SAULLO QUEIROZ SILVEIRA

Índice h a partir de 2011
1
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Instituto Central, Hospital das Clínicas, Faculdade de Medicina
LIM/08 - Laboratório de Anestesiologia, Hospital das Clínicas, Faculdade de Medicina

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Agora exibindo 1 - 9 de 9
  • bookPart
    Infarto agudo do miocárdio associado a quadro de hemorragia digestiva
    (2016) CARVALHO, Hugo Regino Rocha de; BARTILOTTI, Andreza Gonzaga; CASELLATO, Julia Fernandes; SILVEIRA, Saullo Queiroz; TACHIBANA, Ricardo Hideo; HAJJAR, Ludhmila Abrahão
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    Complicações do acesso venoso central
    (2016) SILVEIRA, Saullo Queiroz; MIZUMOTO, Carolina; VANE, Matheus Fachini
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    Urossepse em RTU de próstata
    (2016) MARQUES, Desiree Mayara; SILVEIRA, Saullo Queiroz; COSTA, Matheus L. da S. Ferro; PIOVESAN, Affonso Celso
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  • article 4 Citação(ões) na Scopus
    An evaluation of the accuracy and self-reported confidence of clinicians in using the ASA-PS Classification System
    (2022) SILVEIRA, Saullo Queiroz; SILVA, Leopoldo Muniz da; GOMES, Ronald Figueiredo; ABIB, Arthur de Campos Vieira; VIEIRA, Joaquim Edson; HO, Anthony M-H; LIMA, Helidea de Oliveira; BELLICIERI, Fernando Nardy; CAMIRE, Daenis; NERSESSIAN, Rafael Sousa Fava; MIZUBUTI, Glenio B.
    Objectives: The American Society of Anesthesiologists Physical Status (ASA-PS) is a grading system routinely adopted worldwide by physicians to classify patients' overall health status. Concerns have been raised surrounding the subjectiveness of this system, potentially leading to poor inter-rater agreement/reliability. We hypothesized that physicians are overconfident when assigning ASA-PS scores and that presenting them with the ASA-PS definitions/examples would improve accuracy. We therefore evaluated participants' accuracy and self-reported confidence on the ASA-PS Classification System (1) while assigning ASA-PS according to their baseline knowledge/judgment; and (2) after a single exposure to the ASA-PS definitions/examples. Design: Prospective before-and-after web-based study. Participants: 272 anesthesiologists and 114 non-anesthesiologists. Interventions: Participants voluntarily answered a web-based questionnaire consisting of 10 hypothetical cases. They were asked to assign an ASA-PS score and rate their perceived self-confidence level (20-100%) on the accuracy of their assigned score for each case both (1) before and (2) after reviewing the ASA-PS definitions/examples. The correct ASA-PS for each hypothetical case was determined by consensus among investigators. Measurements: Participants' accuracy, self-reported confidence, and calibration of confidence on the application of ASA-PS Classification System. Agreement between measures was tested using kappa coefficient. Results: Anesthesiologists had better accuracy than non-anesthesiologists both on initial [6(5-7) vs. 4(3-5) out of 10; p < 0.001] as well as subsequent [7(6-8) vs. 6(4-7); p < 0.001] ASA-PS score assignments. Participants' self-reported confidence was greater than their accuracy for assigned ASA-PS scores (p < 0.001). ASA-PS agreement between anesthesiologists and non-anesthesiologists was poor (kappa < 0.20). Participants' accuracy for hypothetical cases of ASA-PS I, II, and III involving adult patients was overall greater than for ASA-PS IV, V, and III (the latter involving a neonate) for both anesthesiologists and non-anesthesiologists (p < 0.001). Conclusions: Physicians tend to disagree and be overconfident when assigning ASA-PS scores. A brief consultation of the ASA-PS definitions/examples improves the accuracy for both anesthesiologists and non-anesthesiologists.
  • bookPart
    Avaliação pré-operatória do risco renal
    (2018) CONTI, Nancy Brisola; SILVEIRA, Saullo Queiroz
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