49 research outputs found
Equivalência conceitual, de itens, semântica e operacional da versão brasileira do s-EMBU para aferição de práticas educativas parentais em adolescentes
Development of the web-based Spanish and Catalan versions of the Euroqol 5D-Y (EQ-5D-Y) and comparison of results with the paper version
Survivors of intensive care with type 2 diabetes and the effect of shared care follow-up clinics: study protocol for the SWEET-AS randomised controlled feasibility study
Published online: 13 October 2016Background: Many patients who survive the intensive care unit (ICU) experience long-term complications such as peripheral neuropathy and nephropathy which represent a major source of morbidity and affect quality of life adversely. Similar pathophysiological processes occur frequently in ambulant patients with diabetes mellitus who have never been critically ill. Some 25 % of all adult ICU patients have diabetes, and it is plausible that ICU survivors with co-existing diabetes are at heightened risk of sequelae from their critical illness. ICU follow-up clinics are being progressively implemented based on the concept that interventions provided in these clinics will alleviate the burdens of survivorship. However, there is only limited information about their outcomes. The few existing studies have utilised the expertise of healthcare professionals primarily trained in intensive care and evaluated heterogenous cohorts. A shared care model with an intensivist- and diabetologist-led clinic for ICU survivors with type 2 diabetes represents a novel targeted approach that has not been evaluated previously. Prior to undertaking any definitive study, it is essential to establish the feasibility of this intervention. Methods: This will be a prospective, randomised, parallel, open-label feasibility study. Eligible patients will be approached before ICU discharge and randomised to the intervention (attending a shared care follow-up clinic 1 month after hospital discharge) or standard care. At each clinic visit, patients will be assessed independently by both an intensivist and a diabetologist who will provide screening and targeted interventions. Six months after discharge, all patients will be assessed by blinded assessors for glycated haemoglobin, peripheral neuropathy, cardiovascular autonomic neuropathy, nephropathy, quality of life, frailty, employment and healthcare utilisation. The primary outcome of this study will be the recruitment and retention at 6 months of all eligible patients. Discussion: This study will provide preliminary data about the potential effects of critical illness on chronic glucose metabolism, the prevalence of microvascular complications, and the impact on healthcare utilisation and quality of life in intensive care survivors with type 2 diabetes. If feasibility is established and point estimates are indicative of benefit, funding will be sought for a larger, multi-centre study. Trial registration: ANZCTR ACTRN12616000206426Yasmine Ali Abdelhamid, Liza Phillips, Michael Horowitz and Adam Dean
Comparative localization of serotonin-like immunoreactive cells in Thaliacea informs tunicate phylogeny
Early biliary decompression versus conservative treatment in acute biliary pancreatitis (APEC trial): study protocol for a randomized controlled trial
Beginning of the Accumulation of Vanadium during the Early Development of the Ascidian Phallusia mamillata Cuvier
Potencial evocado auditivo de estado estável em frequências portadoras acima de 4000 Hz
Resultados de enfermagem para padrão respiratório ineficaz e ventilação espontânea prejudicada em terapia intensiva
Este estudo objetivou validar os resultados de enfermagem selecionados a partir da ligação NOC-NANDA-I (NursingOutcomes Classification – North American Nursing Diagnosis Association - International) para os diagnósticos PadrãoRespiratório Ineficaz e Ventilação Espontânea Prejudicada em unidade de terapia intensiva. Estudo de validação deconteúdo, realizado em hospital universitário brasileiro, com 15 enfermeiros com experiência clÃnica e conhecimentodas classificações. Os instrumentos continham escalas Likert de cinco pontos para atribuição do julgamento quanto à importância de cada resultado (1ª etapa) e indicador (2ª etapa) aos diagnósticos. Calcularam-se as médias ponderadasconsiderando: 1= 0; 2 = 0,25; 3 = 0,50; 4 = 0,75 e 5 = 1. Os Resultados sugeridos pela NOC com médias superioresa 0,8 foram considerados validados, assim como os indicadores. Validaram-se os resultados Estado Respiratório -permeabilidade das vias aéreas (Padrão Respiratório Ineficaz) e 11 indicadores, e Resposta à ventilação mecânica:adulto (Ventilação Espontânea Prejudicada), com 26 indicadores