), p = 0.02; 7 (6-9) versus 6 (5-7), p = 0.003), in addition to a longer stay in intensive care, 8 (6-16) versus 6 (5-8) (p = 0.02) days, respectively. Conclusion:
Patients with acute kidney injury remained in intensive care longer, and the Simplified Acute Physiology Score 3 and the Sequential Organ Failure Assessment showed good performance, evidencing greater severity among patients with acute kidney injury in the postoperative period of coronary artery bypass grafting.
RESUMO Objetivo:
Determinar o impacto do Simplified Acute Physiology Score 3 e do Sequential Organ Failure Assessment na avaliação da gravidade de pacientes com injúria renal aguda no pós-operatório de revascularização do miocárdio com circulação extracorpórea. Método:
Estudo de coorte retrospectiva, com amostra não probabilística. Realizou-se análise inferencial com testes qui-quadrado de Pearson, exato de Fisher e Mann-Whitney, com nível de significância de 5%. Resultados:
A prevalência de injúria renal aguda foi de 31,4%. O Simplified Acute Physiology Score 3 e o Sequential Organ Failure Assessment apresentaram pontuações maiores nos pacientes com injúria renal (58 (48-64) versus 48 (37-57), p = 0,02; 7 (6-9) versus 6 (5-7), p = 0,003), além de maior tempo de permanência na terapia intensiva, de 8 (6-16) versus 6 (5-8) (p = 0,02) dias, respectivamente. Conclusão:
Pacientes com injúria renal aguda permaneceram mais tempo na terapia intensiva, e o Simplified Acute Physiology Score 3 e o Sequential Organ Failure Assessment mostraram bom desempenho, evidenciando maior gravidade entre os pacientes com injúria renal aguda no pós-operatório de cirurgia de revascularização do miocárdio.
RESUMEN Objetivo:
Determinar el impacto del Simplified Acute Physiology Score 3 y el Sequential Organ Failure Assessment en la evaluación de la gravedad de pacientes con lesión renal aguda en el postoperatorio de revascularización miocárdica con circulación extracorpórea. Método:
Estudio de cohorte retrospectivo, con muestra no probabilística. El análisis inferencial se realizó mediante las pruebas chi-cuadrado de Pearson, exacta de Fisher y Mann-Whitney, con un nivel de significancia del 5%. Resultados:
La prevalencia de lesión renal aguda fue del 31,4%. El Simplified Acute Physiology Score 3 y el Sequential Organ Failure Assessment mostraron puntuaciones más altas en pacientes con lesión renal (58 (48-64) versus 48 (37-57), p = 0,02; 7 (6-9) versus 6 (5-7), p = 0,003), además de una estancia más prolongada en cuidados intensivos, 8 (6-16) versus 6 (5-8) (p = 0,02) días, respectivamente. Conclusión:
Los pacientes con lesión renal aguda permanecieron más tiempo en cuidados intensivos, y el Simplified Acute Physiology Score 3 y el Sequential Organ Failure Assessment mostraron buen desempeño, mostrando mayor gravedad entre los pacientes con lesión renal aguda en el postoperatorio de la cirugía de revascularización miocárdica.
