{"id":10489,"date":"2026-08-17T14:35:18","date_gmt":"2026-08-17T17:35:18","guid":{"rendered":"https:\/\/www.utisbrasileiras.com\/2026\/08\/17\/validacao-e-customizacao-do-escore-saps-3-em-utis-brasileiras\/"},"modified":"2026-08-25T14:16:09","modified_gmt":"2026-08-25T17:16:09","slug":"validation-and-customization-of-the-saps-3-score-in-brazilian-icus","status":"publish","type":"post","link":"https:\/\/www.utisbrasileiras.com\/es\/2026\/08\/17\/validation-and-customization-of-the-saps-3-score-in-brazilian-icus\/","title":{"rendered":"Validation and customization of the SAPS 3 score in Brazilian ICUs"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"10489\" class=\"elementor elementor-10489 elementor-10423\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7818237c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7818237c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b654741\" data-id=\"b654741\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7af0c123 elementor-widget elementor-widget-text-editor\" data-id=\"7af0c123\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.11.3 - 07-03-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p><strong>Lo que ya se sabe sobre este tema:<\/strong><br \/>El Simplified Acute Physiology (SAPS) 3 se public\u00f3 en 2005 y es el puntaje de gravedad de la enfermedad m\u00e1s utilizado en Brasil. Se espera que el desempe\u00f1o de un puntaje se deteriore con el tiempo, principalmente en t\u00e9rminos de calibraci\u00f3n. Por lo tanto, debe reevaluarse peri\u00f3dicamente para verificar si contin\u00faa siendo adecuado. Adem\u00e1s, los par\u00e1metros y las m\u00e9tricas utilizados para estimar los recursos de la UCI fueron reportados en 2007 y, hasta donde sabemos, no han sido revalidados. El presente estudio evalu\u00f3 el desempe\u00f1o del SAPS 3 en una cohorte contempor\u00e1nea de 1.306.811 pacientes ingresados en 1.239 UCI participantes del Registro Brasile\u00f1o de UCI (UTIs Brasileiras) e investig\u00f3 la necesidad de su personalizaci\u00f3n.<\/p><p><strong>Lo que aporta este estudio:<\/strong><br \/>Observamos que la mortalidad hospitalaria estimada mediante la ecuaci\u00f3n est\u00e1ndar del SAPS 3 (SAPS 3-SE) y los recursos de la UCI estimados mediante las m\u00e9tricas originales para calcular la duraci\u00f3n de la estancia por sobreviviente fueron significativamente sobreestimados, lo que result\u00f3 en bajas tasas estandarizadas de mortalidad y de utilizaci\u00f3n de recursos, respectivamente. En vista de ello, realizamos una personalizaci\u00f3n de primer nivel (recalibraci\u00f3n) del SAPS 3 (SAPS 3-Custom) y derivamos un nuevo conjunto de m\u00e9tricas para estimar el n\u00famero esperado de d\u00edas de UCI por sobreviviente. Los procedimientos de personalizaci\u00f3n corrigieron estas sobreestimaciones y dieron como resultado predicciones m\u00e1s precisas de los dos desenlaces de inter\u00e9s.<\/p><p><strong>C\u00f3mo este estudio puede afectar la pr\u00e1ctica o las pol\u00edticas:<\/strong><br \/>Los resultados del estudio aportan evidencia a favor del uso del SAPS 3-Custom en comparaci\u00f3n con el SAPS 3-SE para evaluar el desempe\u00f1o y la eficiencia de las UCI, as\u00ed como para realizar benchmarking en las UCI brasile\u00f1as. Sin embargo, las reevaluaciones del desempe\u00f1o del SAPS 3-Custom y de las respectivas estimaciones personalizadas de d\u00edas de UCI por sobreviviente, de acuerdo con la gravedad de la enfermedad, deben realizarse peri\u00f3dicamente para determinar si contin\u00faan siendo precisas en el futuro.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-136d49a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"136d49a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9e14baa\" data-id=\"9e14baa\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1a6b9db elementor-widget elementor-widget-spacer\" data-id=\"1a6b9db\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.11.3 - 07-03-2023 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-771b313 elementor-button-info elementor-align-center elementor-widget elementor-widget-button\" data-id=\"771b313\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a href=\"https:\/\/www.utisbrasileiras.com\/wp-content\/uploads\/2026\/08\/Validacao-e-Customizacao-do-Escore-SAPS-3-em-UTIs-Brasileiras-2025.pdf\" target=\"_blank\" class=\"elementor-button-link elementor-button elementor-size-md\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t<span class=\"elementor-button-icon elementor-align-icon-right\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-file-alt\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Accede al PDF<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-048d069 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"048d069\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-34c8eb1\" data-id=\"34c8eb1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Lo que ya se sabe sobre este tema:El Simplified Acute Physiology (SAPS) 3 se public\u00f3 en 2005 y es el puntaje de gravedad de la enfermedad m\u00e1s [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":""},"categories":[78,73],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.2.1 - 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