Highlights ■ Nursing workload is high with patients undergoing extracorporeal membrane oxygenation. ■ The initial 24 hours of extracorporeal membrane oxygenation have the highest workload, quantified using the Nursing Activities Score. ■ Presence of COVID-19 and delayed extracorporeal membrane oxygenation initiation increase the workload in the initial 24 hours of extracorporeal membrane oxygenation. ■ Extracorporeal membrane oxygenation care demands adjustments in the nurse-to-patient ratio in the intensive care unit. ABSTRACT Objective: To identify the factors associated with nursing workload with […]

Highlights ■ Understanding the composition of urinary calculi is essential for guiding long-term treatment strategies. ■ This is the first study to correlate clinical data with crystallographic analysis of urinary stones. ■ Clinical criteria allow for a high likelihood of accurately identifying stone composition. ■ Clinical findings can serve as valuable tools for guiding treatment decisions. ABSTRACT Objective: This study aimed to evaluate whether clinical, laboratory, and radiological data could effectively identify struvite stones without the need for crystallographic analysis. […]

Highlights ■ A total of 58.1% of the patients died during a mean follow-up period of approximately 5.2 years. ■ Cardiovascular diseases are the main cause of death in these patients. ■ Men had a higher likelihood of death from all causes than women. ■ No difference was found between the sexes in relation to the different causes of death. ABSTRACT Objective: To compare mortality rates between sexes in a cohort of patients with intermittent claudication residing in a metropolitan […]

Highlight ■ This method enables surgeons to visually identify the lesion pathway without intraoperative imaging, enhancing precision and workflow. ■ A practical, cost-effective alternative to high-end technologies such as electromagnetic navigation bronchoscopy and hybrid operating rooms. ■ Metallic wires offer excellent intraoperative visibility on the lung surface, supporting their clinical utility. ■ All nonpalpable nodules were successfully resected, with no complications related to the preoperative localization procedure. ■ CT-guided preoperative localization of nonpalpable pulmonary lesions using a purpose-built device demonstrates […]

Highlights ■ Outpatient palliative care follow-up increased median survival by 4.7 months in patients with advanced head and neck cancer. ■ Patients receiving palliative care had fewer intensive care unit deaths, less chemotherapy in the final month of life, and a reduced need for palliative sedation. ■ Integrated palliative care resulted in fewer emergency visits per month of follow-up, suggesting more efficient symptom management. ABSTRACT Objective: To evaluate whether integrated palliative care is associated with improved overall survival and better […]

Highlights ■ Posterior cervical spine surgery showed an overall complication rate of 22.3%, mainly surgery-related. ■ Surgical site infection (6.2%) and late reoperation (4.3%) were the most common complications. ■ The average patient age varied by etiology, being the lowest in neoplastic cases (34.4 years) and the highest in degenerative cases (55.7 years). ■ No statistically significant associations were found between complications and patient characteristics, except for a trend toward more complications in urgent surgeries (p=0.085). ■ Mortality was 3.7%, […]

Highlights ■ The Baritrip app offers multidisciplinary guidance for bariatric surgery patients. ■ The app was validated by experts, yielding a high content validity index of 0.99. ■ Users rated the app engagement, layout, and organization with 89.1% agreement. ■ The app supports health literacy, pre and post-surgical care through an inclusive approach. ABSTRACT Objective: To develop and validate a comprehensive mobile health App (mHealth App) to increase the health literacy and care engagement of patients undergoing bariatric surgery. Methods: […]

Highlights ■ Pre-transplant parathyroid hormone levels were not linked to kidney function at 1 year post-transplant. ■ Recipient age showed a negative association with renal function at 12 months. ■ The Kidney Donor Profile Index was a strong predictor of graft function. ■ Individualized risk assessment remains essential for kidney transplant prognosis. ABSTRACT Objective: This study aimed to evaluate the association between pre-transplant parathyroid hormone levels and renal function 1-year after kidney transplantation. Methods: This retrospective cohort study was conducted […]

Highlights ■ The elderly had higher severity, more comorbidities, and longer intensive care unit and hospital stays than adults. ■ They required more assistance resources and had higher hospital mortality. ■ Independent mortality predictors: age ≥60, frailty, arrhythmia, transplant, acute kidney injury, vasopressors and extracorporeal membrane oxygenation. ABSTRACT Objective: To analyze the sociodemographic and clinical characteristics, comorbidities, therapeutic resources, and mortality rates of elderly patients with COVID-19 admitted to an intensive care unit. Methods: This retrospective cohort study included patients […]

Highlights ■ A single session of self-selected intensity walking reduced systolic blood pressure in individuals with peripheral artery disease. ■ Heart rate recovery responses after self-selected-intensity walking were similar to those following the guidelineprescribed exercise. ■ Self-selected intensity exercise may offer a feasible strategy for patients with claudication, balancing comfort and cardiovascular benefits. ■ These findings support flexible exercise prescriptions tailored to individual comfort without compromising the cardiovascular benefits. ABSTRACT Objective: To analyze the post-exercise effects of self-selected exercise intensity […]