Therapeutic intervention scoring system application in a pediatric intensive care unit Aplica o do índice de interven o terapêutica em unidade de terapia intensiva pediátrica

Introduction: Indices of gravity aim to estimate the disease’s severity. The Therapeutic Intervention Scoring System – 28 (TISS-28) is used in Intensive Care Units as an indirect index to estimate the disease`s gravity interval, which has also been recently used to relate the nursing workload Objective: To review each operational item/definition of the Therapeutic Intervention Scoring System (TISS-28), making a re-reading in order to systematize the data collection practice in Pediatric Intensive Care Units (PICUs). Materials and Methods: An integrative revision research of medical and nursing literature through the base of data from Medical Literature Analysis and Retrieval System Online (MEDLINE) and Scientific Electronic Library Online (SciELO) using the terms Intensive Care Units, scales and Therapeutic Intervention Scoring System-28 or TISS-28. The articles were selected according to their relevance, as the authors opinion. Results: Preliminary studies show that the use of TISS-28 in ICU of adults patients, has helped in the evolutionary clinical assessment of the patient’s worsening, besides associations between death and elevated scores. The items/operational definitions evaluated in this score are reviewed in order to facilitate the interpretation of each item in the TISS -28 daily application in Pediatric Intensive Care Unit (PICU). Conclusion: The daily assessment of the 28 TISS variables allows the acquirement of an evolutionary profile of hospitalized children, which can help to increase the knowledge of the hospitalized child clinical picture and its prognosis. Introdu o: índices de gravidade buscam estimar a severidade da doen a, sendo o Therapeutic Intenvention Scoring System-28 (Sistema de Escore de Interven o Terapêutica - TISS-28), usado em Unidades de Terapia Intensiva, um índice indireto para estimar intervalos de gravidade da doen a que mais recentemente tem sido usado para relacionar a carga de trabalho de enfermagem. Objetivo: Revisar cada item/defini o operacional do índice de interven o terapêutica (TISS- 28) procedendo-se uma releitura com o objetivo de sistematizar a prática da coleta de dados em Unidade de Terapia Intensiva Pediátrica (UTIP). Materiais e Métodos: Pesquisa de revis o integrativa de literatura médica e de enfermagem por meio da base de dados Medical Literature Analysis and Retrieval System Online (MEDLINE) e Scientific Electronic Library Online (SciELO) usando os termos Unidades de terapia intensiva (Intensive care units), Escalas (scales) e Therapeutic Intervention Scoring System-28 ou TISS-28. Os artigos