VENTILATOR-ASSOCIATED PNEUMONIA AND MORTALITY: THE ROLE OF THE SOFA SCORE
DOI:
https://doi.org/10.26694/repis.v12i1.6855Keywords:
Ventilator-Associated Pneumonia, Management indicators, Nursing, Intensive Care Unit, Organ Dysfunction ScoresAbstract
ABSTRACT: Objective: To assess the effectiveness of the SOFA score as a predictor of mortality in patients who developed ventilator-associated pneumonia (VAP) during ICU hospitalization. Method: Epidemiological, retrospective study conducted in a university hospital in Paraná, Brazil, including 39 ICU patients diagnosed with ventilator-associated pneumonia. The study was approved by the ethics committee (CAAE: 61430822.0.0000.0105). Results: The sample predominantly consisted of male patients (66.67%), with a mean age of 58.72 years. The mean initial SOFA score was 8.76, while the final SOFA score was 6.39. The analysis showed that patients who were discharged had a significantly lower initial SOFA score (p=0.01) and an even lower final SOFA score (p=0.001). Length of hospital stay had a moderate influence on the initial SOFA score (p=0.05), suggesting that prolonged hospitalization may impact VAP severity. Conclusion: The SOFA score proved to be an important predictor of clinical outcomes in VAP patients, assisting in ICU assessment and decision-making.
Descriptors: Pneumonia, Ventilator-Associated, Nursing, Health Status Indicators, ICU, Organ Dysfunction Scores.
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