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dc.contributor.authorMallmann, Felipept_BR
dc.contributor.authorFernandes, E. M.pt_BR
dc.contributor.authorÁvila, Eduardo Mullerpt_BR
dc.contributor.authorNogueira, Fernando Lopespt_BR
dc.contributor.authorSteinhorst, Ana Maria Pasqualipt_BR
dc.contributor.authorSaucedo, Dumitriu Zuninopt_BR
dc.contributor.authorMachado, Francisco Juchempt_BR
dc.contributor.authorRaymundi, Marcelo Gregoriopt_BR
dc.contributor.authorDalcin, Paulo de Tarso Rothpt_BR
dc.contributor.authorMenna Barreto, Sérgio Saldanhapt_BR
dc.date.accessioned2010-04-24T04:15:23Zpt_BR
dc.date.issued2002pt_BR
dc.identifier.issn0100-879Xpt_BR
dc.identifier.urihttp://hdl.handle.net/10183/21118pt_BR
dc.description.abstractEarly identification of patients who need hospitalization or patients who should be discharged would be helpful for the management of acute asthma in the emergency room. The objective of the present study was to examine the clinical and pulmonary functional measures used during the first hour of assessment of acute asthma in the emergency room in order to predict the outcome. We evaluated 88 patients. The inclusion criteria were age between 12 and 55 years, forced expiratory volume in the first second below 50% of predicted value, and no history of chronic disease or pregnancy. After baseline evaluation, all patients were treated with 2.5 mg albuterol delivered by nebulization every 20 min in the first hour and 60 mg of intravenous methylprednisolone. Patients were reevaluated after 60 min of treatment. Sixty-five patients (73.9%) were successfully treated and discharged from the emergency room (good responders), and 23 (26.1%) were hospitalized or were treated and discharged with relapse within 10 days (poor responders). A predictive index was developed: peak expiratory flow rates after 1 h £0% of predicted values and accessory muscle use after 1 h. The index ranged from 0 to 2. An index of 1 or higher presented a sensitivity of 74.0, a specificity of 69.0, a positive predictive value of 46.0, and a negative predictive value of 88.0. It was possible to predict outcome in the first hour of management of acute asthma in the emergency room when the index score was 0 or 2.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofBrazilian journal of medical and biological research. Ribeirão Preto, SP. Vol. 35, no. 1 (Jan. 2002), p. 39-47pt_BR
dc.rightsOpen Accessen
dc.subjectAsthmaen
dc.subjectEstado asmáticopt_BR
dc.subjectAsmapt_BR
dc.subjectOutcomeen
dc.subjectIndexen
dc.subjectEmergênciaspt_BR
dc.subjectCuidados críticospt_BR
dc.subjectPrognosisen
dc.subjectPrognósticopt_BR
dc.subjectEmergency medicineen
dc.titleEarly prediction of poor outcome in patients with acute asthma in the emergency roompt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb000353693pt_BR
dc.type.originNacionalpt_BR


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