A5069970193- Health Systems, Economic Evaluations, Quality of Life
- COVID-19 and healthcare impacts
- Healthcare cost, quality, practices
- Antibiotic Use and Resistance
- Healthcare Policy and Management
- Healthcare Systems and Reforms
- Organ Donation and Transplantation
- Patient Satisfaction in Healthcare
- COVID-19 Clinical Research Studies
- Nosocomial Infections in ICU
- Chronic Myeloid Leukemia Treatments
- Clinical practice guidelines implementation
- Renal Transplantation Outcomes and Treatments
- Long-Term Effects of COVID-19
- Central Venous Catheters and Hemodialysis
- COVID-19 and Mental Health
- Intensive Care Unit Cognitive Disorders
- Acute Lymphoblastic Leukemia research
- Respiratory Support and Mechanisms
- Family and Patient Care in Intensive Care Units
- Vaccine Coverage and Hesitancy
- Public Health in Brazil
- Chronic Lymphocytic Leukemia Research
- Blood donation and transfusion practices
- Primary Care and Health Outcomes
Hospital Israelita Albert Einstein
2016-2025
Manhattan Institute for Policy Research
2023
New York Proton Center
2023
Lindsay Unified School District
2023
Communities In Schools of Orange County
2023
Oregon Medical Research Center
2023
Danieli (Italy)
2017
Abstract Objective: To determine risk factors for the development of long coronavirus disease 2019 (COVID-19) in healthcare personnel (HCP). Methods: We conducted a case–control study among HCP who had confirmed symptomatic COVID-19 working Brazilian system between March 1, 2020, and July 15, 2022. Cases were defined as those having COVID according to Centers Disease Control Prevention definition. Controls documented but did not develop COVID. Multiple logistic regression was used assess...
Objective Since the rising of coronavirus disease 2019 (COVID-19) pandemic, there is uncertainty regarding impact transmission to cancer patients. Evidence on increased severity for patients undergoing antineoplastic treatment posed against deferring oncologic treatment. We aimed evaluate COVID-19 pandemic patient volumes in a center an epicenter pandemic. Methods Outpatient and inpatient were extracted from electronic health record database. Two intervals compared: pre-COVID-19 (March May...
Background Robust data comparing long COVID in hospitalized and non-hospitalized patients middle-income countries are limited. Methods A retrospective cohort study was conducted Brazil, including patients. Long diagnosed at 90-day follow-up using WHO criteria. Demographic clinical information, the depression screening scale (PHQ-2) day 30, compared between groups. If PHQ-2 score is 3 or greater, major depressive disorder likely. Logistic regression analysis identified predictors protective...
Objective To analyze the impact of COVID-19 on emergency department metrics at a large tertiary reference hospital in Brazil. Methods A retrospective analysis consecutive visits, from January 1, 2020, to November 21, was performed and compared corresponding time frame 2018 2019. The volume visits patients' demographic clinic characteristics were compared. All medical conditions included, except confirmed cases COVID-19. Results total 138,138 [...]
Background Nasoenteral tube (NET) use is common in critically ill patients but associated with significant complications, including accidental dislodgement, malpositioning the bronchial tree or mechanical failures, which can impede nutritional therapy. These complications often lead to adverse events that increase hospital stay, costs, and patient morbidity. Objective This study aimed reduce related placement maintenance of NETs using multifaceted strategies. Methods We conducted an...
Identifying those most susceptible to COVID-19 reinfection and understanding the associated characteristics is essential for developing effective prevention control strategies. We aimed evaluate influence of social determinants, regional disparities, variant evolution on rates. conducted a retrospective cohort study in São Paulo, Brazil, involving laboratory-confirmed patients. Reinfection was defined as subsequent positive test at least 90 days after previous confirmed infection. assessed...
Introduction Field hospitals, following the Fangcang Shelter Hospital model, were critical during global COVID-19 pandemic to alleviate strain on overwhelmed healthcare systems. Despite their widespread adoption, concerns persist regarding efficacy and cost-effectiveness. This study aimed assess impact of Pacaembu in São Paulo, Brazil pandemic, specifically focusing lives saved associated public health costs. Methods retrospective cohort was conducted April 6 June 29. The 200-bed field...
Unplanned extubations are recurrent adverse events in mechanically ventilated children and have been the focus of quality safety improvement paediatric intensive care units (ICUs).To reduce rate unplanned extubation ICU by 66% (from 2.02 to 0.7).This is a project that was conducted private hospital at quaternary level. All hospitalised patients who used invasive mechanical ventilation between October 2018 August 2019 were included.The based on Improvement Model methodology Institute for...
Objectives Value-based healthcare (VBHC) is a health system reform gradually being implemented in systems worldwide. A previous national-level survey has shown that Latin American countries were the early stages of alignment with VBHC. Data at provider organisations (HPOs) level are lacking. This study aim was to investigate how HPOs five implementing Design Mixed-methods research conducted using online questionnaire, semistructured interviews based on selected elements value agenda (from...
Abstract Objective: To compare the long-term vaccine effectiveness between those receiving viral vector [Oxford-AstraZeneca (ChAdOx1)] or inactivated (CoronaVac) primary series (2 doses) and who received an mRNA booster (Pfizer/BioNTech) (the third dose) among healthcare workers (HCWs). Methods: We conducted a retrospective cohort study HCWs (aged ≥18 years) in Brazil from January 2021 to July 2022. assess variation of dose over time, we estimated rate by taking log risk ratio as function...
Highlights Developed models to forecast bed occupancy for up 14 days and monitored errors 365 days. Telemedicine calls from COVID-19 patients correlated withthe number of hospitalized in the next 8 ABSTRACT Objective: To develop validate predictive estimate intensive care units general wards a private not-for-profit hospital São Paulo, Brazil. Methods: Two main were developed. The first model calculated occupation as [...]
To evaluate the risk factors for healthcare-related infections during COVID-19 pandemic in intensive care units, to investigate impact of on Central Line-Associated Bloodstream Infection, Catheter-Associated Urinary Tract and ventilator-associated pneumonia, describe healthcare-associated waves pandemic.
Approximately 45% of patients receive medical services with minimal or no benefit (low-value care). In addition to the increasing costs health system, performing invasive procedures without an indication poses a potentially preventable risk patient safety. This study aimed determine whether managed quality improvement programme could prevent cholecystectomy and surgery for endometriosis treatment patients.This before-and-after was conducted at private hospital in São Paulo, Brazil, which has...
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Background: The rising healthcare costs demand a transition from the current fee-for-service to Value-Based Health Care (VBHC) Model. This requires all future doctors understand VBHC. We aimed evaluate VBHC awareness-level among Brazilian medical students and identify associated intrinsic/extrinsic factors. Methods: was survey based, cross-sectional study, conducted through an online applied schools. A descriptive analysis based on participants' level of awareness about performed....