Accuracy of the nursing diagnosis of ineffective airway clearance in intensive care unit patients
ABSTRACT Objectives: to analyze the accuracy of the clinical indicators of ineffective airway clearance in adult intensive care unit patients. Methods: diagnostic accuracy study, performed in the intensive care unit of a university hospital in northeastern Brazil. The sample consisted of 104 patie...
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Enfermagem
2023-01-01
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| Series: | Revista Brasileira de Enfermagem |
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| Online Access: | http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023000100164&lng=en&tlng=en |
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| author | Juliane Rangel Dantas Anna Thays Dias Almeida Karolayne Cabral Matias Maria Isabel da Conceição Dias Fernandes Jéssica Dantas de Sá Tinôco Marcos Venícios de Oliveira Lopes Ana Luísa Brandão de Carvalho Lira |
| author_facet | Juliane Rangel Dantas Anna Thays Dias Almeida Karolayne Cabral Matias Maria Isabel da Conceição Dias Fernandes Jéssica Dantas de Sá Tinôco Marcos Venícios de Oliveira Lopes Ana Luísa Brandão de Carvalho Lira |
| author_sort | Juliane Rangel Dantas |
| collection | DOAJ |
| description | ABSTRACT Objectives: to analyze the accuracy of the clinical indicators of ineffective airway clearance in adult intensive care unit patients. Methods: diagnostic accuracy study, performed in the intensive care unit of a university hospital in northeastern Brazil. The sample consisted of 104 patients hospitalized between June and October 2019. Results: the prevalence of ineffective airway clearance was 36.54%. The indicators with high specificity included absence of cough (0.8326), orthopnea (0.6817), adventitious breath sounds (0.8175), and diminished breath sounds (0.8326). The clinical indicators with high sensitivity and specificity were alteration in respiratory rate (0.9999) and alteration in respiratory pattern (0.9999). Conclusions: six clinical indicators provided an accurate identification of ineffective airway clearance. The clinical indicators alteration in respiratory rate and alteration in respiratory pattern were the most accurate for critical adult patients. The findings of this study contribute to accurate diagnostic inferences and to prevention of respiratory complications in these patients. |
| first_indexed | 2024-04-10T19:03:52Z |
| format | Article |
| id | doaj.art-d313714177244d11aba4e572a19c76d1 |
| institution | Directory Open Access Journal |
| issn | 1984-0446 |
| language | English |
| last_indexed | 2024-04-10T19:03:52Z |
| publishDate | 2023-01-01 |
| publisher | Associação Brasileira de Enfermagem |
| record_format | Article |
| series | Revista Brasileira de Enfermagem |
| spelling | doaj.art-d313714177244d11aba4e572a19c76d12023-01-31T07:30:51ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-04462023-01-0176110.1590/0034-7167-2022-0174Accuracy of the nursing diagnosis of ineffective airway clearance in intensive care unit patientsJuliane Rangel Dantashttps://orcid.org/0000-0002-1542-1559Anna Thays Dias Almeidahttps://orcid.org/0000-0001-5511-6121Karolayne Cabral Matiashttps://orcid.org/0000-0003-0484-8693Maria Isabel da Conceição Dias Fernandeshttps://orcid.org/0000-0003-0569-5027Jéssica Dantas de Sá Tinôcohttps://orcid.org/0000-0002-1111-0390Marcos Venícios de Oliveira Lopeshttps://orcid.org/0000-0001-5867-8023Ana Luísa Brandão de Carvalho Lirahttps://orcid.org/0000-0002-7255-960XABSTRACT Objectives: to analyze the accuracy of the clinical indicators of ineffective airway clearance in adult intensive care unit patients. Methods: diagnostic accuracy study, performed in the intensive care unit of a university hospital in northeastern Brazil. The sample consisted of 104 patients hospitalized between June and October 2019. Results: the prevalence of ineffective airway clearance was 36.54%. The indicators with high specificity included absence of cough (0.8326), orthopnea (0.6817), adventitious breath sounds (0.8175), and diminished breath sounds (0.8326). The clinical indicators with high sensitivity and specificity were alteration in respiratory rate (0.9999) and alteration in respiratory pattern (0.9999). Conclusions: six clinical indicators provided an accurate identification of ineffective airway clearance. The clinical indicators alteration in respiratory rate and alteration in respiratory pattern were the most accurate for critical adult patients. The findings of this study contribute to accurate diagnostic inferences and to prevention of respiratory complications in these patients.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023000100164&lng=en&tlng=enIntensive Care UnitsRespiratory SystemNursing DiagnosisData ManagementNursing. |
| spellingShingle | Juliane Rangel Dantas Anna Thays Dias Almeida Karolayne Cabral Matias Maria Isabel da Conceição Dias Fernandes Jéssica Dantas de Sá Tinôco Marcos Venícios de Oliveira Lopes Ana Luísa Brandão de Carvalho Lira Accuracy of the nursing diagnosis of ineffective airway clearance in intensive care unit patients Revista Brasileira de Enfermagem Intensive Care Units Respiratory System Nursing Diagnosis Data Management Nursing. |
| title | Accuracy of the nursing diagnosis of ineffective airway clearance in intensive care unit patients |
| title_full | Accuracy of the nursing diagnosis of ineffective airway clearance in intensive care unit patients |
| title_fullStr | Accuracy of the nursing diagnosis of ineffective airway clearance in intensive care unit patients |
| title_full_unstemmed | Accuracy of the nursing diagnosis of ineffective airway clearance in intensive care unit patients |
| title_short | Accuracy of the nursing diagnosis of ineffective airway clearance in intensive care unit patients |
| title_sort | accuracy of the nursing diagnosis of ineffective airway clearance in intensive care unit patients |
| topic | Intensive Care Units Respiratory System Nursing Diagnosis Data Management Nursing. |
| url | http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023000100164&lng=en&tlng=en |
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