You searched for:"Cassiano Teixeira"
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Letter to the Editor
Should the citrate used in continuous renal replacement therapy be taken into account as a source of calories?
Crit Care Sci. 2023;35(4):421-422
Abstract
Letter to the EditorShould the citrate used in continuous renal replacement therapy be taken into account as a source of calories?
Crit Care Sci. 2023;35(4):421-422
DOI 10.5935/2965-2774.20230202-pt
Views11To the editorAcute kidney injury is a prevalent organ dysfunction in intensive care units (ICUs) and often affects critically ill patients. Currently, approximately 13.5% of patients require renal replacement therapy (RRT).() Critically ill patients are at a high risk of experiencing hemorrhagic events, and therefore, sodium citrate is the preferred method of anticoagulation in continuous […]See more -
Letter to the Editor
High mortality in Brazilian intensive care units can be a problem of laws rather than a technical one: focus on sedation practices
Crit Care Sci. 2023;35(2):230-232
Abstract
Letter to the EditorHigh mortality in Brazilian intensive care units can be a problem of laws rather than a technical one: focus on sedation practices
Crit Care Sci. 2023;35(2):230-232
DOI 10.5935/2965-2774.20230337-pt
Views6TO THE EDITORIn the care of ventilated critically ill patients, there is a consistent relationship between deeper sedation and worse intensive care unit (ICU) outcomes.(,) Deep sedation in the first 48 hours of an ICU stay has been associated with delayed time to extubation, higher need for tracheostomy, longer ICU stays, and increased risk of […]See more -
Original Article
Does an educational website improve psychological outcomes and satisfaction among family members of intensive care unit patients?
Crit Care Sci. 2023;35(1):31-36
Abstract
Original ArticleDoes an educational website improve psychological outcomes and satisfaction among family members of intensive care unit patients?
Crit Care Sci. 2023;35(1):31-36
DOI 10.5935/2965-2774.20230113-pt
Views9ABSTRACT
Objective:
To evaluate the impact of an educational website on satisfaction and symptoms of anxiety and depression among family members of critically ill adult patients.
Methods:
We embedded an analysis of website access in a cohort study conducted in intensive care units with flexible visiting hours in Brazil. Family members were guided to access an educational website designed to help them understand the processes and emotions associated with an intensive care unit stay. Subjects were evaluated for baseline data within the first 48 hours following enrollment and outcome assessment at up to 7 days after patient discharge from the intensive care unit, death, or until the 30th day of the study. The main outcomes were satisfaction using the Critical Care Family Needs Inventory and the presence of anxiety and depression symptoms using the Hospital Anxiety and Depression Scale.
Results:
A total of 532 family members were evaluated during the study period. Of these, 61 (11.5%) accessed the website. After adjustments, family members who accessed the website had significantly better mean Critical Care Family Needs Inventory scores (152.8 versus 145.2, p = 0.01) and a lower prevalence of probable clinical anxiety (prevalence ratio 0.35; 95%CI 0.14 – 0.89) than family members who did not access the website. There were no differences regarding symptoms of depression.
Conclusion:
Access to an educational website was associated with higher family satisfaction with care and a lower prevalence of clinical anxiety.
Keywords:AnxietyDepressionFamilyHealth information systemsIntensive care unitsInternetOutcome assessment, health carePersonal satisfactionSee more -
Original Article
Return to work after discharge from the intensive care unit: a Brazilian multicenter cohort
Rev Bras Ter Intensiva. 2022;34(4):492-498
Abstract
Original ArticleReturn to work after discharge from the intensive care unit: a Brazilian multicenter cohort
Rev Bras Ter Intensiva. 2022;34(4):492-498
DOI 10.5935/0103-507X.20220169-en
Views4See moreABSTRACT
Objective:
To describe the rate and factors related to nonreturn to work in the third month after discharge from the intensive care unit and the impact of unemployment, loss of income and health care expenses for survivors.
Methods:
This was a prospective multicenter cohort study that included survivors of severe acute illness who were hospitalized between 2015 and 2018, previously employed, and who stayed more than 72 hours in the intensive care unit. Outcomes were assessed by telephone interview in the third month after discharge.
Results:
Of the 316 patients included in the study who had previously worked, 193 (61.1%) did not return to work within 3 months after discharge from the intensive care unit. The following factors were associated with nonreturn to work: low educational level (prevalence ratio 1.39; 95%CI 1.10 – 1.74; p = 0.006), previous employment relationship (prevalence ratio 1.32; 95%CI 1 10 – 1.58; p = 0.003), need for mechanical ventilation (prevalence ratio 1.20; 95%CI 1.01 – 1.42; p = 0.04) and physical dependence in the third month after discharge (prevalence ratio 1.27; 95%CI 1.08 – 1.48; p = 0.003). Survivors who were unable to return to work more often had reduced family income (49.7% versus 33.3%; p = 0.008) and increased health expenditures (66.9% versus 48.3%; p = 0.002). compared to those who returned to work in the third month after discharge from the intensive care unit.
Conclusion:
Intensive care unit survivors often do not return to work until the third month after discharge from the intensive care unit. Low educational level, formal job, need for ventilatory support and physical dependence in the third month after discharge were related to nonreturn to work. Failure to return to work was also associated with reduced family income and increased health care costs after discharge.
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Original Article
Comparison between the perceptions of family members and health professionals regarding a flexible visitation model in an adult intensive care unit: a cross-sectional study
Rev Bras Ter Intensiva. 2022;34(3):374-379
Abstract
Original ArticleComparison between the perceptions of family members and health professionals regarding a flexible visitation model in an adult intensive care unit: a cross-sectional study
Rev Bras Ter Intensiva. 2022;34(3):374-379
DOI 10.5935/0103-507X.20220114-en
Views3ABSTRACT
Objective:
To compare the perceptions of patients’ relatives with the perceptions of health professionals regarding a flexible visitation model in intensive care units.
Methods:
Cross-sectional study. This study was carried out with patients’ relatives and members of the care team of a clinical-surgical intensive care unit with a flexible visitation model (12 hours/day) from September to December 2018. The evaluation of the flexible visitation policy was carried out through an open visitation instrument composed of 22 questions divided into three domains (evaluation of family stress, provision of information, and interference in the work of the team).
Results:
Ninety-five accompanying relatives and 95 members of the care team were analyzed. The perceptions of relatives regarding the decrease in anxiety and stress with flexible visitation was higher than the perceptions of the team (91.6% versus 58.9%, p < 0.001), and the family also had a more positive perception regarding the provision of information (86.3% versus 64.2%, p < 0.001). The care team believed that the presence of the relative made it difficult to provide care to the patient and caused work interruptions (46.3% versus 6.3%, p < 0.001).
Conclusion:
Family members and staff-intensive care unit teams have different perceptions about flexible visits in the intensive care unit. However, a positive view regarding the perception of decreased anxiety and stress among the family members and greater information and contributions to patient recovery predominates.
Keywords:Critical careFamilyIntensive care units/organization & administrationPatient care teamPerceptionVisitors to patientsSee more -
Letter to the Editor
Is it possible to predict the length of time on continuous hemodialysis?
Rev Bras Ter Intensiva. 2022;34(2):300-302
Abstract
Letter to the EditorIs it possible to predict the length of time on continuous hemodialysis?
Rev Bras Ter Intensiva. 2022;34(2):300-302
DOI 10.5935/0103-507X.20220029-en
Views2TO THE EDITOR, Acute kidney injury is a common organ dysfunction observed in intensive care units (ICUs), with a prevalence ranging from 2.5% to 92.2%, according to the population studied.(,) It is estimated that 0.8% to 59.0% of the patients admitted to an ICU require renal replacement therapy (RRT) at some point during hospitalization.() Nevertheless, […]See more -
Original Article
The 6-Minute Walk Test predicts long-term physical improvement among intensive care unit survivors: a prospective cohort study
Rev Bras Ter Intensiva. 2021;33(3):374-383
Abstract
Original ArticleThe 6-Minute Walk Test predicts long-term physical improvement among intensive care unit survivors: a prospective cohort study
Rev Bras Ter Intensiva. 2021;33(3):374-383
DOI 10.5935/0103-507X.20210056
Views1See moreABSTRACT
Objective:
To evaluate the ability of the 6-Minute Walk Test to predict long-term physical functional status improvement among intensive care unit survivors.
Methods:
Thirty-two intensive care unit survivors were prospectively evaluated from February 2017 to August 2018 in a post-intensive care unit outpatient clinic in Brazil. Individuals with intensive care unit stays > 72 hours (emergency admissions) or > 120 hours (elective admissions) attending the post-intensive care unit clinic four months after intensive care unit discharge were consecutively enrolled. The association between the 6-Minute Walk Test distance at baseline and physical functional status was assessed over 8 months using the Barthel Index.
Results:
The mean 6-Minute Walk Test distance was significantly lower in intensive care unit survivors than in the general population (405m versus 557m; p < 0.001). Age (β = -4.0; p < 0.001) and muscle weakness (β = -99.7; p = 0.02) were associated with the 6-Minute Walk Test distance. A 6-Minute Walk Test distance was associated with improvement in physical functional status over the 8-month follow-up (odds ratio for each 10m of 1.07; 95%CI 1.01 - 1.16; p = 0.03). The area under the Receiver Operating Characteristic curve for the 6-Minute Walk Test prediction of physical functional status improvement was 0.72 (95%CI 0.53 - 0.88).
Conclusion:
The 6-Minute Walk Test performed 4 months after intensive care unit discharge predicted long-term physical functional status among intensive care unit survivors with moderate accuracy.
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Review Article
What outcomes should be evaluated in critically ill patients?
Rev Bras Ter Intensiva. 2021;33(2):312-319
Abstract
Review ArticleWhat outcomes should be evaluated in critically ill patients?
Rev Bras Ter Intensiva. 2021;33(2):312-319
DOI 10.5935/0103-507X.20210040
Views2See moreABSTRACT
Randomized clinical trials in intensive care prioritize disease-focused outcomes rather than patient-centered outcomes. A paradigm shift considering the evaluation of measures after hospital discharge and measures focused on quality of life and common symptoms, such as pain and dyspnea, could better reflect the wishes of patients and their families. However, barriers related to the systematization of the interpretation of these outcomes, the heterogeneity of measurement instruments and the greater difficulty in performing the studies, to date, seem to hinder this change. In addition, the joint participation of patients, families, researchers, and clinicians in the definition of study outcomes is not yet a reality.
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Case reports Child Coronavirus infections COVID-19 Critical care Critical illness ICU 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