Score MEWS como preditor de deterioração clínica em idosos com Covid-19: coorte retrospectivo
DOI:
https://doi.org/10.34117/bjdv9n9-082Keywords:
escore de alerta precoce, idoso, medicina de emergência, deterioração clínica, estudos de coorte, cuidados críticosAbstract
Objetivo: avaliar o MEWS como preditor de deterioração clínica em pacientes idosos com COVID-19. Métodos: trata-se de um estudo de coorte retrospectivo. Foi feito uma análise da eficácia da escala do escore de alerta precoce modificado (MEWS), considerando os valores de MEWS nas 24 horas que precederam o desfecho clínico, sendo óbito o grupo intervenção e alta o grupo controle, a fim de comparar entre eles o comportamento do escore. Esses valores foram encontrados em prontuários de idosos com COVID-19 na Santa Casa de Misericórdia de Ribeirão Preto, São Paulo, em 2022. Resultados: amostra colhida de 194 indivíduos distribuídos entre grupo de óbito e grupo de alta com média de idade de 73,87 anos. Composto por 105 idosos que apresentaram óbito como desfecho clínico e que obtiveram valores elevados na escala MEWS e 89 idosos que apresentaram alta como desfecho clínico e obtiveram valores reduzidos na escala. Conclusão: o MEWS é um bom preditor de deterioração clínica em idosos com COVID-19.
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