39 research outputs found

    Gravidade e tempo de hospitalização de pacientes não críticos com lesão renal aguda

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    Objective: To assess severity and length of hospitalization of non-critical patients with acute kidney injury (AKI). Methods: Prospective observational study conducted with 137 patients, with data collected by a structured questionnaire. Statistical analysis was performed using chi-square, Fisher‚Äôs exact and Mann-Whitney tests, with significance set as p‚ȧ0.05. The research was approved by the Research Ethics Committee. Results: Oxygen therapy by macro-nebulization resulted in higher mortality during hospitalization (p=0.001) and after discharge (p=0.02), as well as high levels of sodium (p=0.0001¬†vs.¬†p=0.005) and the occurrence of kidney injury or failure (p=0.02¬†vs.¬†p=0.02). Need for ventilatory support increased by 3.02 times the length of hospitalization (p=0.02). Conclusion: Acute kidney injury was frequent in more than half of the patients, with KDIGO 2 and 3 levels of severity that were associated with inpatient and post-discharge mortality. Most severe patients (KDIGO 3) remained hospitalized for a longer time. Macro-nebulization in patients with tracheostomy tripled the length of hospitalization.Objetivo: Evaluar la gravedad y tiempo de hospitalizaci√≥n de pacientes no cr√≠ticos con Lesi√≥n Renal Aguda (LRA). M√©todo: Estudio observacional prospectivo con 137 pacientes. Para la recogida de datos se utiliz√≥ un cuestionario estructurado. Para el an√°lisis estad√≠stico se utilizaron las pruebas Chi-cuadrado, Exacta de Fisher y Mann-Whitney. Se consider√≥ significativo un resultado con p‚ȧ0,05. Aprobado por el Comit√© de √Čtica de la Investigaci√≥n. Resultados: La oxigenoterapia por macronebulizaci√≥n result√≥ en mayor mortalidad durante la hospitalizaci√≥n (p=0,001) y despu√©s del alta hospitalaria (p=0,02), as√≠ como niveles elevados de sodio (p=0,0001 vs p=0,005) y la ocurrencia de da√Īo renal o insuficiencia renal (p=0,02vs.p=0,02). La necesidad de soporte ventilatorio aument√≥ 3,02 veces el tiempo de estancia hospitalaria (p=0,02). Conclusi√≥n: El LRA fue frecuente en m√°s de la mitad de los pacientes, con niveles de severidad KDIGO 2 y 3 que se asociaron con mortalidad intrahospitalaria y post-egreso. El paciente m√°s grave (KDIGO 3) permaneci√≥ hospitalizado por m√°s tiempo. La macronebulizaci√≥n en pacientes con traqueostom√≠a triplic√≥ el tiempo de estancia.Objetivo: avaliar gravidade e tempo de hospitaliza√ß√£o de pacientes n√£o cr√≠ticos com les√£o renal aguda. M√©todos: estudo observacional prospectivo com 137 pacientes realizado por meio de question√°rio estruturado para coleta de dados. Os testes quiquadrado, exato de Fisher e Mann-Whitney foram empregados para an√°lise estat√≠stica e considerou-se significativo resultado com p‚ȧ0,05. Aprovado pelo Comit√™ de √Čtica em Pesquisa. Resultados: oxigenoterapia por macronebuliza√ß√£o resultou em maior mortalidade durante interna√ß√£o (p=0,001) e ap√≥s alta hospitalar (p=0,02), assim como n√≠veis elevados de s√≥dio (p=0,0001¬†vs. p=0,005) e a ocorr√™ncia de les√£o ou fal√™ncia renal (p=0,02¬† vs. p=0,02). Necessidade de suporte ventilat√≥rio aumentou em 3,02 vezes o tempo de hospitaliza√ß√£o(p=0,02). Conclus√£o: A¬†les√£o renal aguda foi frequente em mais da metade dos pacientes, sendo KDIGO 2 e 3 n√≠veis de gravidade que se associaram com mortalidade intra-hospitalar e p√≥s-alta. Paciente de maior gravidade (KDIGO¬† 3) permaneceu maior tempo hospitalizado. A macronebuliza√ß√£o em pacientes com traqueostomia triplicou o tempo de interna√ß√£o

    Preditores de mortalidade e tempo médio de sobrevivência dos pacientes críticos

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    Resumo Objetivo Analisar os preditores de mortalidade e o tempo m√©dio de sobreviv√™ncia dos pacientes internados nas unidades de terapias intensivas. M√©todos Coorte prospectiva, realizada no per√≠odo de agosto de 2018 a julho de 2019, em quatro Unidades de Terapia Intensiva (UTI) de adultos, da rede p√ļblica e privada do Estado de Sergipe. Foram inclu√≠dos todos os pacientes adultos, desde que possu√≠ssem o tempo de perman√™ncia m√≠nima de 24 horas na unidade. O desfecho prim√°rio foi o √≥bito. Os desfechos secund√°rios foram: di√°lise, les√£o por press√£o, les√£o renal aguda, necessidade de ventila√ß√£o mec√Ęnica invasiva por mais de 48 horas, infec√ß√£o e o tempo de interna√ß√£o. Resultados Dos 432 pacientes, houve predom√≠nio de √≥bito em pacientes do sexo masculino, com idade mais avan√ßada e procedentes da unidade de emerg√™ncia. A presen√ßa de insufici√™ncia card√≠aca, valores de creatinina >1,5 mg/dL na admiss√£o, diabetes mellitus, doen√ßa hep√°tica e tabagismo tamb√©m tiveram associa√ß√£o com o desfecho √≥bito. Quanto aos demais preditores, destacaram-se o maior tempo de interna√ß√£o; maiores escores do Sequential Organ Failure Assessment (SOFA), Simplified Acute Phisiology (SAPS 3) e Nursing Activies Score (NAS), al√©m do uso de noradrenalina. O uso do fentanil foi associado ao aumento do tempo de sobrevida e o tempo m√©dio de sobreviv√™ncia geral foi 28 dias. Conclus√£o Os preditores de mortalidade dos pacientes internados em UTI de Sergipe foram o maior tempo de interna√ß√£o; os maiores escores de SOFA, SAPS-3 e NAS; creatinina >1,5mg/dl na admiss√£o; uso de drogas vasopressoras e a necessidade de di√°lise

    Monitoreo avanzado de enfermería : pacientes de riesgo en atención primaria

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    Objetivo: avaliar o efeito do monitoramento de enfermagem avan√ßado em rela√ß√£o ao usual para identifica√ß√£o do risco cardiovascular e renal, ades√£o medicamentosa e pr√°tica de exerc√≠cios na aten√ß√£o prim√°ria √† sa√ļde. M√©todo: estudo quantitativo, quase-experimental desenvolvido na Aten√ß√£o prim√°ria. Em rela√ß√£o a interven√ß√£o, foram consultas de enfermagem trimestrais de monitoramento avan√ßado e laboratorial trimestral. Para coleta de dados, aplicou-se question√°rio sociodemogr√°fico, escala Morisky e Question√°rio Internacional de Atividade F√≠sica. Resultados: sexo feminino predominou nos dois grupos interven√ß√£o e controle (62,79% vs. 76,74%). O percentual de pacientes sem risco cardiovascular do grupo interven√ß√£o superou o grupo controle da consulta 1 para consulta 3, (0,00% - 25,58% vs. 6,98 - 2,33). Ades√£o medicamentosa m√°xima, ao longo do tempo, foi superior no grupo interven√ß√£o comparado ao grupo controle (48,8% vs. 23,3%). O risco cardiovascular dos usu√°rios interferiu na atividade f√≠sica de forma significativa no grupo interven√ß√£o e controle (p=0,0261 vs. 0,0438). Conclus√Ķes e implica√ß√Ķes para a pr√°tica: a monitoriza√ß√£o avan√ßada possibilitou uma melhor identifica√ß√£o de pacientes de risco e orienta√ß√Ķes aos pacientes hipertensos e diab√©ticos com risco cardiovascular e renal, o que favoreceu o monitoramento avan√ßado e contribuiu ao autogerenciamento da pr√°tica de exerc√≠cios e ades√£o medicamentosa, a partir de consultas de enfermagem.Objective: to evaluate the effect of advanced versus usual Nursing monitoring to identify cardiovascular and renal risk, adherence to medication and practice of physical exercise in Primary Health Care. Method: a quantitative and quasi-experimental study developed in Primary Care. In relation to the intervention, there were quarterly Nursing advanced monitoring consultations and quarterly laboratory control. For data collection, a sociodemographic questionnaire, the Morisky scale and the International Physical Activity Questionnaire were applied. Results: the female gender predominated both in the intervention and in the control group (62.79% vs. 76.74%). The percentage of patients without cardiovascular risk in the intervention group exceeded the control group from consultation 1 to consultation 3 (0.00% - 25.58% vs. 6.98 - 2.33). Maximum adherence to medication, over time, was higher in the intervention group when compared to the control group (48.8% vs. 23.3%). The users‚Äô cardiovascular risk significantly interfered with physical activity in the intervention and control groups (p=0.0261 vs. 0.0438). Conclusions and implications for the practice: advanced monitoring enabled better identification of at-risk patients and guidelines for the hypertensive and diabetic patients at cardiovascular and renal risk, which favored advanced monitoring and contributed to self-management of the practice of physical exercise and adherence to medication, based on Nursing consultations.Objetivo: evaluar el efecto de la monitorizaci√≥n avanzada de enfermer√≠a frente a la habitual para identificar el riesgo cardiovascular y renal, la adherencia a la medicaci√≥n y la pr√°ctica del ejercicio en la atenci√≥n primaria de salud. M√©todo: estudio cuasiexperimental cuantitativo desarrollado en Atenci√≥n Primaria. En cuanto a la intervenci√≥n, se realizaron consultas de enfermer√≠a trimestrales para seguimiento avanzado y laboratorio trimestral. Para la recopilaci√≥n de datos se aplic√≥ un cuestionario sociodemogr√°fico, escala de Morisky y Cuestionario Internacional de Actividad F√≠sica. Resultados: el g√©nero femenino predomin√≥ tanto en el grupo de intervenci√≥n como en el de control (62,79% vs 76,74%). El porcentaje de pacientes sin riesgo cardiovascular en el grupo de intervenci√≥n super√≥ al grupo de control desde la cita 1 hasta la cita 3 (0,00% - 25,58% frente a 6,98 - 2,33). La adherencia m√°xima al f√°rmaco, a lo largo del tiempo, fue mayor en el grupo de intervenci√≥n en comparaci√≥n con el grupo de control (48,8% frente a 23,3%). El riesgo cardiovascular de los usuarios interfiri√≥ significativamente con la actividad f√≠sica en los grupos de intervenci√≥n y control (p = 0,0261 frente a 0,0438). Conclusiones e implicaciones para la pr√°ctica: la monitorizaci√≥n avanzada permiti√≥ identificar mejor a los pacientes en riesgo y orientar a los pacientes hipertensos y diab√©ticos con riesgo cardiovascular y renal, lo que favoreci√≥ el monitoreo avanzado y contribuy√≥ al autocontrol de la pr√°ctica de ejercicio y la adherencia a la medicaci√≥n, desde las consultas de enfermer√≠a

    CLINICAL SIMULATION IN NURSING PROFESSIONALS’ LATE RETENTION OF KNOWLEDGE AND SELFCONFIDENCE: A QUASI-EXPERIMENTAL STUDY

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    Objective: to evaluate the late effect of using combined simulation of a dialog lecture class, as compared to the exclusive use of simulation, on Nursing professionals‚Äô self-confidence and knowledge under cardiopulmonary arrest situations.Method: quasi-experimental with pre- and post-test. Convenience sample comprised by 53 Nursing professionals divided into control and experimental groups. A semi-structured questionnaire and the Self-confidence dimension of the Satisfaction and Self-Confidence in Learning Scale were applied. Q tests were used with p-value‚ȧ 0.05.Results: self-confidence increased significantly among the professionals from the experimental group (p=0.007) in relation to the control group (p=0.06). None of the groups showed significant gains in retained knowledge over time.Conclusion: regardless of how the simulation method is employed, it represents a pedagogical strategy that can enable the development and improvement of self-confidence and late knowledge fixation in relation to cardiopulmonary arrest situations

    Recovery of renal function in clinical patients with acute kidney injury : impact on mortality

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    Objective: To assess the different renal function recovery patterns and their impact on the mortality of non-critical patients with hospital-acquired Acute Kidney Injury. Design: A prospective cohort study was conducted from January 2017 to December 2019. Methods: The patients included were those with Acute Kidney Injury acquired during their hospitalization, identified from Kidney Disease: Improving Global Outcomes (KDIGO). Renal function recovery was calculated through the serum creatinine ratio in relation to baseline creatinine at the renal function evaluation moment. A descriptive analysis of the results was performed, and the Backward method was adopted for the multivariate analysis. Results: One-thousand five-hundred and forty-six patients were evaluated in the medical clinic and 202 (13.06%) were identified to have Acute Kidney Injury; among them, renal function recovery varied over the six months of follow-up with greater expressiveness in the second and third months (from 61.02% to 62.79%). Recovery was a protective factor against in-hospital death in the first (OR 0.24; 95% CI 0.09‚Äď0.61; p-value = 0.038) and sixth month of follow-up (OR 0.24; 95% CI 0.09‚Äď0.61; p-value = 0.003). Conclusions: The incidence of renal function recovery varied throughout the six months of follow-up and reached progressively high levels from the second to the third months. Renal recovery was a protective factor against mortality during the follow-up period

    SIMULACI√ďN CL√ćNICA EN LA RETENCI√ďN A LARGO PLAZO DEL CONOCIMIENTO Y AUTOCONFIANZA DE PROFESIONALES DE ENFERMER√ćA: ESTUDIO CUASIEXPERIMENTAL

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    Objetivo: Evaluar el efecto a largo plazo del uso de la simulaci√≥n combinada con unaclase expositiva dialogada en comparaci√≥n con el uso exclusivo de la simulaci√≥n sobrela autoconfianza y el conocimiento de los profesionales de enfermer√≠a en situaciones de¬†paro cardiorrespiratorio.M√©todo: cuasi experimento con pre y post test. Muestra por conveniencia de 53 profesionales de enfermer√≠a divididos en grupos control y experimental. Se aplic√≥ un cuestionario semiestructurado y la dimensi√≥n Autoconfianza de la Escala de Satisfacci√≥n y Autoconfianza en el Aprendizaje. Se utilizaron pruebas Q con p‚ȧ 0,05.Resultados: La autoconfianza de los profesionales del grupo experimental (p=0,007)aument√≥ significativamente en comparaci√≥n con la del grupo control (p=0,06). Ninguno¬†de los dos grupos demostr√≥ un aumento significativo del conocimiento retenido a lo largo del tiempo.Conclusi√≥n: Independientemente de la forma en que se aplique el m√©todo de simulaci√≥n, representa una estrategia pedag√≥gica que puede posibilitar el desarrollo y mejora de la confianza en s√≠ mismo y la fijaci√≥n a largo plazo del conocimiento en relaci√≥na las situaciones de paro cardiorrespiratorio

    SIMULA√á√ÉO CL√ćNICA NA RETEN√á√ÉO TARDIA DE CONHECIMENTO E AUTOCONFIAN√áA DE PROFISSIONAIS DE ENFERMAGEM: ESTUDO QUASE-EXPERIMENTAL

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    Objetivo: Avaliar o efeito tardio do uso da simula√ß√£o combinada a aula expositiva dialogada em compara√ß√£o ao uso exclusivo da simula√ß√£o na autoconfian√ßa e no conhecimento de profissionais de enfermagem diante de situa√ß√Ķes de parada cardiopulmonar. M√©todo: Quase experimento com pr√© e p√≥s-teste. Amostra de conveni√™ncia de 53 profissionais de enfermagem divididos em grupos controle e experimental. Foram aplicados um question√°rio semiestruturado e a dimens√£o Autoconfian√ßa da Escala de Satisfa√ß√£o e Autoconfian√ßa na Aprendizagem. Q testes foram utilizados com valor de p‚ȧ 0,05. Resultados: A autoconfian√ßa aumentou de forma significativa entre os profissionais do grupo experimental (p=0,007) em rela√ß√£o ao controle (p=0,06). Nenhum dos grupos mostrou ganho significativo de conhecimento retido ao longo do tempo. Conclus√£o: Independentemente da forma como o m√©todo de simula√ß√£o √© empregado, ele representa uma estrat√©gia pedag√≥gica que pode possibilitar desenvolvimento e aprimoramento de autoconfian√ßa e fixa√ß√£o tardia do conhecimento em rela√ß√£o a situa√ß√Ķes de parada cardiopulmonar

    Capacidade preditiva de escores prognósticos para lesão renal, diálise e óbito em unidades de terapia intensiva*

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    Objective: To assess the capacity of Charlson, SAPS 3 and SOFA scores to predict acute kidney injury, need for dialysis, and death in intensive care unit patients. Method: Prospective cohort, with 432 individuals admitted to four intensive care units. Clinical characteristics at admission, severity profile, and intensity of care were analyzed using association and correlation tests. The scores sensitivity and specificity were assessed using the ROC curve. Results: The results show that patients with acute kidney injury were older (65[27] years vs. 60[25] years, p = 0.019) and mostly are from the emergency department (57.9% vs. 38.0 %, p < 0.001), when compared to those in the group without acute kidney injury. For dialysis prediction, the results of SAPS 3 and SOFA were AUC: 0.590; 95%CI: 0.507‚Äď0.674; p-value: 0.032 and AUC: 0.667; 95%CI: 0.591‚Äď0.743; p-value: 0.000, respectively. All scores performed well for death. Conclusion: The prognostic scores showed good capacity to predict acute kidney injury, dialysis, and death. Charlson Comorbidity Index showed good predictive capacity for acute kidney injury and death; however, it did not perform well for the need for dialysis.Objetivo: Avaliar a capacidade dos escores Charlson, SAPS 3 e SOFA na predi√ß√£o da les√£o renal aguda, necessidade de di√°lise e √≥bito em pacientes da unidade de terapia intensiva. M√©todo: Coorte prospectiva, com 432 indiv√≠duos internados em quatro unidades de terapia intensiva. Analisaram-se caracter√≠sticas cl√≠nicas na admiss√£o, perfil de gravidade e intensidade dos cuidados por meio de testes de associa√ß√£o e correla√ß√£o. A sensibilidade e especificidade dos escores foram avaliadas por meio da curva ROC. Resultados: Os resultados mostram que os pacientes com les√£o renal aguda eram mais velhos (65[27] anos vs. 60[25] anos, p = 0,019) e em sua maioria procedentes da unidade de emerg√™ncia (57,9% vs. 38,0%, p < 0,001), quando comparados √†queles do grupo sem les√£o renal aguda. Para a previs√£o de di√°lise, os resultados do SAPS 3 e do SOFA foram AUC: 0,590; IC95%: 0,507‚Äď0,674; p-valor: 0,032 e AUC: 0,667; IC95%: 0,591‚Äď0,743; p-valor: 0,000, respectivamente. Todos os escores apresentaram bom desempenho para o √≥bito. Conclus√£o: Os escores de progn√≥sticos apresentaram boa capacidade para predizer les√£o renal aguda, di√°lise e √≥bito. O √ćndice de Comorbidade de Charlson apresentou boa capacidade preditiva para a les√£o renal aguda e √≥bito; entretanto, n√£o apresentou bom desempenho para a necessidade de di√°lise.Objetivo: Evaluar la capacidad de los scores Charlson, SAPS-3 y (SOFA) en la predicci√≥n de la lesi√≥n renal aguda (LRA), necesidad de di√°lisis y √≥bito en pacientes de UCI. M√©todo: Cohorte prospectivo, con 432 individuos ingresados en cuatro UCIs. Se analiz√≥ caracter√≠sticas cl√≠nicas en la admisi√≥n, perfil de gravedad e intensidad de los cuidados a trav√©s de testes de asociaci√≥n y correlaci√≥n. La sensibilidad y especificidad de los scores fueron evaluadas por medio de curva ROC. Resultados: Los resultados mostraron que los pacientes con lesi√≥n renal aguda eran mayores (65[27] a√Īos vs. 60[25] a√Īos, p = 0,019) y en su mayor√≠a proced√≠an de urgencias (57,9% vs. 38,0%, p < 0,001), cuando en comparaci√≥n con aquellos del grupo sin LRA. Para la previsi√≥n de di√°lisis, los resultados del SAPS-3 y del (SOFA) fueron AUC: 0,590; IC 95%: 0,507‚Äď0,674; p-valor: 0,032 y (AUC: 0,667; IC95%: 0,591‚Äď0,743; p-valor: 0,000), respectivamente. Todos los scores presentaron buen desempe√Īo para el √≥bito. Conclusi√≥n: Los scores de pron√≥sticos presentaron buena capacidad en predecir LRA, di√°lisis y √≥bito. El √ćndice de Comorbidad de Charlson present√≥ buena capacidad predictiva para la LRA y √≥bito, sin embargo, no present√≥ buen desempe√Īo para la necesidad de di√°lisis

    Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

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    Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung‚Äôs disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung‚Äôs disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58¬∑0%) were male. Median gestational age at birth was 38 weeks (IQR 36‚Äď39) and median bodyweight at presentation was 2¬∑8 kg (2¬∑3‚Äď3¬∑3). Mortality among all patients was 37 (39¬∑8%) of 93 in low-income countries, 583 (20¬∑4%) of 2860 in middle-income countries, and 50 (5¬∑6%) of 896 in high-income countries (p<0¬∑0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90¬∑0%] of ten in lowincome countries, 97 [31¬∑9%] of 304 in middle-income countries, and two [1¬∑4%] of 139 in high-income countries; p‚ȧ0¬∑0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2¬∑78 [95% CI 1¬∑88‚Äď4¬∑11], p<0¬∑0001; middle-income vs high-income countries, 2¬∑11 [1¬∑59‚Äď2¬∑79], p<0¬∑0001), sepsis at presentation (1¬∑20 [1¬∑04‚Äď1¬∑40], p=0¬∑016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4‚Äď5 vs ASA 1‚Äď2, 1¬∑82 [1¬∑40‚Äď2¬∑35], p<0¬∑0001; ASA 3 vs ASA 1‚Äď2, 1¬∑58, [1¬∑30‚Äď1¬∑92], p<0¬∑0001]), surgical safety checklist not used (1¬∑39 [1¬∑02‚Äď1¬∑90], p=0¬∑035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1¬∑96, [1¬∑41‚Äď2¬∑71], p=0¬∑0001; parenteral nutrition 1¬∑35, [1¬∑05‚Äď1¬∑74], p=0¬∑018). Administration of parenteral nutrition (0¬∑61, [0¬∑47‚Äď0¬∑79], p=0¬∑0002) and use of a peripherally inserted central catheter (0¬∑65 [0¬∑50‚Äď0¬∑86], p=0¬∑0024) or percutaneous central line (0¬∑69 [0¬∑48‚Äď1¬∑00], p=0¬∑049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

    Suporte religioso e espiritual na concepção de enfermeiros e familiares de pacientes críticos: estudo transversal*

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    Objetivo: Avaliar o suporte religioso e espiritual em cuidados cr√≠ticos na concepc√§o de familiares de pacientes e enfermeiros. M√©todo: Estudo quantitativo transversal realizado com enfermeiros e familiares de pacientes internados na terapia intensiva. Foram coletados dados sociodemogr√°ficos e aplicado question√°rio sobre religiosidade e espiritualidade para os familiares e aos enfermeiros a escala Spirituality and Spiritual Care Rating Scale. Foram significativos os resultados com p &lt; 0,05. Resultados: Amostra composta de enfermeiros intensivistas (n = 22) e familiares (n = 61). Os enfermeiros intensivistas declararam que podem oferecer cuidado espiritual (p = 0,03). Dos familiares, 88,5% acreditaram que a religiosidade e a espiritualidade auxiliam no enfrentamento de momentos dif√≠ceis, destacando a ora√ß√£o como parte do cuidado na assist√©ncia ao paciente cr√≠tico (p = 0,02). Conclus√£o: Enfermeiros e familiares reconheceram o suporte religioso/espiritual como significativo ao processo de cuidar dos pacientes cr√≠ticos, ainda que para os enfermeiros seja vigente a necessidade de qualifica√ß√£o profissional para maior integra√ß√£o desse suporte no cuidado intensivo di√°rio.Objetivo: Evaluar el soporte religioso y espiritual en cuidados criticos en la concepci√≥n de familiares de pacientes y enfermeros. M√©todo: Estudio cuantitativo transversal realizado con enfermeros y familiares de pacientes hospitalizados en UCIs. Se recolectaron datos sociodemogr√°ficos y se realiz√≥ una encuesta sobre religiosidad y espiritualidad a los familiares y los enfermeros a Spirituality and Spiritual Care Rating Scale. Fueron significativos los resultados con p &lt; 0,05. Resultados: Muestra compuesta de enfermeros intensivistas (n = 22) y familiares (n = 61). Los enfermeros intensivistas declararon que pueden ofrecer cuidado espiritual (p = 0,03). Entre los familiares, 88,5% creyeron que la religiosidad y la espiritualidad auxilian en el enfrentamiento de momentos dificiles, destacaron la oraci√≥n como parte del cuidado en la asistencia al paciente critico (p = 0,02). Conclusi√≥n: Enfermeros y familiares reconocieron el soporte religioso/espiritual como significativo en el proceso de cuidado a los pacientes criticos, aunque a los enfermeros sea vigente la necesidad de calificaci√≥n profesional para mayor integraci√≥n de ese soporte en el cuidado intensivo diario.Objective: To assess the religious and spiritual support in critical care according to the conception of patients' family members and nurses. Method: This is a quantitative cross-sectional study conducted with nurses and relatives of patients admitted to intensive care units. Sociodemographic data were collected and a questionnaire on religiosity and spirituality was applied to family members and the Spirituality and Spiritual Care Rating Scale to nurses. The results with p ‚ȧ 0.05 were significant. Results: Sample consisted of intensive care nurses (n = 22) and family members (n = 61). Intensive care nurses stated that they can provide spiritual care (p = 0.03). Of the family members, 88.5% believed that religiosity and spirituality help in coping with difficult times, highlighting prayer as part of care for critically ill patients (p = 0.02). Conclusion: Nurses and family members recognized religious/spiritual support as significant to the process of caring for critically ill patients, even though professional qualification is required for greater integration of this support in daily intensive care
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