4 research outputs found
EXPERIÊNCIA NA EXTENSÃO UNIVERSITÁRIA: DISFAGIA OROFARÍNGEA.
A disfagia orofaríngea é um sintoma que compromete o ato de deglutição, em qualquer etapa
do trajeto do alimento da boca ao estômago, que ocorre em consequência de alguma doença
ou evento neurológico, mecânico, imunológico, etc. Este trabalho tem o objetivo de
apresentar as ações que foram e serão desenvolvidas no ano de 2019 pelo projeto de extensão
“Disfagia Orofaríngea: eu sei o que é e posso ajudar”, vinculado ao curso de Fonoaudiologia
da UFCSPA a 4 anos. O projeto visa interagir, comunicar e compartilhar conhecimento entre
todos os estudantes e profissionais da área da saúde e da comunidade envolvidos no nosso
trabalho. A nossa principal ação ocorre semanalmente, com os pacientes à beira do leito e
com a equipe multidisciplinar do Hospital Santa Clara, da Irmandade Santa Casa de
Misericórdia de Porto Alegre. Na semana de Atenção à Disfagia, foram desenvolvidas três
ações, são elas: Ação em um parque da cidade de Porto Alegre, onde foram entregues folders
informativos e realizadas orientações e esclarecimentos sobre disfagia; Atividade nas
dependências da UFCSPA, voltada para a comunidade interna e interessados, onde também
foi explicado de forma geral e simples, os principais tópicos sobre a disfagia; Organização
do IV Evento Comemorativo de Atenção à Disfagia, o qual ultrapassou 100 inscrições
prévias. Em maio, participaremos do UFCSPA Acolhe, evento acadêmico que objetiva levar
as atividades desenvolvidas em âmbito universitário para a comunidade. Diante das nossas
ações como projeto de extensão, observamos, muitas vezes, a falta de informação de diversos
públicos, inclusive da área da saúde, acerca da disfagia. Por esta razão, percebemos a
importância da nossa atuação como projeto de extensão que visa a disseminação desse
conhecimento não só nas atividades de extensão, mas também na pesquisa e no ensino do
nosso tema principal para todos indivíduos
Promoção de saúde por meios digitais durante a pandemia da Covid-19 em um projeto de extensão em Disfagia
O projeto de extensão “Disfagia Orofaríngea: eu sei o que é e posso ajudar” visa proporcionar aos estudantes da graduação uma formação global e a inserção na atuação clínica. Devido à pandemia e ao cancelamento das práticas, a extensão reinventou-se, aderindo ao uso mais frequente da Internet para a divulgação de conteúdo. Após o estabelecimento de metas para o período de suspensão das atividades, o grupo organizou-se para criação de material virtual compartilhado na internet com os temas de Disfagia e Covid-19. Houve a continuidade das ações extensionistas do projeto de forma virtual com criação de nova rede social, postagens informativas, vídeos ilustrativos, textos científicos entre outros. A utilização da Internet para divulgação de conteúdos mostrou-se eficiente, apresentando muitas visualizações e possibilitando o aumento da visibilidade do projeto por outras regiões do país e até internacionalmente. O próximo passo será nosso primeiro evento virtual
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Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study an international prospective cohort study
We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care. We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care