19 results

Risk factors associated with in-hospital falls reported to the Patient Safety Commitee of a teaching hospital

Adriane Kênia Moreira Silva ORCID logo , Dayane Carlos Mota da Costa ORCID logo , Adriano Max Moreira Reis ORCID logo

DOI: 10.31744/einstein_journal/2019AO4432

ABSTRACT Objective To investigate the use of fall-risk-increasing drugs among patients with falls reported to the Patient Safety Office of a hospital, and to identify the factors associated with high risk for fall. Methods A cross-sectional study, carried out in a teaching hospital. The study population was the universe of fall reports received by the Patient Safety Office. The dependent variable was a high risk for falls. The Medication Fall Risk Score was used to measure fall risk. Descriptive, univariate […]

Work addiction and quality of life: a study with physicians

Walter Fernandes de Azevedo, Lígia Andrade da Silva Telles Mathias

DOI: 10.1590/S1679-45082017AO3960

ABSTRACT Objective To evaluate the quality of life of physicians and investigate to what extent it is affected by work addiction. Methods This is an exploratory, descriptive and cross-sectional study, conducted with 1,110 physicians. For data collection, we used a questionnaire with sociodemographic information, the World Health Organization Quality of Life BREF, and the Work Addiction Scale. Results Most physicians presented high quality of life. Female participants presented lower quality of life in the domains psychologic, environment and general (p

Risk factors for mortality in ventilator-associated tracheobronchitis: a case-control study

Leonilda Giani Pontes, Fernando Gatti de Menezes, Priscila Gonçalves, Alexandra do Rosário Toniolo, Claudia Vallone Silva, Julia Yaeko Kawagoe, [...]

DOI: 10.1590/S1679-45082017AO3865

ABSTRACT Objective To describe the microbiological characteristics and to assess the risk factors for mortality of ventilator-associated tracheobronchitis in a case-control study of intensive care patients. Methods This case-control study was conducted over a 6-year period in a 40-bed medical-surgical intensive care unit in a tertiary care, private hospital in São Paulo, Brazil. Case patients were identified using the Nosocomial Infection Control Committee database. For the analysis of risk factors, matched control subjects were selected from the same institution at […]

Primary graft dysfunction of the liver: definitions, diagnostic criteria and risk factors

Douglas Bastos Neves, Marcela Balbo Rusi, Luiz Gustavo Guedes Diaz, Paolo Salvalaggio

DOI: 10.1590/s1679-45082016rw3585

ABSTRACTPrimary graft dysfunction is a multifactorial syndrome with great impact on liver transplantation outcomes. This review article was based on studies published between January 1980 and June 2015 and retrieved from PubMed database using the following search terms: “primary graft dysfunction”, “early allograft dysfunction”, “primary non-function” and “liver transplantation”. Graft dysfunction describes different grades of graft ischemia-reperfusion injury and can manifest as early allograft dysfunction or primary graft non-function, its most severe form. Donor-, surgery- and recipient-related factors have been […]

Frequency and risk factors for the birth of small-for-gestational-age newborns in a public maternity hospital

Marina Parca Cavelagna Teixeira, Tatiana Peloso Reis Queiroga, Maria dos Anjos Mesquita

DOI: 10.1590/S1679-45082016AO3684

ABSTRACTObjective:To determine the frequency and risk factors of small-for-gestational-age newborns in a high-risk maternity.Methods:This is an observational, cross-sectional, and case-control study, conducted in a public tertiary care maternity hospital. Data from 998 newborns and their mothers were collected through interviews and review of medical records and prenatal care cards. Some placentas underwent histopathological analysis. The variables of small-for-gestational-age and non-small-for-gestational-age newborns and of their mothers were statistically compared by means of Student’s t test, Fisher’s exact test, and odds ratio. […]

Potential intravenous drug incompatibilities in a pediatric unit

Karla Dalliane Batista Leal, Ramon Weyler Duarte Leopoldino, Rand Randall Martins, Lourena Mafra Veríssimo

DOI: 10.1590/S1679-45082016AO3723

ABSTRACTObjectiveTo investigate potential intravenous drug incompatibilities and related risk factors in a pediatric unit.Methods A cross-sectional analytical study conducted in the pediatric unit of a university hospital in Brazil. Data on prescriptions given to children aged 0-15 years from June to October 2014 were collected. Prescriptions that did not include intravenous drugs and prescriptions with incomplete dosage regimen or written in poor handwriting were excluded. Associations between variables and the risk of potential incompatibility were investigated using the Student’s t […]

Risk factors for post-extubation stridor in children: the role of orotracheal cannula

Milena Siciliano Nascimento, Cristiane Prado, Eduardo Juan Troster, Naiana Valério, Marcela Batan Alith, João Fernando Lourenço de Almeida

DOI: 10.1590/S1679-45082015AO3255

ObjectiveTo determine the risk factors associated with stridor, with special attention to the role of the cuffed orotracheal cannula.MethodsProspective analysis of all the intubated patients submitted to mechanical ventilator support from January 2008 to April 2011. The relevant factors for stridor collected were age, weight, size and type of airway tube, diagnosis, and duration of mechanical ventilation. The effects of variables on stridor were evaluated using uni- and multivariate logistic regression models.ResultsA total of 136 patients were included. Mean age […]

Check-up and cardiovascular risk progression: is there a room for innovation?

Raquel Dilguerian de Oliveira Conceição, Antonio Gabriele Laurinavicius, Nea Miwa Kashiwagi, José Antonio Maluf de Carvalho, Carlos Alberto Garcia Oliva, Raul Dias Santos Filho

DOI: 10.1590/S1679-45082015AO3216

ABSTRACTObjective:To evaluate the impact of traditional check-up appointment on the progression of the cardiovascular risk throughout time.Methods:This retrospective cohort study included 11,126 medical records of asymptomatic executives who were evaluated between January, 2005 and October, 2008. Variables included participants’ demographics characteristics, smoking habit, history of cardiovascular diseases, diabetes, dyslipidemia, total cholesterol, HDL, triglycerides, glucose, c-reactive protein, waist circumference, hepatic steatosis, Framingham score, metabolic syndrome, level of physical activity, stress, alcohol consumption, and body mass index.Results:A total of 3,150 patients was […]

Perinatal ischemic stroke: a five-year retrospective study in a level-III maternity

Virgínia Machado, Sónia Pimentel, Filomena Pinto, José Nona

DOI: 10.1590/S1679-45082015AO3056

ObjectiveTo study the incidence, clinical presentation, risk factors, imaging diagnosis, and clinical outcome of perinatal stroke.MethodsData was retrospectively collected from full-term newborns admitted to the neonatal unit of a level III maternity in Lisbon with cerebral stroke, from January 2007 to December 2011.ResultsThere were 11 cases of stroke: nine were arterial ischemic stroke and two were cerebral venous sinus thrombosis. We estimated an incidence of arterial ischemic stroke of 1.6/5,000 births and of cerebral venous sinus thrombosis of 7.2/100,000 births. […]

Relevance of prehypertension as a diagnostic category in asymptomatic adults

Fernando Costa Nary, Raul D. Santos, Antonio Gabriele Laurinavicius, Raquel Dilguerian de Oliveira Conceição, José Antonio Maluf de Carvalho

DOI: 10.1590/S1679-45082013000300008

Objective:To assess the association of prehypertension with metabolic, inflammatory and cardiovascular risk profile in asymptomatic individuals.METHODS:Between 2006 and 2009, 11,011 asymptomatic adults (mean age: 43 years; 22% females), underwent a check-up protocol. They were divided into 3 groups: normotensive group (arterial pressure=120/80mmHg), prehypertensive group (arterial pressure >120/80mmHg and 140/90mmHg or prior diagnosis of hypertension). Each group metabolic and cardiovascular group profile was assessed.RESULTS:The prevalence of normotension, prehypertension and hypertension was 27.9%, 53.9% and 18.2%, respectively. Prehypertensive individuals were older (mean […]

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