A5101842073- Intensive Care Unit Cognitive Disorders
- Family and Patient Care in Intensive Care Units
- Cardiac Arrest and Resuscitation
- Frailty in Older Adults
- Mechanical Circulatory Support Devices
- Cardiac, Anesthesia and Surgical Outcomes
- Organ Donation and Transplantation
- Geriatric Care and Nursing Homes
- Family Caregiving in Mental Illness
- Sepsis Diagnosis and Treatment
- Respiratory Support and Mechanisms
- SARS-CoV-2 and COVID-19 Research
- COVID-19 Clinical Research Studies
- Dialysis and Renal Disease Management
- Healthcare Decision-Making and Restraints
- Infective Endocarditis Diagnosis and Management
- Organ Transplantation Techniques and Outcomes
- Maternal Mental Health During Pregnancy and Postpartum
- Global Health Care Issues
- Acute Kidney Injury Research
- Nosocomial Infections in ICU
- Workplace Health and Well-being
- Emergency and Acute Care Studies
- Anesthesia and Sedative Agents
- Ultrasound in Clinical Applications
Hospital Moinhos de Vento
2017-2025
Universidade Federal de Santa Maria
2024
Inova Design Solutions (United Kingdom)
2024
Hospital de Clínicas de Porto Alegre
2023
Brazilian Research in Intensive Care Network
2023
Universidade Federal do Rio Grande do Sul
2018-2021
Fundação Universitária de Cardiologia
2021
Grupo Hospitalar Conceição
2021
Minnesota Project
2018
<h3>Importance</h3> The effects of intensive care unit (ICU) visiting hours remain uncertain. <h3>Objective</h3> To determine whether a flexible family visitation policy in the ICU reduces incidence delirium. <h3>Design, Setting and Participants</h3> Cluster-crossover randomized clinical trial involving patients, members, clinicians from 36 adult ICUs with restricted (<4.5 per day) Brazil. Participants were recruited April 2017 to June 2018, follow-up until July 2018....
Background The effects of convalescent plasma (CP) therapy in hospitalised patients with coronavirus disease 2019 (COVID-19) remain uncertain. This study investigates the effect CP on clinical improvement these patients. Methods is an investigator-initiated, randomised, parallel arm, open-label, superiority trial. Patients were randomly (1:1) assigned to two infusions plus standard care (SOC) or SOC alone. primary outcome was proportion 28 days after enrolment. Results A total 160 (80 each...
Background: Certain aspects of intensive care unit admission and care, including patient acuity treatments to manage acute critical illnesses, can intensify loss functionality decrease quality life after hospital discharge. We sought identify the risk factors associated with functional decline following illness explore its impact on health-related in a post hoc analysis prospective multi-center cohort study. Methods: The study involved 1,301 critically ill subjects who were assessed 3 months...
To evaluate the prognostic value of peak serum lactate and clearance at several time points in cardiogenic shock treated with temporary mechanical circulatory support (MCS) using veno-arterial extracorporeal membrane oxygenation (VA-ECMO) or Impella CP®.Serum were measured before MCS 1 h, 6 12 24 h post-MCS 43 patients four tertiary-care centers Southern Brazil. Prognostic was assessed by univariable multivariable analysis receiver operating characteristic (ROC) curves for 30-day...
To identify the frequency, causes, and risk factors of early late mortality among general adult patients discharged from ICUs.Multicenter, prospective cohort study.ICUs 10 tertiary hospitals in Brazil.One-thousand five-hundred fifty-four ICU survivors with an stay greater than 72 hours for medical emergency surgical admissions or 120 elective admissions.None.The main outcomes were (30 d) (31 to 365 mortality. Causes death extracted certificates records. Twelve-month cumulative was 28.2% (439...
Abstract Objectives To identify the prevalence and associated factors of cognitive dysfunction, 1 year after ICU discharge, among adult patients, it´s relation with quality life. Methods Multicenter, prospective cohort study including ICUs 10 tertiary hospitals in Brazil, between May 2014 December 2018. The patients included were 452 survivors (median age 60; 47.6% women) an stay greater than 72 h. Results At 12 months a Montreal Cognitive Assessment (tMOCA) telephone score less was defined...
To establish the prevalence of physical, cognitive and psychiatric disabilities, associated factors their relationship with qualities life intensive care survivors in Brazil.A prospective multicenter cohort study is currently being conducted at 10 adult medical-surgical units representative 5 Brazilian geopolitical regions. Patients aged ≥ 18 years who are discharged from participating stay 72 hours or more unit for medical emergency surgery admissions 120 elective consecutively included....
Introduction Flexible intensive care unit (ICU) visiting hours have been proposed as a means to improve patient-centred and family-centred care. However, randomised trials evaluating the effects of flexible family visitation models (FFVMs) are scarce. This study aims compare effectiveness safety an FFVM versus restrictive model (RFVM) on delirium prevention among ICU patients, well analyse its potential members professionals. Methods analysis A cluster-randomised crossover trial involving...
ABSTRACT: Introduction: In Brazil, little is known about the trends of chronic respiratory diseases, which was estimated as third leading cause deaths in 2017 worldwide. Methods: We analyzed Global Burden Disease (GBD) estimates for prevalence, incidence, mortality, disability-adjusted life years (DALY), a summary measure lost (YLLs) and lived with disability (YLDs), risk factors attributable to diseases Brazil from 1990 2017. Results: The overall have decreased all ages both sexes,...
<h3>BACKGROUND:</h3> Early mobilization is part of the rehabilitation process for critically ill patients and currently considered a means preventing ICU-acquired muscle deterioration worsening physical function. We sought to determine whether use speaking valves in tracheostomized would improve their mobility. evaluated changes mobility performance with subjects. <h3>METHODS:</h3> performed cohort study series subjects who were being weaned from mechanical ventilation between April 2016 May...
We assessed long-term outcomes in intensive care unit (ICU) survivors with acute kidney injury (AKI) submitted to intermittent or continuous renal replacement therapy (RRT) for comparisons between groups.
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...
OBJECTIVE: To evaluate the impact of an educational website on satisfaction and symptoms anxiety depression among family members critically ill adult patients. METHODS: We embedded analysis access in a cohort study conducted intensive care units with flexible visiting hours Brazil. Family were guided to designed help them understand processes emotions associated unit stay. Subjects evaluated for baseline data within first 48 following enrollment outcome assessment at up 7 days after patient...
Evidence regarding effectiveness of BNT162b2 mRNA COVID-19 vaccine against Omicron in Latin America is limited. We estimated symptomatic Brazil when was predominant.This prospective test-negative, case-control study conducted Toledo, Brazil, following a mass vaccination with BNT162b2. Patients were included if they aged ≥12 years, sought care for acute respiratory symptoms the public health system between November 3, 2021 and June 20, 2022, tested SARS-CoV-2 using RT-PCR. In primary...
Introduction There is an increasing demand for multi-organ donors organ transplantation programmes. This study protocol describes the Donation Network to Optimise Organ Recovery Study, a planned cluster randomised controlled trial that aims evaluate effectiveness of implementation evidence-based, goal-directed checklist brain-dead potential donor management in intensive care units (ICUs) reducing loss due cardiac arrest. Methods and analysis The will include ICUs at least 60 Brazilian sites...
OBJECTIVES: To investigate whether the effect of a flexible ICU visiting policy that includes visitation plus visitor education on anxiety symptoms family members is mediated by satisfaction and involvement in patient care. DESIGN: We embedded multivariable path mediation analysis within cluster-randomized crossover trial as secondary The Visits Study (ClinicalTrials.gov number: NCT02932358). SETTING: Thirty-six medical-surgical ICUs Brazil. PATIENTS: Closest relatives adult patients....
Resumo Fundamento O SHARPEN foi o primeiro escore desenvolvido especificamente para a predição de mortalidade hospitalar em pacientes com endocardite infecciosa (EI), independentemente da realização cirurgia cardíaca. Objetivos Analisar capacidade do na e após alta compará-la à Índice Comorbidade Charlson (ICC). Métodos Estudo retrospectivo tipo coorte incluindo internações por EI (segundo os critérios Duke modificados) entre 2000 2016. A área sob curva [...]