You searched for:"Ana Paula Pierre de Moraes"
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Original Article
Characteristics and short-term outcomes of patients with esophageal cancer with unplanned intensive care unit admissions: a retrospective cohort study
Rev Bras Ter Intensiva. 2020;32(2):229-234
Abstract
Original ArticleCharacteristics and short-term outcomes of patients with esophageal cancer with unplanned intensive care unit admissions: a retrospective cohort study
Rev Bras Ter Intensiva. 2020;32(2):229-234
DOI 10.5935/0103-507X.20200041
Views0ABSTRACT
Objective:
To depict the clinical presentation and outcomes of a cohort of critically ill patients with esophageal cancer.
Methods:
We carried out a multicenter retrospective study that included patients with esophageal cancer admitted to intensive care units with acute illness between September 2009 and December 2017. We collected the demographic and clinical characteristics of all included patients, as well as organ-support measures and hospital outcomes. We performed logistic regression analysis to identify independent factors associated with in-hospital mortality.
Results:
Of 226 patients included in the study, 131 (58.0%) patients died before hospital discharge. Squamous cell carcinoma was more frequent than adenocarcinoma, and 124 (54.9%) patients had metastatic cancer. The main reasons for admission were sepsis/septic shock and acute respiratory failure. Mechanical ventilation (OR = 6.18; 95%CI 2.86 – 13.35) and metastatic disease (OR = 7.10; 95%CI 3.35 – 15.05) were independently associated with in-hospital mortality.
Conclusion:
In this cohort of patients with esophageal cancer admitted to intensive care units with acute illness, the in-hospital mortality rate was very high. The requirement for invasive mechanical ventilation and metastatic disease were independent prognostic factors and should be considered in discussions about the short-term outcomes of these patients.
Keywords:Critical careCritical care outcomesepidemiologyEsophageal neoplasmsMortalityPrognosisRespiration, artificialSee more -
Original Article
Quality assessment of adult intensive care services: application of a tool adjusted to the reality of low-income countries
Rev Bras Ter Intensiva. 2019;31(2):138-146
Abstract
Original ArticleQuality assessment of adult intensive care services: application of a tool adjusted to the reality of low-income countries
Rev Bras Ter Intensiva. 2019;31(2):138-146
DOI 10.5935/0103-507X.20190031
Views1See moreABSTRACT
Objective:
To assess the quality of adult intensive care units.
Methods:
This population-based, cross-sectional, observational, analytical study evaluated management type in Maranhão, Brazil. An assessment instrument was applied that assigned scores to each service (maximum 124 points). The units were categorized as insufficient (< 50% of the maximum score), typical (≥ 50% and <80% of the maximum score), or sufficient (≥ 80% of the maximum score).
Results:
Of the 26 intensive care units in Maranhão, 23 were evaluated; 15 (65.2%) were located in the state capital, and 14 (60.9%) were public. The mean final score was 67.2 (54.2% of the maximum). The worst performance was observed with regard to processes (50.9%) in the units located outside the capital (p = 0.037) and for hospitals with 68 beds or fewer (p = 0.027). The result of the assessment categorized services as a function of the overall total points earned. Specifically, 8 (34.8%) services were assessed as insufficient, 13 (56.5%) were assessed as typical, and 2 (8.7%) were assessed as sufficient.
Conclusion:
The majority of the intensive care units in this study were assessed as typical. These services must be better qualified. The priorities are the processes of the units located outside the capital and in small hospitals.
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Case reports Child Coronavirus infections COVID-19 Critical care Critical illness Extracorporeal membrane oxygenation Infant, newborn Intensive care Intensive care units Intensive care units, pediatric mechanical ventilation Mortality Physical therapy modalities Prognosis Respiration, artificial Respiratory insufficiency risk factors SARS-CoV-2 Sepsis