CLINICAL DETERIORATION SCORE FOR PATIENTS WITH REDUCED CARDIAC OUTPUT
DOI:
https://doi.org/10.17564/2316-3798.2024v9n3p480-494
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Copyright (c) 2024 Interfaces Científicas - Saúde e Ambiente
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Abstract
Objective: To develop a score for measuring clinical deterioration in patients at risk of reduced cardiac output.
Method: A methodological study was conducted following the theoretical framework of Pasquali, using an integrative literature review, pilot instrument development, and evaluation by expert judges.
Results: Nine clinical indicators, presented through easily measurable signs and symptoms, were established to facilitate the recognition of clinical deterioration: neurological status, respiratory status, activity tolerance, fluid volume, gastric status, sensory alteration of cardiac origin, heart rate and rhythm, blood pressure, and tissue perfusion.
Conclusion: The developed instrument demonstrated evidence of validity, establishing itself as a non-invasive, easily applicable, innovative technology that does not require the use of other technological devices. The use of this instrument may benefit nurses in early identification of clinical deterioration in patients, thereby facilitating appropriate decision-making to prevent serious outcomes. This score represents a valuable contribution to nursing, offering an effective and practical tool for managing patients with reduced cardiac output.
