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You searched for:"Graciele Sbruzzi"

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  • Original Article

    Influence of obesity on mortality, mechanical ventilation time and mobility of critical patients with COVID-19

    Crit Care Sci. 2024;36:e20240253en

    Abstract

    Original Article

    Influence of obesity on mortality, mechanical ventilation time and mobility of critical patients with COVID-19

    Crit Care Sci. 2024;36:e20240253en

    DOI 10.62675/2965-2774.20240253-en

    Views52

    ABSTRACT

    Objective

    To identify the influence of obesity on mortality, time to weaning from mechanical ventilation and mobility at intensive care unit discharge in patients with COVID-19.

    Methods

    This retrospective cohort study was carried out between March and August 2020. All adult patients admitted to the intensive care unit in need of ventilatory support and confirmed to have COVID-19 were included. The outcomes included mortality, time on mechanical ventilation, and mobility at intensive care unit discharge.

    Results

    Four hundred and twenty-nine patients were included, 36.6% of whom were overweight and 43.8% of whom were obese. Compared with normal body mass index patients, overweight and obese patients had lower mortality (p = 0.002) and longer intensive care unit survival (log-rank p < 0.001). Compared with patients with a normal body mass index, overweight patients had a 36% lower risk of death (p = 0.04), while patients with obesity presented a 23% lower risk (p < 0.001). There was no association between obesity and time on mechanical ventilation. The level of mobility at intensive care unit discharge did not differ between groups and showed a moderate inverse correlation with length of stay in the intensive care unit (r = -0.461; p < 0.001).

    Conclusion

    Overweight and obese patients had lower mortality and higher intensive care unit survival rates. The duration of mechanical ventilation and mobility level at intensive care unit discharge did not differ between the groups.

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    Influence of obesity on mortality, mechanical ventilation time and mobility of critical patients with COVID-19
  • Artigos de Revisão

    Safety of neuromuscular electrical stimulation among critically ill patients: systematic review

    Rev Bras Ter Intensiva. 2018;30(2):219-225

    Abstract

    Artigos de Revisão

    Safety of neuromuscular electrical stimulation among critically ill patients: systematic review

    Rev Bras Ter Intensiva. 2018;30(2):219-225

    DOI 10.5935/0103-507X.20180036

    Views4

    ABSTRACT

    Objective:

    To review the evidence on the safety of neuromuscular electrical stimulation when used in the intensive care unit.

    Methods:

    A systematic review was conducted; a literature search was performed of the MEDLINE (via PubMed), PEDro, Cochrane CENTRAL and EMBASE databases, and a further manual search was performed among the references cited in randomized studies. Randomized clinical trials that compared neuromuscular electrical stimulation to a control or placebo group in the intensive care unit and reporting on the technique safety in the outcomes were included. Hemodynamic variables and information on adverse effects were considered safety parameters. Articles were independently analyzed by two reviewers, and the data analysis was descriptive.

    Results:

    The initial search located 1,533 articles, from which only four randomized clinical trials were included. Two studies assessed safety based on hemodynamic variables, and only one study reported an increase in heart rate, respiratory rate and blood lactate, without clinical relevance. The other two studies assessed safety based on reported adverse effects. In one, 15% of patients described a prickling sensation, without any clinically relevant abnormalities. In the other, one patient suffered a superficial burn due to improper parameter configuration.

    Conclusion:

    Neuromuscular electrical stimulation is safe for critically ill patients; however, it should be applied by duly trained professionals and with proper evidence-based parameters.

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    Safety of neuromuscular electrical stimulation among critically ill patients: systematic review

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