Resiliencia y neurociencia ante el COVID-19

Lately, neuroscience has proven key in providing scientific answers to research conducted in other disciplines. Resilience, from the point of view of neuroscience, takes on a new meaning due to the lockdown experienced under the COVID-19 pandemic. This article is the result of an investigation carried out during confinement in Spain, Mexico and Chile. It shows the preliminary results of the analysis of stress risk factors and resilience in neuroscience, identifying possible stress risk factors using socio-demographic data. A descriptive, cross-sectional, correlational and comparative study was conducted in a sample of 784 participants. The Connor-Davidson Resilience Scale (CD-RISC10) was used to identify resilience traits. The findings reveal a non-significant result among the countries, but statistically significant results in the level of education variable, which is associated with cognitive flexibility. The possible stress risk factors did not evince significant results. Thus, promoting resilience at an early age comes as a relevant finding. As argued by epigenetics, to immerse oneself in contexts where meaningful bonds are promoted, is essential to improve vital processes such as resilience and prevent potential stress risk factors.La neurociencia en los últimos años ha dado respuestas científicas a trabajos ya realizados desde otras disciplinas. La resiliencia desde la mirada de la neurociencia recobra nuevos significados ante la situación de confinamiento generada por la pandemia COVID-19. Este artículo es fruto de una investigación realizada durante el confinamiento en España, México y Chile, da cuenta de los resultados preliminares del análisis entre factores estresores y la resiliencia desde el enfoque de la neurociencia, identificando eventuales factores estresores a partir de datos socio-demográficos. Se realizó un estudio descriptivo, transversal, correlacional y comparativo con una muestra de 784 participantes. Se utilizó la escala de Connor - Davidson (CD-RISC10) para identificar conductas resilientes. Los hallazgos revelaron que la CD-RIC10 no presenta diferencia significativa entre los países, pero sí en el nivel de estudios; variable asociada a la flexibilidad cognitiva. Los potenciales factores estresores no arrojaron diferencias significativas. Por lo tanto, emerge la necesidad de promover la resiliencia desde etapas tempranas del desarrollo de los individuos como elemento clave de la epigenética, que apunta a rodearse de contextos enriquecidos para mejorar procesos vitales como la resiliencia y revertir eventuales factores estresores.&nbsp

Resiliencia de docentes en distanciamiento social preventivo obligatorio durante la pandemia de COVID-19

  La situación de pandemia por COVID-19 motivó en todos los países la adopción de medidas extremas para evitar la propagación del virus. El cierre de escuelas, colegios y universidades cambió sorpresiva y radicalmente las actividad de docentes, estudiantes y familias; en pocas semanas los sistemas educativos debieron cambiar y adaptarse. La resiliencia docente fue  la clave del éxito de esta transformación. Se estudió a 2.272 docentes de diversos países de Iberoamérica a través de un cuestionario online diseñado para conocer los aspectos principales de su resiliencia, el impacto del COVID-19 en su condición de distanciamiento social, su soporte emocional, sus habilidades para la educación online, las emociones experimentadas y cambios en su estilo de vida, entre otros. Se utilizó la Escala de Resiliencia de Connor-Davinson (CD-RISC 10)  como medida de resiliencia. A través de la RISC-10 se dividió la muestra en dos grupos, grupo de alta resiliencia (AR) y grupo de baja resiliencia (BR) y se obtuvieron medias y desvíos de cada ítem para cada grupo, además de la magnitud de efecto para observar el impacto de la diferencia en cada uno de ellos. Los resultados del estudio evidencian una asociación positiva entre los docentes con alta resiliencia y la percepción del evento disruptivo de la pandemia como una oportunidad, la percepción del soporte emocional brindado, la actividad física, la necesidad de formación en neuroeducación, el manejo de herramientas de educación online, las habilidades socioemocionales para enfrentar los cambios, la experiencia de emociones de valencia positiva y la instrumentación de cambios en el estilo de vida durante la pandemia. La resiliencia no solo es importante como recurso previo y de desarrollo personal del docente, sino también lo es como “acto pedagógico” al generar modelos de docentes capaces de enfrentar la adversidad desde una perspectiva de oportunidad de crecimiento.

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

COVID-19 resiliencia y neurociencia

Lately, neuroscience has proven key in providing scientific answers to research conducted in other disciplines. Resilience, from the point of view of neuroscience, takes on a new meaning due to the lockdown experienced under the COVID-19 pandemic. This article is the result of an investigation carried out during confinement in Spain, Mexico and Chile. It shows the preliminary results of the analysis of stress risk factors and resilience in neuroscience, identifying possible stress risk factors using socio-demographic data. A descriptive, cross-sectional, correlational and comparative study was conducted in a sample of 784 participants. The Connor-Davidson Resilience Scale (CD-RISC10) was used to identify resilience traits. The findings reveal a non-significant result among the countries, but statistically significant results in the level of education variable, which is associated with cognitive flexibility. The possible stress risk factors did not evince significant results. Thus, promoting resilience at an early age comes as a relevant finding. As argued by epigenetics, to immerse oneself in contexts where meaningful bonds are promoted, is essential to improve vital processes such as resilience and prevent potential stress risk factors.La neurociencia en los últimos años ha dado respuestas científicas a trabajos ya realizados desde otras disciplinas. La resiliencia desde la mirada de la neurociencia recobra nuevos significados ante la situación de confinamiento generada por la pandemia COVID-19. Este artículo es fruto de una investigación realizada durante el confinamiento en España, México y Chile, da cuenta de los resultados preliminares del análisis entre factores estresores y la resiliencia desde el enfoque de la neurociencia, identificando eventuales factores estresores a partir de datos socio-demográficos. Se realizó un estudio descriptivo, transversal, correlacional y comparativo con una muestra de 784 participantes. Se utilizó la escala de Connor - Davidson (CD-RISC10) para identificar conductas resilientes. Los hallazgos revelaron que la CD-RIC10 no presenta diferencia significativa entre los países, pero sí en el nivel de estudios; variable asociada a la flexibilidad cognitiva. Los potenciales factores estresores no arrojaron diferencias significativas. Por lo tanto, emerge la necesidad de promover la resiliencia desde etapas tempranas del desarrollo de los individuos como elemento clave de la epigenética, que apunta a rodearse de contextos enriquecidos para mejorar procesos vitales como la resiliencia y revertir eventuales factores estresores

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat