Escalas de alerta precoce para rastrear deterioração clínica em serviços médicos de emergência: revisão integrativa

Luana Vilela  Vilaça; Suzel Regina Ribeiro  Chavaglia; Fabiana Cristina Pires  Bernardinelli; Ingrid Fidelix  de Souza; Caroline Bueno de Moraes  Pereira; Sheila Aparecida da Silva  da Silva

doi:10.6018/eglobal.502451

Autores/as

Luana Vilela Vilaça Universidade Federal do Triângulo Mineiro https://orcid.org/0000-0002-0809-1256
Suzel Regina Ribeiro Chavaglia Universidade Federal do Triângulo Mineiro https://orcid.org/0000-0001-7033-0185
Fabiana Cristina Pires Bernardinelli Universidade Federal do Triângulo Mineiro https://orcid.org/0000-0002-8524-1449
Ingrid Fidelix de Souza Universidade Federal do Triângulo Mineiro https://orcid.org/0000-0003-3856-9676
Caroline Bueno de Moraes Pereira Universidade Federal do Triângulo Mineiro http://orcid.org/0000-0001-5616-4942
Sheila Aparecida da Silva da Silva Universidade Federal do Triângulo Mineiro https://orcid.org/0000-0001-5971-7944

DOI: https://doi.org/10.6018/eglobal.502451

Palabras clave: Deterioro Clínico, Servicios Médicos de Urgencia, Seguridad del Paciente, Signos Vitales

Resumen

Objetivo: Identificar la evidencia científica en la literatura sobre el uso de escalas de alerta temprana en la identificación de pacientes adultos y ancianos en deterioro clínico en servicios médicos de emergencia.
Métodos: Revisión integradora, apoyada por la recomendación Preferred Reporting Items for Systematic Reviews and Meta-Analyses, con una estrategia de búsqueda basada en la mnemotécnica Población - Fenómeno de interés - Contexto (PICo), realizada en las fuentes: US National Library of Medicine National Institutes Database Search of Health, Web of Science, SciVerse Scopus, Literatura Latino-americana e do Caribe em Ciências da Saúde e Cumulative Index to Nursing and Allied Health Literature. Rayyan se utilizó en la selección y el análisis de contenido para analizar los hallazgos.
Resultados: Se identificaron 691 artículos, de los cuales 22 compusieron la muestra y se enumeraron 27 escalas, National Early Warning Score, National Early Warning Score 2, Quick Sepsis Related Organ Failure Assessment e Modified Early Warning Score. Las escalas tenían parámetros de evaluación similares, caracterizados por frecuencia cardíaca, frecuencia respiratoria, presión arterial sistólica, temperatura, saturación de oxígeno y nivel de conciencia.
Conclusión: Se enumeraron 27 escalas con parámetros de evaluación similares, en las cuales cuatro fueron las más prevalentes y de estas la National Early Warning Score resultó ser la más precisa, sin embargo, la evidencia muestra que la Modified Early Warning Score es la más utilizada en servicios médicos de emergencia.

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Biografía del autor/a

Luana Vilela Vilaça, Universidade Federal do Triângulo Mineiro

Enfermeira. Mestre pelo Programa de Pós-Graduação Stricto Sensu em Atenção à Saúde da Universidade Federal do Triângulo Mineiro.

Fabiana Cristina Pires Bernardinelli, Universidade Federal do Triângulo Mineiro

Enfermeira. Doutoranda do Programa de Pós-Graduação Stricto Sensu em Atenção à Saúde da Universidade Federal do Triângulo Mineiro.

Ingrid Fidelix de Souza, Universidade Federal do Triângulo Mineiro

Graduanda de Enfermagem da Universidade Federal do Triângulo Mineiro.

Caroline Bueno de Moraes Pereira, Universidade Federal do Triângulo Mineiro

Enfermeira. Mestranda do Programa de Pós-Graduação Stricto Sensu em Atenção à Saúde da Universidade Federal do Triângulo Mineiro.

Sheila Aparecida da Silva da Silva, Universidade Federal do Triângulo Mineiro

Fisioterapeuta. Doutoranda do Programa de Pós-Graduação Stricto Sensu em Atenção à Saúde da Universidade Federal do Triângulo Mineiro.

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