- Family and Patient Care in Intensive Care Units
- Infant Development and Preterm Care
- Clinical Nutrition and Gastroenterology
- Neonatal Respiratory Health Research
- Respiratory Support and Mechanisms
- Nutrition and Health in Aging
- Patient Satisfaction in Healthcare
- Child Nutrition and Water Access
- Pancreatitis Pathology and Treatment
- Epilepsy research and treatment
- Sepsis Diagnosis and Treatment
- Palliative Care and End-of-Life Issues
- Maternal and Neonatal Healthcare
- Childhood Cancer Survivors' Quality of Life
- Neonatal and Maternal Infections
- Kawasaki Disease and Coronary Complications
- Pharmacological Effects and Toxicity Studies
- Cardiac Arrest and Resuscitation
- COVID-19 and healthcare impacts
- Thermal Regulation in Medicine
- Environmental and biological studies
- Intestinal Malrotation and Obstruction Disorders
- Vitamin C and Antioxidants Research
- Healthcare cost, quality, practices
- Metabolism and Genetic Disorders
Pontifícia Universidade Católica do Rio Grande do Sul
2018-2023
Hospital São Lucas da PUCRS
2021
To evaluate serum ferritin measured within 48 hours of admission as a prognostic marker and examine the association with unfavorable outcomes in population pediatric patients sepsis high prevalence iron deficiency anemia which this biomarker is routinely measured.Retrospective cohort study.PICU tertiary care teaching hospital middle-income country South America.All 6 months to 18 years old (n = 350) admitted diagnosis sepsis, suspected or proven, were eligible for inclusion. Exclusion...
To conduct the Brazilian translation, cross-cultural adaptation, validation, and reliability testing of EMpowerment PArents in THe Intensive Care (EMPATHIC-30).Prospective study.PICU a tertiary-care teaching hospital.Parents (n = 141) completed translated EMPATHIC-30 questionnaire 72 hours after their child's PICU discharge.None.The translation cultural adaptation were performed accordance with principles good practice for process patient-reported outcomes measures. Sentences adapted...
To determine the prevalence of life support limitation (LSL) in patients who died after at least 24h a pediatric intensive care unit (PICU) stay, parent participation and to describe how this type is delivered.Retrospective cohort study tertiary PICU university hospital Brazil. All aged 1 month 18 years were eligible for inclusion. The exclusion criteria those brain death within admission.53 included study. LSL report was 45.3%. Out 24 with on their medical records only did not have...
ABSTRACT Objective: To compare the nursing workload using Nursing Activities Score (NAS), Therapeutic Intervention Scoring System-28 (TISS-28) and Nine Equivalents of Manpower Use (NEMS) instruments in children admitted to a Pediatric Intensive Care Unit university hospital. Method: A prospective cohort study performed Unit, with sample formed all hospitalized during period. was evaluated TISS-28, NEMS NAS instruments, further divided into two groups: Group 1 forming category basic...
The proportion of children with complex chronic conditions is increasing in PICUs around the world. We determined prevalence and functional status Brazilian during COVID-19 pandemic.The authors conducted a point cross-sectional study among fifteen pandemic. enrolled all admitted to participating on three different days, four weeks apart, starting April 4th, 2020. recorded patient's characteristics at admission discharge days.During 3 days from March June 2020, 248 patients 15 PICUs; 148 had...
To verify the parents' satisfaction in relation to care provided their child admitted pediatric intensive unit and associated clinical factors.Exploratory, cross-sectional study, with a total of 84 parents, private hospital Sao Paulo, Brazil. Data collection took place from March 2019 January 2020, post-discharge period. were analyzed using descriptive statistics Spearman's Correlation Coefficient.Mean was high (5.75) (SD=0.35). There no correlation between length stay, severity...
To verify the performance of Net Promoter Score (NPS) as a tool to assess parental satisfaction in pediatric intensive care units (PICUs).The authors conducted an observational cross-sectional multicenter study PICUs 5 hospitals Brazil. Eligible participants were all parents or legal guardians PICU-admitted children, aged 18 years over. The NPS was administered together with EMpowerment PArents THe Intensive Care (EMPATHIC-30), used gold standard, and sociodemographic questionnaire. For...
Abstract Background Because of its high prevalence and negative impact on quality life longevity, overweight in childhood adolescence is a major public health concern. The objective the present study was to determine whether excess weight associated with clinical outcomes critically ill children adolescents admitted pediatric intensive care unit (PICU). Method This retrospective cohort performed PICU over 3 years. Nutrition status classified based body mass index z‐ score for age, following...
Aims & Objectives: To asses the performance of Pediatric Risk Mortality Score IV In one terciary hospital Intensive Care Unit in Southern Brazil. Methods Design: Longitudinal retrospective contemporary study study, during year, from January 1 to December 31, 2016. Settings and Participants: Patients admitted at a PICU University Hospital Brazil under age 18 years. with vital signs incompatible life 2 hours after admission were excluded. Only first hospitalization was included. There 420...
Background New-onset refractory status epilepticus (NORSE) refers to patients without a previous history of seizures who have for at least 72 hours an identified aetiology. Despite the severe neurological sequelae NORSE, little is known about this condition in paediatric patients. Objective To describe profile with seizures, possible causes attributed condition, treatments offered and outcomes discharge from intensive care unit (PICU). Methods This retrospective, multicentre, descriptive...
Aims & Objectives: The adequate prescription of nutrients during the critical illness allows compensation energy expenditure and protein catabolism preventing nutritional deterioration. We evaluate relation with outcomes in patients admitted to a Pediatric Intensive Care Unit (PICU). Methods A retrospective cohort study was conducted at PICU University Hospital South Brazil, for period two years. basal (GEB), according Schofield (1985), considered as caloric target minimum values recommended...
Aims & Objectives: In view of the lack validated instruments to evaluate parental satisfaction with patients hospitalized in pediatric intensive care units (PICUs) Brazil, aim was translate Empowerment Parents Intensive Care-30 (EMPATHIC-30) as first stage process validating questionnaire for Portuguese. Methods The translation instrument carried out accordance protocol International Society Pharmacoeconomic Research - ISPOR, 2005, Transcultural Translation and Adaptation Group. It proposes...
Aims & Objectives: Hydric overload is associated with worse outcomes in Pediatric Intensive Care Unit (PICU). Among the alternatives for hydric balance to be optimized, establishment of prone position found as such. To verify if pediatric patients submitted mechanical ventilation increases diuresis optimization outcomes. Methods Retrospective cohort through review medical records. It was selected who were pulmonary causes and aged from 1 month old 12 years old. The group (PG) one which at...
RESUMO Objetivo: Verificar a satisfação dos pais em relação ao cuidado prestado filho internado na unidade de terapia intensiva pediátrica e fatores clínicos associados. Método: Pesquisa exploratória, transversal, com 84 pais, hospital privado São Paulo, Brasil. A coleta dados ocorreu março 2019 janeiro 2020, no pós-alta. Os foram analisados por estatística descritiva Coeficiente Correlação Spearman. Resultados: média foi alta (5,75) (DP=0,35). Não houve correlação da tempo internação,...
Aims & Objectives: To determine association between Vitamin D status, biomarkers and outcomes in critically ill children. Methods: Retrospective cohort study performed with children adolescents admitted to a PICU within one year. Normossuficiency, insuficiency deficiency were considered >30ng/dL, 20-30ng/dL <20ng/dL, respectively, according de Guideline of clinical practices the Endocrine Society; severe was defined as <12ng/dL, value low all consensus around world. The biomarker evaluated...
Aims & Objectives: To determine the prevalence of inadequate nutritional status and growth deficit in children with complex chronic conditions (CCC). Methods: A descriptive study partial data from a 4-year retrospective cohort, where 1753 records were analyzed. Children aged 1 month to 18 years PICU university hospital. An assessment was determined on anthropometric measurements taken at admission collected medical records. The body mass index for age (BMI/A) z-score height (H/A) calculated...
Aims & Objectives: To assess the association between vasoactive-inotropic score and outcomes in children with sepsis. Methods: Retrospective cohort study based on analyze of medical records from patients hospitalized a PICU Universitary hospital June 2016 May 2018. It was included age 1 month to 18 years sepsis diagnostic inotropic or vasoactive support. The primary outcome evaluated free time mechanical ventilation (MV). secondary length stay (LOS) PICU, total use drugs mortality. Results:...
Aims & Objectives: To validate a prediction tool for favorable neurologic outcome and identify the possibility of its use as new PICU quality indicator. Determine risk factors that impair neurological prognosis in order to reduce morbidities survivors. Methods: Retrospective cross-sectional study by reviewing medical records patients aged 1 month 12 years incomplete. A 22-variable database was constructed were classified according baseline level PCPC (Pediatric Cerebral Performance Category)...