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ISSN 2520-9078 (Electronic)

2013, Number 2

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Revista de Ciencias Médicas de la Habana 2013; 19 (2)

Utility of the SWIFT prognostic scale at a Polyvalent Intensive Care Unit

Potes DBA, Pérez AH, Gutiérrez RAR, Burgos AD

Language: Spanish
References: 18
Page:
PDF size: 87.76 Kb.


ABSTRACT

Introduction: SWIFT is an index created to predict adverse events (readmissions and hidden mortality) after discharge from the ICU.
Objective: to evaluate the usefulness of the SWIFT prognostic scale in predicting adverse events after unit discharge.
Methods: It was conducted a cohort study in Unit 8B Polyvalent Intensive Care Unit of "Hermanos Ameijeiras" Clinical Surgical Hospital, of Havana province, in the period from March 1st, 2009 until February 28, 2011. The patients were divided into two groups according to the result of the scale: ‹15 points and another with ≥ 15, evaluating the occurrence of hidden mortality and readmissions. As main variables it was measured: mortality, adverse events, the SAPS- 3 scale score and its comparison with the SWIFT scale.
Results: the SWIFT scale proved to be useful in predicting adverse events after discharge from the ICU without discriminating over time. The highest SAPS-3 score on admission corresponded to a higher value of the SWIFT Index at discharge from Intensive Care Unit.
Conclusions: patients discharged from the ICU with a SWIFT score ≥ 15 points presented a slightly higher stay than those with SWIFT ‹15 points having no statistical significance.


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