A5011335600- Intensive Care Unit Cognitive Disorders
- Respiratory Support and Mechanisms
- COVID-19 Clinical Research Studies
- Sepsis Diagnosis and Treatment
- COVID-19 and healthcare impacts
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare Regulation
- Long-Term Effects of COVID-19
- Family and Patient Care in Intensive Care Units
- Cardiac Arrest and Resuscitation
- Anesthesia and Sedative Agents
- Emergency and Acute Care Studies
- Public Health in Brazil
- Hospital Admissions and Outcomes
- Health, Nursing, Elderly Care
- Health Education and Validation
- Neonatal Respiratory Health Research
- Peripheral Artery Disease Management
- Muscle and Compartmental Disorders
- Hemodynamic Monitoring and Therapy
- Thermal Regulation in Medicine
- Climate Change and Health Impacts
- Traumatic Brain Injury and Neurovascular Disturbances
- Airway Management and Intubation Techniques
- Diagnosis and Treatment of Venous Diseases
Hospital Israelita Albert Einstein
2019-2025
Instituto de Assistência Médica ao Servidor Público Estadual
2021
Jena University Hospital
2021
Hospital do Servidor Público Estadual
2021
Coagulation abnormalities in COVID-19 patients have not been addressed depth.To perform a longitudinal evaluation of coagulation profile admitted to the ICU with COVID-19.Conventional tests, rotational thromboelastometry (ROTEM), platelet function, fibrinolysis, antithrombin, protein C and S were measured at days 0, 1, 3, 7 14. Based on median total maximum SOFA score, divided two groups: ≤ 10 > 10.Thirty studied. Some conventional as aPTT, PT INR remained unchanged during study period,...
To describe clinical characteristics, resource use, outcomes, and to identify predictors of in-hospital mortality patients with COVID-19 admitted the intensive care unit.Retrospective single-center cohort study conducted at a private hospital in São Paulo (SP), Brazil. All consecutive adult (≥18 years) unit, between March 4, 2020 February 28, 2021 were included this study. Patients categorized survivors non-survivors according discharge.During period, 1,296 [median (interquartile range) age:...
The perioperative management of patients undergoing cardiac surgery is highly complex and involves numerous factors. There a strong association between complications. Brazilian Surgical Identification Study (BraSIS 2) aims to assess the incidence death early postoperative complications, identify potential risk factors, examine both demographic characteristics epidemiology cardiovascular procedures. BraSIS 2 multicenter observational study who undergo are admitted intensive care unit. primary...
This retrospective multicenter cohort study compared characteristics and outcomes of 5,790 critically ill patients with COVID-19 in Brazil's public private intensive care units. Patients units exhibited greater disease severity, more frequent use organ support, higher mortality rates to those The risk in-hospital death was than twice as high ■ Public unit presented comorbidities severity at admission. required invasive support (e.g., mechanical ventilation, vasopressors, renal replacement...
Introduction It has been demonstrated that the implementation of rapid response teams (RRT) may improve clinical outcomes. Nevertheless, predictors mortality among patients admitted to intensive care unit (ICU) or step-down (SDU) after a RRT activation are not fully understood. Objective To describe characteristics, resource use, main outcomes, and address in-hospital ICU/SDU activation. Methods Retrospective single-center cohort study conducted in medical-surgical located private quaternary...
To analyze the satisfaction, medical situation understanding and symptoms of anxiety depression in family members patients admitted to intensive care unit.The who were hospitalized for ≥ 72 hours invited participate study, which was performed a public hospital. Questionnaires answered assess diagnosis, treatment prognosis, support received unit. The needs also evaluated using modified version Critical Care Family Needs Inventory (CCFNI). Hospital Anxiety Depression Scale (HADS) used...
Survival benefit from low tidal volume (VT) ventilation (LTVV) has been demonstrated for patients with acute respiratory distress syndrome (ARDS), and not having ARDS could also this strategy. Organizational factors may play a role on adherence to LTVV. The present study aimed identify organizational an independent association LTVV.Secondary analysis of the database multicenter two-phase (prospective cohort followed by cluster-randomized trial) performed in 118 Brazilian intensive care...
In BriefWe compared the characteristics and outcomes of 1,427 patients with COVID-19 admitted to intensive care unit during first second waves pandemic.Both had similar mortality rates need for invasive organ support, despite in wave being younger less severely ill at time admission.
Abstract Background Mortality rates for patients with ARDS remain high. We assessed temporal changes in the epidemiology and management of requiring invasive mechanical ventilation European ICUs. also investigated association between ventilatory settings outcome these patients. Methods This was a post hoc analysis two cohorts adult ICU admitted May 1–15, 2002 (SOAP study, n = 3147), 8–18, 2012 (ICON audit, 4601 to ICUs same 24 countries as SOAP study). defined retrospectively using Berlin...
Background: Cardiovascular diseases are among the leading causes of death and morbidity in world including Brazil.Cardiopulmonary resuscitation (CPR) early defibrillation increase chances survival.Serious Games (SG) defined as learning training tools that can be used to enhance processes.It presented several ways, using game's characteristics an entertainment factor achieve educational objectives specific skills.Current strategies focus on teaching people community schoolchildren how conduct...
Severe coronavirus disease 2019 (COVID-19) patients frequently require mechanical ventilation (MV) and undergo prolonged periods of bed rest with restriction activities during the intensive care unit (ICU) stay. Our aim was to address degree mobilization in critically ill COVID-19 undergoing MV support.Retrospective single-center cohort study. We analyzed patients' mobility level, through Perme ICU Mobility Score (Perme Score) admitted ICU. The Index (PMI) calculated [PMI = ΔPerme (ICU...
Highlights 43.4% of the cohort developed acute kidney injury. D-dimer and fibrinogen levels were high in both groups. Rotational thromboelastometry data similar between Serum antithrombin activity protein C lower patients who Objective The incidence thrombotic events injury is critically ill with COVID-19. We aimed to evaluate compare coagulation profiles COVID-19 developing versus those [...]
Background Coexistence of cancer and COVID-19 is associated with worse outcomes. However, the studies on cancer-related characteristics outcomes have shown controversial results. The objective study was to evaluate invasive mechanical ventilation use or in-hospital mortality in patients admitted intensive care unit (ICU). Methods We designed a cohort multicenter including adults active ICU due COVID-19. Seven (cancer status, type cancer, metastasis occurrence, recent chemotherapy,...
Mechanical ventilation can injure lung tissue and respiratory muscles. The aim of the present study is to assess effect amount spontaneous breathing during mechanical on patient outcomes.This an analysis database 'Medical Information Mart for Intensive Care (MIMIC)'-III, considering intensive care units (ICUs) Beth Israel Deaconess Medical Center (BIDMC), Boston, MA. Adult patients who received invasive at least 48 hours were included. Patients categorized according breathing, i.e., ≥50%...
<title>Abstract</title> Introduction: Severe respiratory failure often requires intubation and invasive mechanical ventilation. Identifying the factors that lead to this need is crucial, but there are few studies on evolution of these from onset symptoms failure. This study aims identify risk for ventilation as well clinical outcomes in patients with acute considering time Methods Retrospective cohort hospitalized between May 1, 2020 2021. Patients over 18 years age admitted Intermediate...
To evaluate clinical practices and hospital resource organization during the early COVID-19 pandemic in Brazil.This was a multicenter, cross-sectional survey. An electronic questionnaire provided to emergency department intensive care unit physicians attending patients. The survey comprised four domains: characteristics of participants, practices, treatment protocols organization.Between May June 2020, 284 participants [median (interquartile ranges) age 39 (33 - 47) years, 56.3% men]...