{"id":11977,"date":"2019-02-25T14:32:02","date_gmt":"2019-02-25T14:32:02","guid":{"rendered":"https:\/\/sbpt.org.br\/portal\/?p=11977"},"modified":"2019-02-25T14:32:02","modified_gmt":"2019-02-25T14:32:02","slug":"escore-pesi-tromboembolia-pulmonar-aguda","status":"publish","type":"post","link":"https:\/\/sbpt.org.br\/portal\/escore-pesi-tromboembolia-pulmonar-aguda\/","title":{"rendered":"Estudo valida o escore PESI para a estratifica\u00e7\u00e3o de risco ap\u00f3s tromboembolia pulmonar aguda"},"content":{"rendered":"<p style=\"text-align: justify\">Um <a href=\"http:\/\/www.jornaldepneumologia.com.br\/detalhe_artigo.asp?id=2950\" target=\"_blank\" rel=\"noopener\">estudo de coorte publicado no Jornal Brasileiro de Pneumologia<\/a><sup>1<\/sup> validou o&nbsp;Pulmonary Embolism Severity Index (PESI) no Brasil.<\/p>\n<p style=\"text-align: justify\">O PESI \u00e9 uma ferramenta que estratifica o risco de mortalidade por tromboembolia pulmonar aguda (TEP), auxiliando os m\u00e9dicos a definirem o tratamento do paciente ap\u00f3s um epis\u00f3dio de TEP.<\/p>\n<p style=\"text-align: justify\">Na pesquisa publicada no JBP,&nbsp;os autores selecionaram, inicialmente, 231 pacientes com diagn\u00f3stico principal de TEP aguda com admiss\u00e3o hospitalar da Divis\u00e3o de Emerg\u00eancias Cl\u00ednicas do Departamento de Cl\u00ednica M\u00e9dica da Faculdade de Medicina de Ribeir\u00e3o Preto da USP, entre janeiro de 2009 a dezembro de 2015.<\/p>\n<p style=\"text-align: justify\">O quadro cl\u00ednico compat\u00edvel com TEP foi associado a um exame confirmat\u00f3rio de imagem e, ap\u00f3s uma revis\u00e3o detalhada, 123 pacientes preencheram os crit\u00e9rios de diagn\u00f3stico definitivo de TEP aguda de acordo com os par\u00e2metros estabelecidos.<\/p>\n<p style=\"text-align: justify\">Considerando 11 vari\u00e1veis cl\u00ednicas preditivas para o risco de morte por tromboembolia pulmonar aguda, os autores analisaram o desfecho de mortalidade geral em 30 dias (MG30). A amostra tinha m\u00e9dia de idade de 57 \u00b1 17 anos, predom\u00ednio do sexo feminino (60%) e MG30 de 28 \u00f3bitos (23%).<\/p>\n<p style=\"text-align: justify\">&#8220;O desempenho do PESI foi semelhante ao relatado na literatura internacional. Os pacientes classificados como Classe I e II apresentaram uma baixa mortalidade geral em 30 dias. A utiliza\u00e7\u00e3o da vers\u00e3o original agrupada do escore (Classes I-II versus Classe III-IV-V) foi a forma mais adequada para o cen\u00e1rio, com uma acur\u00e1cia progn\u00f3stica superior \u00e0 vers\u00e3o simplificada&#8221;, conta um dos autores do estudo, Carlos Henrique Miranda.<\/p>\n<p style=\"text-align: justify\">A pesquisa que originou o PESI foi realizada, inicialmente, com 10.354 pacientes dos Estados Unidos que haviam recebido alta hospitalar de TEP. O estudo foi validado posteriormente com outros 5.177 pacientes nos EUA. O escore j\u00e1 foi validado em diversos outros pa\u00edses, seja na vers\u00e3o simplificada ou original.<\/p>\n<p style=\"text-align: center\"><a href=\"http:\/\/www.jornaldepneumologia.com.br\/imagebank\/pdf\/completo_v45n1_PT.pdf\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-11864 size-medium\" src=\"https:\/\/d1xe7tfg0uwul9.cloudfront.net\/sbpt-portal\/wp-content\/uploads\/2019\/02\/jbp-destak-300x219.png\" alt=\"\" width=\"300\" height=\"219\" srcset=\"https:\/\/d1xe7tfg0uwul9.cloudfront.net\/sbpt-portal\/wp-content\/uploads\/2019\/02\/jbp-destak-300x219.png 300w, https:\/\/d1xe7tfg0uwul9.cloudfront.net\/sbpt-portal\/wp-content\/uploads\/2019\/02\/jbp-destak.png 350w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"http:\/\/www.jornaldepneumologia.com.br\/imagebank\/pdf\/completo_v45n1_PT.pdf\" target=\"_blank\" rel=\"noopener\">Leia o artigo completo e outros no Jornal Brasileiro de Pneumologia, volume 45, n\u00famero 1 (Jan\/Fev).&nbsp;<\/a><\/p>\n<hr>\n<p>Refer\u00eancia<\/p>\n<p style=\"text-align: justify\">Soriano1 LA, A , Castro1 TT, B , Vilalva1 K, C , et al. <a href=\"http:\/\/www.jornaldepneumologia.com.br\/detalhe_artigo.asp?id=2950\" target=\"_blank\" rel=\"noopener\"><strong>Validation of the Pulmonary Embolism Severity Index for risk stratification after acute pulmonary embolism in a cohort of patients in Brazil<\/strong><\/a>. J Bras Pneumol. 2019;45(1):e20170251.<\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>Um estudo de coorte publicado no Jornal Brasileiro de Pneumologia1 validou o&nbsp;Pulmonary Embolism Severity Index (PESI) no Brasil. O PESI \u00e9 uma ferramenta que estratifica o risco de mortalidade por tromboembolia pulmonar aguda (TEP), auxiliando os m\u00e9dicos a definirem o tratamento do paciente ap\u00f3s um epis\u00f3dio de TEP. Na pesquisa publicada no JBP,&nbsp;os autores selecionaram, [&hellip;]<!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":3,"featured_media":11978,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"ngg_post_thumbnail":0,"footnotes":""},"categories":[68],"tags":[179,180,408,31,501,502,34,409,410,503],"class_list":["post-11977","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticias","tag-jbp","tag-jornal-brasileiro-de-pneumologia","tag-pesi","tag-pneumologia","tag-pulmonary-embolism","tag-pulmonary-embolism-severity-index","tag-sbpt","tag-tep","tag-tromboembolia-pulmonar","tag-tromboembolia-pulmonar-aguda"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ 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