13 research outputs found
Association of multiple glycemic parameters at intensive care unit admission with mortality and clinical outcomes in critically ill patients
The aim of the present study was to investigate the association of multiple glycemic parameters at intensive care unit (ICU) admission with outcomes in critically ill patients. Critically ill adults admitted to ICU were included prospectively in the study and followed for 180 days until hospital discharge or death. Patients were assessed for glycemic gap, hypoglycemia, hyperglycemia, glycemic variability, and stress hyperglycemia ratio (SHR). A total of 542 patients were enrolled (30% with preexisting diabetes). Patients with glycemic gap >80 mg/dL had increased need for renal replacement therapy (RRT; 37.7% vs. 23.7%, p = 0.025) and shock incidence (54.7% vs. 37.4%, p = 0.014). Hypoglycemia was associated with increased mortality (54.8% vs. 35.8%, p = 0.004), need for RRT (45.1% vs. 22.3%, p 40 mg/dL was associated with increased need for RRT (28.3% vs. 14.4%, p = 0.002) and shock incidence (41.4% vs.31.2%, p = 0.039). In this mixed sample of critically ill subjects, including patients with and without preexisting diabetes, glycemic gap, glycemic variability, and SHR were associated with worse outcomes, but not with mortality. Hypoglycemia and hyperglycemia were independently associated with increased mortality
Association of glycemic parameters at intensive care unit admission with mortality and clinical outcomes in critically ill patients : a prospective study
Complications of lipoabdominoplasty without Scarpa fascia preservation versus classic abdominoplasty : a prospective blind study
Introdução: Abdominoplastia Ă© um dos procedimentos cirĂşrgicos estĂ©ticos mais realizados. Seroma Ă© a complicação local mais comum associada com abdominoplastia, com uma incidĂŞncia mĂ©dia de 10%. A maior incidĂŞncia de seroma pĂłsoperatĂłrio (PO) ocorre no dĂ©cimo primeiro dia PO. Ecografia abdominal Ă© o mĂ©todo de escolha para o diagnĂłstico de seroma apĂłs abdominoplastia. Novas tĂ©cnicas surgiram ao longo dos anos na tentativa de trazer melhores resultados estĂ©ticos com menos complicações, como lipoabdominoplastia descrita por Saldanha. PorĂ©m, estudos anatĂ´micos recentes questionam a necessidade da manutenção da fáscia de Scarpa descrita na tĂ©cnica de lipoabdominoplastia, descrevendo que em torno de 90% do sistema linfático abdominal está no plano subdĂ©rmico e 10% em um sistema linfático profundo justaaponeurose abdominal. O objetivo Ă© comparar a incidĂŞncia de seroma na lipoabdominoplastia sem preservação da fáscia de Scarpa com a abdominoplastia clássica. MĂ©todos: Coorte prospectiva, cega na qual serĂŁo analisados 40 pacientes consecutivos que realizaram abdominoplastia sem lipoaspiração associada (n = 20) ou lipoabdominoplastia (n = 20) no Hospital de ClĂnicas de Porto Alegre entre abril de 2016 e maio de 2017. Todos foram submetidos Ă ecografia de parede abdominal no 10o dia PO. Resultados: A incidĂŞncia de seroma foi de 5% (n = 1) no grupo de abdominoplastia clássica e de 10% (n = 2) no grupo de lipoabdominoplastia, sem diferença estatĂstica. ConclusĂŁo: Estes resultados, neste grupo de pacientes, mostram que nĂŁo houve diferença estatĂstica entre os dois grupos.Introduction: Abdominoplasty is among the most commonly performed surgical procedures. Seroma is the most common local complication associated with abdominoplasty, with an average incidence of 10%. The highest incidence of postoperative (PO) seroma occurs on the eleventh postoperative day (POD). Abdominal ultrasound is the method of choice for diagnosing seroma after abdominoplasty. New techniques have emerged aiming to improve aesthetic results with fewer complications, such as lipoabdominoplasty described by Saldanha. However, recent anatomical studies have questioned the need for Scarpa fascia preservation recommended in the lipoabdominoplasty technique, describing that around 90% of the abdominal lymphatic system is in the subdermal plane, while the other 10% is in a deep lymphatic system near the abdominal aponeurosis. The objective is to compare the incidence of seroma in lipoabdominoplasty without Scarpa fascia preservation to that in classic abdominoplasty. Methods: Prospective blinded cohort in which 40 consecutive patients who underwent abdominoplasty without associated liposuction (n = 20) or lipoabdominoplasty (n = 20) at the Hospital de ClĂnicas of Porto Alegre between April 2016 and May 2017 were analyzed. All patients underwent abdominal wall ultrasonography on the tenth POD. Results: The incidence of seroma was 5% (n = 1) in the classic abdominoplasty group and 10% (n = 2) in the lipoabdominoplasty group, with no statistical difference. Conclusion: These results showed no statistically significant intergroup difference in seroma development
Uso de cĂ©lulas-tronco derivadas de tecido adiposo para redução de complicações da cicatrização cutânea em indivĂduos tabagistas : um modelo experimental em ratos
Association of glycemic parameters at intensive care unit admission with mortality and clinical outcomes in critically ill patients : a prospective study
Enxerto e ele [i.e. de pele] total para correção de curvatura peniana por retração cicatricial após uretroplastia
Complications of lipoabdominoplasty without Scarpa fascia preservation versus classic abdominoplasty : a prospective blind study
Introdução: Abdominoplastia Ă© um dos procedimentos cirĂşrgicos estĂ©ticos mais realizados. Seroma Ă© a complicação local mais comum associada com abdominoplastia, com uma incidĂŞncia mĂ©dia de 10%. A maior incidĂŞncia de seroma pĂłsoperatĂłrio (PO) ocorre no dĂ©cimo primeiro dia PO. Ecografia abdominal Ă© o mĂ©todo de escolha para o diagnĂłstico de seroma apĂłs abdominoplastia. Novas tĂ©cnicas surgiram ao longo dos anos na tentativa de trazer melhores resultados estĂ©ticos com menos complicações, como lipoabdominoplastia descrita por Saldanha. PorĂ©m, estudos anatĂ´micos recentes questionam a necessidade da manutenção da fáscia de Scarpa descrita na tĂ©cnica de lipoabdominoplastia, descrevendo que em torno de 90% do sistema linfático abdominal está no plano subdĂ©rmico e 10% em um sistema linfático profundo justaaponeurose abdominal. O objetivo Ă© comparar a incidĂŞncia de seroma na lipoabdominoplastia sem preservação da fáscia de Scarpa com a abdominoplastia clássica. MĂ©todos: Coorte prospectiva, cega na qual serĂŁo analisados 40 pacientes consecutivos que realizaram abdominoplastia sem lipoaspiração associada (n = 20) ou lipoabdominoplastia (n = 20) no Hospital de ClĂnicas de Porto Alegre entre abril de 2016 e maio de 2017. Todos foram submetidos Ă ecografia de parede abdominal no 10o dia PO. Resultados: A incidĂŞncia de seroma foi de 5% (n = 1) no grupo de abdominoplastia clássica e de 10% (n = 2) no grupo de lipoabdominoplastia, sem diferença estatĂstica. ConclusĂŁo: Estes resultados, neste grupo de pacientes, mostram que nĂŁo houve diferença estatĂstica entre os dois grupos.Introduction: Abdominoplasty is among the most commonly performed surgical procedures. Seroma is the most common local complication associated with abdominoplasty, with an average incidence of 10%. The highest incidence of postoperative (PO) seroma occurs on the eleventh postoperative day (POD). Abdominal ultrasound is the method of choice for diagnosing seroma after abdominoplasty. New techniques have emerged aiming to improve aesthetic results with fewer complications, such as lipoabdominoplasty described by Saldanha. However, recent anatomical studies have questioned the need for Scarpa fascia preservation recommended in the lipoabdominoplasty technique, describing that around 90% of the abdominal lymphatic system is in the subdermal plane, while the other 10% is in a deep lymphatic system near the abdominal aponeurosis. The objective is to compare the incidence of seroma in lipoabdominoplasty without Scarpa fascia preservation to that in classic abdominoplasty. Methods: Prospective blinded cohort in which 40 consecutive patients who underwent abdominoplasty without associated liposuction (n = 20) or lipoabdominoplasty (n = 20) at the Hospital de ClĂnicas of Porto Alegre between April 2016 and May 2017 were analyzed. All patients underwent abdominal wall ultrasonography on the tenth POD. Results: The incidence of seroma was 5% (n = 1) in the classic abdominoplasty group and 10% (n = 2) in the lipoabdominoplasty group, with no statistical difference. Conclusion: These results showed no statistically significant intergroup difference in seroma development