Desenvolvimento de um protocolo para abordagem rápida multiprofissional do paciente com sepse
Ano de defesa: | 2021 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso embargado |
Idioma: | por |
Instituição de defesa: |
Universidade Estadual da Paraíba
|
Programa de Pós-Graduação: |
Programa de Pós-Graduação Profissional em Ciência e Tecnologia em Saúde - PPGCTS
|
Departamento: |
Pró-Reitoria de Pós-Graduação e Pesquisa - PRPGP
|
País: |
Brasil
|
Palavras-chave em Português: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://tede.bc.uepb.edu.br/jspui/handle/tede/4548 |
Resumo: | Introduction: Sepsis is a potentially fatal organ dysfunction caused by a dysregulated host response to infection. Sepsis and septic shock are major health problems affecting millions of people around the world each year, and killing up to one in four people affected. The late diagnosis and delay in the therapeutic approach of sepsis are contributing factors to mortality. Objective: Development and application of a quick and easy to use protocol in clinical practice to the diagnosis of patients with sepsis, that has as a final effect to reduce mortality in patients. Methodology: This is an experimental cross-sectional, documentary and prospective study, in which a protocol to early diagnosis and prompt management of sepsis was developed. It was performed at the Regional Hospital of the West of Bahia, in the city of Barreiras-BA. Results: With the elaboration of this protocol, as well as the training of the staff, patients with suspected sepsis started to be screened by the staff, allowing the evaluation of the effectiveness of the KMR3 score through the collection of clinical data of the patients. The total mortality of patients who were included in the study with the KMR3 score was 18.98%, resulting in a survival rate of 81.01%. Conclusion: Therefore, it was noted that the decrease in the mortality rate after the implementation of KMR3 protocol occurred due to the rapid and early diagnosis, through a practical, accessible, wide and entirely clinical protocol (without the need for laboratory tests), This way, the correct treatment was used without delay, increasing its effectiveness and generating a considerable reduction in the number of deaths in patients diagnosed with sepsis. |
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Bublitz, Frederico MoreiraBublitz, Frederico MoreiraLopes, Andrei GuilhermeScherer, DanielLucena, Roberto MardenEspírito Santo, Rodrigo José Melo do2023-04-14T23:05:40Z2999-12-312021-04-14ESPÍRITO SANTO, Rodrigo José Melo do. Desenvolvimento de um protocolo para abordagem rápida multiprofissional do paciente com sepse. 2022. 38 p. Dissertação (Programa de Pós-Graduação Profissional em Ciência e Tecnologia em Saúde - PPGCTS) - Universidade Estadual da Paraíba, Campina Grande, 2021http://tede.bc.uepb.edu.br/jspui/handle/tede/4548Introduction: Sepsis is a potentially fatal organ dysfunction caused by a dysregulated host response to infection. Sepsis and septic shock are major health problems affecting millions of people around the world each year, and killing up to one in four people affected. The late diagnosis and delay in the therapeutic approach of sepsis are contributing factors to mortality. Objective: Development and application of a quick and easy to use protocol in clinical practice to the diagnosis of patients with sepsis, that has as a final effect to reduce mortality in patients. Methodology: This is an experimental cross-sectional, documentary and prospective study, in which a protocol to early diagnosis and prompt management of sepsis was developed. It was performed at the Regional Hospital of the West of Bahia, in the city of Barreiras-BA. Results: With the elaboration of this protocol, as well as the training of the staff, patients with suspected sepsis started to be screened by the staff, allowing the evaluation of the effectiveness of the KMR3 score through the collection of clinical data of the patients. The total mortality of patients who were included in the study with the KMR3 score was 18.98%, resulting in a survival rate of 81.01%. Conclusion: Therefore, it was noted that the decrease in the mortality rate after the implementation of KMR3 protocol occurred due to the rapid and early diagnosis, through a practical, accessible, wide and entirely clinical protocol (without the need for laboratory tests), This way, the correct treatment was used without delay, increasing its effectiveness and generating a considerable reduction in the number of deaths in patients diagnosed with sepsis.Introdução: A sepse é uma disfunção orgânica potencialmente fatal causada por uma resposta do hospedeiro desregulada à infecção. Sepse e choque séptico são grandes problemas de saúde afetando milhões de pessoas em todo o mundo a cada ano, e matando até uma em cada quatro pessoas afetadas. O diagnóstico tardio e o atraso na abordagem terapêutica da sepse são fatores contribuinte para mortalidade. Objetivo: Desenvolvimento e aplicação de um protocolo de uso rápido e fácil na prática clínica, para o diagnóstico do paciente com sepse, que tenha como efeito final, diminuir mortalidade em pacientes. Metodologia: Trata-se de um estudo experimental transverso, do tipo documental e prospectivo, o qual foi desenvolvido um protocolo para diagnóstico precoce e abordagem rápida da sepse. Foi realizado no Hospital Regional do Oeste da Bahia, na cidade de Barreiras-BA. Resultados: Com a elaboração do referido protocolo, bem como a capacitação da equipe, os pacientes com suspeita de sepse passaram a ser triados pela equipe, permitindo a avaliação da eficácia do escore KMR3 através da coleta de dados clínicos dos pacientes. A mortalidade total dos pacientes que foram incluídos no estudo com o escore KMR3 foi de 18,98%, resultando em uma taxa de sobrevivência de 81,01%. Conclusão: Dessa forma, notou-se que a diminuição da taxa de mortalidade após implantação do protocolo KMR3 ocorreu devido ao diagnóstico rápido e precoce, mediante um protocolo prático, acessível, abrangente e inteiramente clínico (sem necessitar de exames laboratoriais), dessa forma, o tratamento correto foi utilizado sem atraso, aumentando a sua eficácia e gerando uma redução considerável do número de óbitos em pacientes com diagnóstico de sepse.Submitted by Rodrigo José Melo do Espírito Santo (rodrigojmes87@gmail.com) on 2022-12-01T15:24:27Z No. of bitstreams: 2 DS-RODRIGO JOSÉ MELO DO ESPÍRITO SANTO.pdf: 1946241 bytes, checksum: bebc3c36db2a08ce2dca2eec4784fb72 (MD5) Termo de Depósito BDTD - RODRIGO JOSÉ MELO DO ESPÍRITO SANTO.pdf: 173763 bytes, checksum: c0a5ca5573c5058e53e1afa6e10e1173 (MD5)Approved for entry into archive by Rosalvo Andrade (rosalvo_andrade@servidor.uepb.edu.br) on 2022-12-01T15:51:53Z (GMT) No. of bitstreams: 2 DS-RODRIGO JOSÉ MELO DO ESPÍRITO SANTO.pdf: 1946241 bytes, checksum: bebc3c36db2a08ce2dca2eec4784fb72 (MD5) Termo de Depósito BDTD - RODRIGO JOSÉ MELO DO ESPÍRITO SANTO.pdf: 173763 bytes, checksum: c0a5ca5573c5058e53e1afa6e10e1173 (MD5)Made available in DSpace on 2023-04-14T23:05:40Z (GMT). No. of bitstreams: 2 DS-RODRIGO JOSÉ MELO DO ESPÍRITO SANTO.pdf: 1946241 bytes, checksum: bebc3c36db2a08ce2dca2eec4784fb72 (MD5) Termo de Depósito BDTD - RODRIGO JOSÉ MELO DO ESPÍRITO SANTO.pdf: 173763 bytes, checksum: c0a5ca5573c5058e53e1afa6e10e1173 (MD5) Previous issue date: 2021-04-14Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfporUniversidade Estadual da ParaíbaPrograma de Pós-Graduação Profissional em Ciência e Tecnologia em Saúde - PPGCTSUEPBBrasilPró-Reitoria de Pós-Graduação e Pesquisa - PRPGPSepseAbordagem terapêuticaProtocolo multiprofissional.CIENCIAS DA SAUDE::MEDICINADesenvolvimento de um protocolo para abordagem rápida multiprofissional do paciente com sepseinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-2916614878490539376600600600524871450381110278-969369452308786627info:eu-repo/semantics/embargoedAccessreponame:Biblioteca Digital de Teses e Dissertações da UEPBinstname:Universidade Estadual da Paraíba (UEPB)instacron:UEPBORIGINALDS - Rodrigo José Melo do Espírito SantoDS - Rodrigo José Melo do Espírito Santoapplication/pdf1946241http://tede.bc.uepb.edu.br/jspui/bitstream/tede/4548/2/DS+-+Rodrigo+Jos%C3%A9+Melo+do+Esp%C3%ADrito+Santobebc3c36db2a08ce2dca2eec4784fb72MD52Termo de depósito BDTDTermo de depósito BDTDapplication/pdf173763http://tede.bc.uepb.edu.br/jspui/bitstream/tede/4548/3/Termo+de+dep%C3%B3sito+BDTDc0a5ca5573c5058e53e1afa6e10e1173MD53LICENSElicense.txtlicense.txttext/plain; charset=utf-81960http://tede.bc.uepb.edu.br/jspui/bitstream/tede/4548/1/license.txt6052ae61e77222b2086e666b7ae213ceMD51tede/45482023-04-14 20:05:55.144oai:tede.bc.uepb.edu.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede.bc.uepb.edu.br/jspui/PUBhttp://tede.bc.uepb.edu.br/oai/requestbc@uepb.edu.br||opendoar:2023-04-14T23:05:55Biblioteca Digital de Teses e Dissertações da UEPB - Universidade Estadual da Paraíba (UEPB)false |
dc.title.por.fl_str_mv |
Desenvolvimento de um protocolo para abordagem rápida multiprofissional do paciente com sepse |
title |
Desenvolvimento de um protocolo para abordagem rápida multiprofissional do paciente com sepse |
spellingShingle |
Desenvolvimento de um protocolo para abordagem rápida multiprofissional do paciente com sepse Espírito Santo, Rodrigo José Melo do Sepse Abordagem terapêutica Protocolo multiprofissional. CIENCIAS DA SAUDE::MEDICINA |
title_short |
Desenvolvimento de um protocolo para abordagem rápida multiprofissional do paciente com sepse |
title_full |
Desenvolvimento de um protocolo para abordagem rápida multiprofissional do paciente com sepse |
title_fullStr |
Desenvolvimento de um protocolo para abordagem rápida multiprofissional do paciente com sepse |
title_full_unstemmed |
Desenvolvimento de um protocolo para abordagem rápida multiprofissional do paciente com sepse |
title_sort |
Desenvolvimento de um protocolo para abordagem rápida multiprofissional do paciente com sepse |
author |
Espírito Santo, Rodrigo José Melo do |
author_facet |
Espírito Santo, Rodrigo José Melo do |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Bublitz, Frederico Moreira |
dc.contributor.referee1.fl_str_mv |
Bublitz, Frederico Moreira |
dc.contributor.referee2.fl_str_mv |
Lopes, Andrei Guilherme |
dc.contributor.referee3.fl_str_mv |
Scherer, Daniel |
dc.contributor.referee4.fl_str_mv |
Lucena, Roberto Marden |
dc.contributor.author.fl_str_mv |
Espírito Santo, Rodrigo José Melo do |
contributor_str_mv |
Bublitz, Frederico Moreira Bublitz, Frederico Moreira Lopes, Andrei Guilherme Scherer, Daniel Lucena, Roberto Marden |
dc.subject.por.fl_str_mv |
Sepse Abordagem terapêutica Protocolo multiprofissional. |
topic |
Sepse Abordagem terapêutica Protocolo multiprofissional. CIENCIAS DA SAUDE::MEDICINA |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Introduction: Sepsis is a potentially fatal organ dysfunction caused by a dysregulated host response to infection. Sepsis and septic shock are major health problems affecting millions of people around the world each year, and killing up to one in four people affected. The late diagnosis and delay in the therapeutic approach of sepsis are contributing factors to mortality. Objective: Development and application of a quick and easy to use protocol in clinical practice to the diagnosis of patients with sepsis, that has as a final effect to reduce mortality in patients. Methodology: This is an experimental cross-sectional, documentary and prospective study, in which a protocol to early diagnosis and prompt management of sepsis was developed. It was performed at the Regional Hospital of the West of Bahia, in the city of Barreiras-BA. Results: With the elaboration of this protocol, as well as the training of the staff, patients with suspected sepsis started to be screened by the staff, allowing the evaluation of the effectiveness of the KMR3 score through the collection of clinical data of the patients. The total mortality of patients who were included in the study with the KMR3 score was 18.98%, resulting in a survival rate of 81.01%. Conclusion: Therefore, it was noted that the decrease in the mortality rate after the implementation of KMR3 protocol occurred due to the rapid and early diagnosis, through a practical, accessible, wide and entirely clinical protocol (without the need for laboratory tests), This way, the correct treatment was used without delay, increasing its effectiveness and generating a considerable reduction in the number of deaths in patients diagnosed with sepsis. |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021-04-14 |
dc.date.accessioned.fl_str_mv |
2023-04-14T23:05:40Z |
dc.date.available.fl_str_mv |
2999-12-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
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dc.identifier.citation.fl_str_mv |
ESPÍRITO SANTO, Rodrigo José Melo do. Desenvolvimento de um protocolo para abordagem rápida multiprofissional do paciente com sepse. 2022. 38 p. Dissertação (Programa de Pós-Graduação Profissional em Ciência e Tecnologia em Saúde - PPGCTS) - Universidade Estadual da Paraíba, Campina Grande, 2021 |
dc.identifier.uri.fl_str_mv |
http://tede.bc.uepb.edu.br/jspui/handle/tede/4548 |
identifier_str_mv |
ESPÍRITO SANTO, Rodrigo José Melo do. Desenvolvimento de um protocolo para abordagem rápida multiprofissional do paciente com sepse. 2022. 38 p. Dissertação (Programa de Pós-Graduação Profissional em Ciência e Tecnologia em Saúde - PPGCTS) - Universidade Estadual da Paraíba, Campina Grande, 2021 |
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http://tede.bc.uepb.edu.br/jspui/handle/tede/4548 |
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