A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

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Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700

Bem-estar espiritual e transtornos psiquiátricos menores em estudantes de psicologia: estudo transversal Bienestar espiritual y trastornos psiquiátricos menores en estudiantes de psicología: estudio transversal Spiritual well-being and minor psychiatric disorders in psychology students: a cross-sectional study

INTRODUÇÃO: Religiosidade/espiritualidade e saúde mental parecem positivamente associadas. O estudo examina associações entre bem-estar espiritual e distúrbios psiquiátricos menores em estudantes de Psicologia. MÉTODOS: Uma escala de bem-estar espiritual, o Self-Reporting Questionnaire (SRQ-20) e informações sociodemográficas foram utilizadas na totalidade (n = 351) dos alunos de Psicologia da Universidade Católica de Pelotas (RS), no ano de 2002. Foram comparados os escores atuais com os dos alunos de Direito e Medicina da mesma universidade em 2001 (n = 464). RESULTADOS: 84,6% dos alunos de Psicologia apresentaram espiritualidade negativa, comparados a 68,8% dos acadêmicos de Medicina e 68,5% de Direito (p DISCUSSÃO: Os achados coincidem com a experiência internacional. É preocupante que estudantes de Psicologia se mostrem mais distantes de questões espirituais/religiosas, levando em conta a associação espiritualidade/saúde-enfermidade. CONCLUSÃO: A religiosidade/espiritualidade se mostrou como fator inversamente associado a transtornos psiquiátricos menores em estudantes de Psicologia.<br>INTRODUCCIÓN: Religiosidad/espiritualidad y salud mental parecen positivamente asociadas. El estudio examina asociaciones entre bienestar espiritual y trastornos psiquiátricos menores en estudiantes de Psicología. MÉTODOS: Una escala de bienestar espiritual (SWBS), el SRQ-20 y datos demográficos han sido utilizados en la totalidad (n = 351) de alumnos de Psicología de la Universidad Católica de Pelotas, RS, Brasil, en el año 2002. Se han comparado los rangos actuales con aquellos de los alumnos de Derecho y Medicina de la misma universidad, en 2001 (n = 464). RESULTADOS: 84,6% de los estudiantes de Psicología presentaron espiritualidad negativa, comparados con 68,8% en Medicina y 68,5% en Derecho (p < 0,001). Análogas diferencias se han encontrado en las subescalas de bienestar existencial y religioso. El SRQ fue similar en los tres cursos. La razón de chances ha mostrado asociación de 3,71 (IC 95% 1,29-10,68) entre bienestar espiritual y el rango del SRQ en los alumnos de Psicología. DISCUSIÓN: Los hallazgos coinciden con la experiencia internacional. Es preocupante que estudiantes de Psicología se muestren más distantes de cuestiones espirituales/religiosas, teniendo en cuenta la asociación espiritualidad - salud/enfermedad. CONCLUSIÓN: La religiosidad-espiritualidad se mostró como factor inversamente asociado a trastornos psiquiátricos menores en estudiantes de Psicología.<br>INTRODUCTION: Religiosity/spirituality and mental health seem to be positively associated. This study examines associations between spiritual well-being and psychiatric disorders in psychology students. METHODS: A spiritual well-being scale - the self-reporting questionnaire (SRQ-20) - and sociodemographic information were used to all psychology students (n = 351) from Universidade Católica de Pelotas, RS, Brazil, during the year of 2002. Current scores were compared to those obtained from medical and law students of the same university in 2001 (n = 464). RESULTS: 84.6% of psychology students presented negative spirituality, compared to 68.8% of medical and 68.5% of law students (p DISCUSSION: The findings coincide with the international experience. It is a matter of concern that psychology students define themselves more distant from spiritual/religious issues, considering the association spirituality/health-illness. CONCLUSION: Spirituality-religiosity appeared as a factor inversely associated to minor psychiatric disorders among psychology students