You searched for:"Gabriela Alves Pereira"
We found (2) results for your search.-
Original Article
Functional deficit in children with congenital heart disease undergoing surgical correction after intensive care unit discharge
Rev Bras Ter Intensiva. 2020;32(2):261-267
Abstract
Original ArticleFunctional deficit in children with congenital heart disease undergoing surgical correction after intensive care unit discharge
Rev Bras Ter Intensiva. 2020;32(2):261-267
DOI 10.5935/0103-507X.20200042
Views0See moreAbstract
Objective:
To evaluate the functional status of pediatric patients undergoing congenital heart surgery after discharge from the intensive care unit, and to evaluate the correlations among clinical variables, functional status and surgical risk.
Methods:
Cross-sectional study including patients aged 1 month to less than 18 years undergoing congenital heart surgery between October 2017 and May 2018. Functional outcome was assessed by the Functional Status Scale, surgical risk classification was determined using the Risk Adjustment for Congenital Heart Surgery-1 (RACHS-1), and clinical variables were collected from electronic medical records.
Results:
The sample comprised 57 patients with a median age of 7 months (2 – 17); 54.4% were male, and 75.5% showed dysfunction, which was moderate in 45.6% of the cases. RACHS-1 category > 3 was observed in 47% of the sample, indicating higher surgical risk. There was a correlation between functional deficit and younger age, longer duration of invasive mechanical ventilation and longer intensive care unit stay. Moreover, greater functional deficit was observed among patients classified as RACHS-1 category > 3.
Conclusion:
The prevalence of functional deficit was high among children and adolescents with congenital heart disease after cardiac surgery. Higher surgical risk, longer duration of invasive mechanical ventilation, longer intensive care unit stay and younger age were correlated with worse functional status.
-
Original Articles
Functional evaluation of pediatric patients after discharge from the intensive care unit using the Functional Status Scale
Rev Bras Ter Intensiva. 2017;29(4):460-465
Abstract
Original ArticlesFunctional evaluation of pediatric patients after discharge from the intensive care unit using the Functional Status Scale
Rev Bras Ter Intensiva. 2017;29(4):460-465
DOI 10.5935/0103-507X.20170066
Views0See moreABSTRACT
Objective:
To evaluate the functional status of pediatric patients after discharge from the pediatric intensive care unit using the Functional Status Scale and to compare the time of invasive mechanical ventilation, length of stay in the pediatric intensive care unit, and Pediatric Index of Mortality 2 results among individuals with different degrees of functional impairment.
Methods:
A cross-sectional study was conducted on patients who were discharged from a pediatric intensive care unit. The functional evaluation by the Functional Status Scale was performed on the first day after discharge from the unit, and the Pediatric Index of Mortality 2 was used to predict the mortality rate at the time of admission to the pediatric intensive care unit.
Results:
The sample consisted of 50 individuals, 60% of which were male, with a median age of 19 [6 – 61] months. The overall score of the Functional Status Scale was 11.5 [7 – 15], and the highest scores were observed in the “motor function” 3 [1 – 4] and “feeding” 4 [1 – 4] domains. Compared to patients who were not readmitted to the pediatric intensive care unit, patients who were readmitted presented a worse overall score (p = 0.01), worse scores in the “motor function” (p = 0.01), “feeding” (p = 0.02), and “respiratory” (p = 0.036) domains, and a higher mortality rate according to the Pediatric Index of Mortality 2 (p = 0.025).
Conclusion:
Evaluation of the functional status using the Functional Status Scale indicated moderate impairment in patients after discharge from the pediatric intensive care unit, mainly in the “motor function” and “feeding” domains; patients who were readmitted to the pediatric intensive care unit demonstrated worse overall functional, motor function, feeding and respiratory scores. Individuals with greater functional impairment had longer times of invasive mechanical ventilation and hospitalization in the pediatric intensive care unit.
Search
Search in:
KEY WORDS
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