{"id":11296,"date":"2019-10-30T13:21:38","date_gmt":"2019-10-30T16:21:38","guid":{"rendered":"https:\/\/www.epimedsolutions.com\/?publicacao=saps-3-performance-in-cancer-patients-admitted-to-an-intensive-care-unit-in-brazil"},"modified":"2020-01-07T14:16:14","modified_gmt":"2020-01-07T16:16:14","slug":"saps-3-performance-in-cancer-patients-admitted-to-an-intensive-care-unit-in-brazil","status":"publish","type":"publicacao","link":"https:\/\/www.epimedsolutions.com\/es\/publicacion\/saps-3-performance-in-cancer-patients-admitted-to-an-intensive-care-unit-in-brazil\/","title":{"rendered":"SAPS 3 performance in cancer patients admitted to an intensive care unit in Brazil"},"content":{"rendered":"<h6><strong>Autor: <\/strong>L. Taniguchi, E. Siqueira<br \/>\nIntensive care unit, Hospital Sirio Libanes, Sao Paulo, Brazil<\/h6>\n<h6><strong>Correspond\u00eancia:<\/strong> L. Taniguchi<br \/>\nIntensive Care Medicine Experimental 2019, 7(Suppl 3):001246<\/h6>\n<h6><strong>Data:<\/strong> 2019<\/h6>\n<p><strong>INTRODU\u00c7\u00c3O<\/strong><\/p>\n<p>Simplified Acute Physiology Score 3 (SAPS 3) is the most accurate prognostic model for Brazil [1]. However, recent evaluation of its performance in solid cancer patients has not been performed in our country.<\/p>\n<p><strong>OBJETIVOS<\/strong><\/p>\n<p>To compare the performance of SAPS 3 in patients with and without solid cancer admitted to the intensive care unit (ICU) of a comprehensive oncological hospital in Brazil.<\/p>\n<p><strong>M\u00c9TODOS<\/strong><\/p>\n<p>Retrospective cohort analysis of Epimed administrative database of adult patients (&gt;18 years) first admission to the intensive care unit (ICU) of Hospital S\u00edrio Liban\u00eas (S\u00e3o Paulo, Brazil) from 2012 to 2016. Patients were categorized according to the presence of solid cancer at ICU admission. Hematological patients were excluded. We evaluated discrimination using the area under the receiver operating characteristic curve (AUROC) and the agreement between observed and expected mortality rates (calibration) using the calibration belt.<\/p>\n<p><strong>RESULTADOS<\/strong><\/p>\n<p>We studied 7,390 patients (age 66.1\u00b118.4 years, 54.1% male, SAPS 3 score 41.6\u00b1 13.3, 41.6% had cancer, 12.1% died during hospitalization). Cancer patients were younger compared to non-cancer patients (62.6\u00b116.5 years vs 68.7\u00b119.3 years respectively, p&lt;0.001), had lower SAPS 3 (40.9\u00b114 vs 42.1\u00b112.8 respectively, p&lt;0.001), were admitted more frequently after elective surgery (60.6% vs 24.9%, p&lt;0.001), but had higher hospital mortality (14.1% vs 10.6%, p&lt;0.001).<\/p>\n<p>SAPS 3 discrimination was better for cancer patients (AUROC = 0.85) than for non-cancer patients (AUROC = 0.79) (p &lt; 0.001). After we applied the calibration belt, we observed that in cancer patients the SAPS 3 match the average observed rates for the confidence level of 95%.<\/p>\n<p>In noncancer patients the SAPS 3 overestimated mortality in those with low-middle risk (figure).<\/p>\n<p><strong>CONCLUS\u00c3O<\/strong><\/p>\n<p>SAPS 3 has different performances in cancer and noncancer patients in our single-center cohort.<\/p>\n<p><strong>REFER\u00caNCIA<\/strong><\/p>\n<p>1. Moralez GM, Rabello LSCF, Lisboa TC, Lima MDFA, Hatum RM, De Marco FVC, et al. External validation of SAPS 3 and MPM0-III scores in 48,816 patients from 72 Brazilian ICUs. Ann Intensive Care. 2017;7:53.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2741\" src=\"https:\/\/www.epimedsolutions.com\/wp-content\/uploads\/2019\/10\/saps-3-2.jpg\" alt=\"\" width=\"371\" height=\"204\"><\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-11296","publicacao","type-publicacao","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>SAPS 3 performance in cancer patients admitted to an intensive care unit in Brazil - Epimed Solutions<\/title>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/www.epimedsolutions.com\/es\/publicacion\/saps-3-performance-in-cancer-patients-admitted-to-an-intensive-care-unit-in-brazil\/\" \/>\r\n<meta property=\"og:locale\" content=\"es_ES\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"SAPS 3 performance in cancer patients admitted to an intensive care unit in Brazil - Epimed Solutions\" \/>\r\n<meta property=\"og:description\" content=\"Autor: L. Taniguchi, E. Siqueira Intensive care unit, Hospital Sirio Libanes, Sao Paulo, Brazil Correspond\u00eancia: L. Taniguchi Intensive Care Medicine Experimental 2019, 7(Suppl 3):001246 Data: 2019 INTRODU\u00c7\u00c3O Simplified Acute Physiology Score 3 (SAPS 3) is the most accurate prognostic model [&hellip;]\" \/>\r\n<meta property=\"og:url\" content=\"https:\/\/www.epimedsolutions.com\/es\/publicacion\/saps-3-performance-in-cancer-patients-admitted-to-an-intensive-care-unit-in-brazil\/\" \/>\r\n<meta property=\"og:site_name\" content=\"Epimed Solutions\" \/>\r\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/epimed\/\" \/>\r\n<meta property=\"article:modified_time\" content=\"2020-01-07T16:16:14+00:00\" \/>\r\n<meta property=\"og:image\" content=\"https:\/\/www.epimedsolutions.com\/wp-content\/uploads\/2019\/10\/saps-3-2.jpg\" \/>\r\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\r\n<meta name=\"twitter:site\" content=\"@epimed\" \/>\r\n<meta name=\"twitter:label1\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutos\" \/>\r\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.epimedsolutions.com\/es\/publicacion\/saps-3-performance-in-cancer-patients-admitted-to-an-intensive-care-unit-in-brazil\/\",\"url\":\"https:\/\/www.epimedsolutions.com\/es\/publicacion\/saps-3-performance-in-cancer-patients-admitted-to-an-intensive-care-unit-in-brazil\/\",\"name\":\"SAPS 3 performance in cancer patients admitted to an intensive care unit in Brazil - 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