O que todo intensivista deve saber sobre sistemas de pontuação de prognóstico e mortalidade ajustada ao risco
In the practice of medicine, multiple scores and prognostic systems have been developed to quantify disease severity, assess prognosis, and guide therapeutic interventions. The Glasgow Coma Scale, the Model for End Stage Liver Disease (MELD), and the American Society of
Escores de gravidade da doença na UTI: APACHE, SAPS e MPM
Abstract Purpose of review: This review aims to evaluate the latest versions of the Acute Physiology and Chronic Health Evaluation, Simplified Acute Physiology Score and Mortality Probability Model scores, make comparisons and describe their strengths and limitations. Additionally, we provide critical
Núcleo segurança do paciente: perfil dos recursos humanos no cenário brasileiro
Objetivo Caracterizar o perfil dos profissionais que atuam nos Núcleos de Segurança do Paciente e analisar se existem variáveis correlacionadas à aplicação de ferramentas de investigação de eventos adversos. Métodos Estudo quantitativo, transversal, prospectivo, com 95 profissionais de 24 hospitais públicos e privados, que possuem
Top Five Priorities for a New ICU Director During the First Year
During the first year, the ICU director should take a snapshot of the ICU situation and invest time and resources to acquire good and real data that will drive priorities of care and management. After that, implementation of basic protocols
Delirium impact in Covid-19 patients admitted in the ICU
Objective Recent studies describe a neurotropism and an increased risk of delirium associated with the SARS-CoV2 infection. The aim of this study was to describe the impact of delirium in ICU patients with COVID-19 and the factors associated with poor prognosis. Method All
Mortalidade em 90 dias de pacientes com infecção por COVID-19 e ventilação mecânica invasiva
Objetivo:Observar a mortalidade em 90 dias e fatores associados em pacientes com COVID-19 e ventilação mecânica invasiva (VM). Métodos :Coorte retrospectiva em unidades mistas de terapia intensiva (UTI) de 2 hospitais privados na Zona Sul do Rio de Janeiro de Março
Intensive care for COVID-19 in low- and middle-income countries: research opportunities and challenges
The impact of the coronavirus disease 2019 (COVID-19) pandemic has been felt worldwide. However, of the 10 countries with the highest number of COVID-19 patients and deaths, seven are low- and middle-income countries (LMICs) [1]. As of the end of
Challenges for the care delivery for critically ill COVID-19 patients in developing countries: the Brazilian perspective
Background The delivery of critical care is a major challenge for developing countries [1]. The inequity of access to an ICU bed, heterogeneous triage policies, a low staff/patient ratio and suboptimal adherence to evidence-based practices contribute to disproportionally high mortality of
Avaliação do desempenho de unidades de terapia intensiva durante a pandemia da COVID-19
Uma unidade de terapia intensiva (UTI) eficiente é aquela capaz de prestar cuidados que resultem em uma taxa de mortalidade inferior à estimada (em função da gravidade dos pacientes), sendo esta associada a uma menor utilização de recursos (geralmente considerando
An International Perspective on the Frequency, Perception of Utility, and Quality of Interprofessional Rounds Practices in Intensive Care Units
Abstract Purpose: To describe international variation in interprofessional rounds in intensive care units (ICUs). Materials and methods: Survey of ICU clinicians on their practices and perceptions of rounds using societal mailing lists and social media. Results: Out of 2402 respondents, 1752 (72.8%) use rounds. Teams are