A5028804190- Iron Metabolism and Disorders
- Health Systems, Economic Evaluations, Quality of Life
- Asthma and respiratory diseases
- Emergency and Acute Care Studies
- Gastric Cancer Management and Outcomes
- Neonatal Respiratory Health Research
- Medical Coding and Health Information
- Intensive Care Unit Cognitive Disorders
- Electronic Health Records Systems
- Neonatal and fetal brain pathology
- Sepsis Diagnosis and Treatment
- Nosocomial Infections in ICU
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Arrest and Resuscitation
- Helicobacter pylori-related gastroenterology studies
- Healthcare Policy and Management
- Inflammatory Bowel Disease
- Child Nutrition and Water Access
- Chronic Disease Management Strategies
- Antibiotic Use and Resistance
- Microscopic Colitis
- Healthcare cost, quality, practices
- Pharmacovigilance and Adverse Drug Reactions
- Trauma and Emergency Care Studies
- Neuroscience of respiration and sleep
Universidade do Porto
2015-2025
Centre for Health Technology and Services Research
2014-2025
CUF Porto Hospital
2025
Universidade Federal de Minas Gerais
2024
Universidade Federal de Ouro Preto
2024
Federal Center for Technological Education of Minas Gerais
2024
Nofer Institute of Occupational Medicine
2022
Decision Sciences (United States)
2013-2021
Faculdade de Medicina do ABC
2020
Hospital de São João
1995-2019
Abstract Introduction We wished to obtain the experiences felt by patients during their ICU stay using an original questionnaire and correlate memories of those with health-related quality life (HR-QOL). Methods conducted a prospective study in 10 Portuguese intensive care units (ICUs). Six months after discharge, on stay, recollection questionnaire, was delivered. HR-QOL evaluated simultaneously, EQ-5D questionnaire. Between 1 September 2002 31 March 2003 1433 adult were admitted. hospital...
To assess the factual and delusional memories reported by intensive care unit survivors its relationship with development of Posttraumatic Stress Syndrome (PTSS).Multicenter observational cohort study.Nine Portuguese units, as part a multicenter study.Between January June 2005, 1,174 patients were admitted across nine units. Two hundred thirty-nine excluded, 14 < 18 yrs old 225 length stay or = 48 hrs. Thus total 935 included in study. One ninety (20%) died unit, 90 (12%) on ward (30%...
Inter‐observer agreement in the interpretation according to FIGO guidelines of 33 cardiotocographic tracings by experts and subsequent clinical decision was evaluated, using kappa statistic (K) proportions (Pa). Overall classification fair ( K = 0.48 ) better for normal Pa 0.62 ), than suspicious 0.42 or pathologic 0.25 ). on slightly higher 0.59 but mostly centred take ‘no action’ 0.79 Experts especially disagreed over decisions ‘monitor closely’ 0.14 ‘intervene immediately’ 0.38 These...
Abstract Introduction The objective of the present study was to compare health-related quality life (HR-QoL) survivors from severe sepsis and septic shock with HR-QoL in others who survived critical illness not involving sepsis. Methods From March 1997 2001, adult patients an eight-bed medical/surgical intensive care unit (ICU) a tertiary hospital admitted or (sepsis group; n = 305) were enrolled compared without (control 392). Patients younger than 18 years ( 48) those whose ICU stay 1 day...
To evaluate the impact of compliance with a core version Surviving Sepsis Campaign 6-hour bundle on 28 days mortality.Cohort, multi-centre, prospective study community-acquired sepsis (CAS).Seventeen intensive care units (ICU) entered study. Over one year period, 4,142 patients were enrolled in Of 897 (24%) admitted CAS, 778 (87%) had severe or septic shock ICU admission. In first six hours hospital admission: (1) 62% serum lactate measured; (2) 69% fluids administered; (3) 77% specimens...
Pulmonary regurgitation (PR) is an important determinant of outcome after tetralogy Fallot (TOF) repair. The physiologic impact PR on the right ventricle remains incompletely understood. We hypothesized that a volumetric expression would be better measure ventricular preload and more accurate reflection degree insufficiency.Patients (n = 64) with magnetic resonance imaging TOF repair were identified. was quantified using: (i) phase contrast (PC) analysis main pulmonary artery flow (ii)...
The Electronic Medical Record (EMR) integrates heterogeneous information within a Healthcare Institution stressing the need for security and access control. Biostatistics Informatics Department from Porto Faculty of Medicine has recently implemented Virtual EMR (VEMR) in order to integrate patient clinical reports university hospital. With more than 500 medical doctors using system on daily basis, an control policy model were implemented. However, healthcare environment unanticipated...
The study of length stay (LOS) outliers is important for the management and financing hospitals. Our aim was to variables associated with high LOS their evolution over time. We used hospital administrative data from inpatient episodes in public acute care hospitals Portuguese National Health Service (NHS), discharges between years 2000 2009, together some characteristics. dependent variable, outliers, calculated each diagnosis related group (DRG) using a trim point defined year by geometric...
There is a lack of consensus regarding the definition risk factors for healthcare-associated infection (HCAI). The purpose this study was to identify additional HCAI, which are not included in current associated with by multidrug-resistant (MDR) pathogens, all hospitalized infected patients from community.This 1-year prospective cohort admitted large, tertiary care, university hospital. Risk HCAI definition, and independently MDR pathogen infection, namely Gram-negative (MDR-GN) ESKAPE...
Acute kidney injury (AKI) has been hard to assess due the lack of standard definitions. Recently, Risk, Injury, Failure, Loss and End-Stage Kidney (RIFLE) classification proposed classify AKI in a number clinical settings. This study aims estimate frequency levels severity its association with patient mortality length stay (LOS) cohort trauma patients needing intensive care.Between August 2001 September 2007, 436 consecutively admitted general care unit (ICU), were assessed using RIFLE...
To devise a follow up model for patients with gastric cancer associated lesions, such as atrophic chronic gastritis (ACG) and intestinal metaplasia (IM).Cohort study of 144 patients, followed minimum one year, in whom at least two upper gastrointestinal endoscopic biopsies flat mucosa provided diagnosis ACG, IM, or low grade dysplasia (LGD).Of those diagnosed ACG first biopsy (entry biopsy), 12% progressed to LGD outcome biopsy, did 8% type I 38% II III 32% LGD. Type IM entry independently...
Guidelines for the adrenergic support of septic shock are controversial. In patients with community-acquired shock, we assessed impact choice vasopressor on mortality.Cohort, multiple center, observational study.Seventeen Portuguese intensive care units (ICUs).All adult admitted to a participating ICU between December 2004 and November 2005.None.Patients were followed up during first five days, day discharge or death, hospital outcome. Eight hundred ninety-seven consecutive sepsis (median...
RESUMO A implementação das melhores evidências científicas nos serviços de saúde ainda não ocorre forma satisfatória. Diante dessa problemática, o objetivo deste estudo foi investigar os desafios da Tradução do Conhecimento (TC) na área atualidade. metodologia desta revisão desenvolvida acordo com propósitos escopo. Para tanto, as palavras-chave ‘translational medical research’ e ‘knowledge translation’ foram consultadas bancos dados periódicos PubMed, Scopus Web of Science. Foram incluídos...