de Cássia Mello Guimarães Rita, Rabelo Eneida Rejane, Moraes Maria Antonieta, Azzolin Karina
Hospital São Francisco, Santa Casa de Misericórdia de Porto Alegre, Brazil.
Rev Lat Am Enfermagem. 2010 Jan-Feb;18(1):61-6. doi: 10.1590/s0104-11692010000100010.
This study verified the daily TISS-28 score in the postoperative period of cardiac surgery at a cardiology intensive care unit. This cohort study included 55 postoperative cardiac surgery patients, who were sent to the intensive care unit to recover. Data were collected from patients records with daily application of the TISS-28. The obtained data revealed that the average age of the population was 61.47 years+/-12.12 years, 78.2% were male, 51.43% underwent valve repair surgery and 48.57% myocardial revascularization surgery. The severity index in the immediate postoperative period was 41.33+/-5.01. The follow-up of patients using the TISS-28 evidenced a significant decrease in the index values up to the patients discharge, averaging at 13.19+/-2.59. The results indicate that immediate postoperative cardiac surgery patients are in severe conditions, hemodynamically unstable and classified in class III according to the TISS-28, though scores gradually decrease over time.
本研究在一家心脏病重症监护病房对心脏手术后患者的每日TISS - 28评分进行了验证。这项队列研究纳入了55例心脏手术后的患者,这些患者被送往重症监护病房进行恢复。通过每日应用TISS - 28从患者记录中收集数据。所获得的数据显示,研究人群的平均年龄为61.47岁±12.12岁,78.2%为男性,51.43%接受了瓣膜修复手术,48.57%接受了心肌血运重建手术。术后即刻的严重程度指数为41.33±5.01。使用TISS - 28对患者进行随访发现,直至患者出院,指数值显著下降,平均为13.19±2.59。结果表明,心脏手术后即刻的患者病情严重,血流动力学不稳定,根据TISS - 28分类为III级,不过随着时间推移评分逐渐降低。