This study aimed to compare clinical characteristics, evolution and severity of adult patients admitted to public and private Intensive Care Units. It is a retrospective, longitudinal and quantitative analysis of 600 patients admitted to four Intensive Care Units of Sao Paulo, Brazil. Differences were found between patients admitted in private and public hospitals regarding the following variables: age, origin, length of stay and mortality in the critical unit, cardiologic, hematologic, neurologic and renal failures and some comorbidities. The results reveal the importance of analyzing in detail clinical characteristics and healthcare of patients admitted in public institutions, because of the high mortality found. The Intensive Care Nurse can contribute to change this scenario, because she/ he plays a leading role in planning and providing resources for intensive care. DESCRIPTORS: Public sector. Private sector. Intensive Care Units. Clinical evolution. Nursing.

/pdf/clinical-characteristics-and-severity-of-patients-admitted-2tm58mx2wn.pdf

Clinical characteristics and severity of patients admitted to public and private icus

This study aimed to compare clinical characteristics, evolution and severity of adult patients admitted in public and private Intensive Care Units. It is a retrospective, longitudinal and quantitative analysis of 600 patients admitted in four Intensive Care Units of Sao Paulo, Brazil. Differences were found between patients admitted in private and public hospitals regarding the following variables: age, origin, length of stay and mortality in the critical unit, cardiac, hematological, neurological and kidney failures and some comorbidities. The results reveal the importance of analyzing in detail clinical characteristics and healthcare of patients admitted in public institutions, because of the high mortality found. The Intensive Care Nurse can contribute to change this scenario, because she/he has a leadership role in planning and provision of resources for intensive care. DESCRIPTORS: Public sector. Private sector. Intensive Care Units. Clinical evolution. Nursing. CARACTERISTICAS CLINICAS Y GRAVEDAD DE PACIENTES INGRESADOS EN UCI PUBLICAS Y PRIVADAS RESUMEN: La investigacion tuvo como objetivo comparar las caracteristicas clinicas, evolucion y gravedad de pacientes adultos ingresados en Unidades de Cuidados Intensivos publicas y privadas. Este es un estudio retrospectivo, longitudinal y cuantitativo de 600 pacientes ingresados en cuatro Unidades de Cuidados Intensivos en Sao Paulo, Brasil. Fueron encontradas diferencias entre los pacientes de los hospitales privados y publicos para las variables: edad, procedencia, tiempo de internacion y mortalidad en la unidad critica, insuficiencia cardiologica, hematologica, neurologica y renal, ademas de algunas comorbilidades. Los resultados revelan la importancia de se analizar las caracteristicas clinicas y la asistencia prestada en las instituciones publicas, en comparacion a la tasa de mortalidad. La Enfermera de Cuidados Intensivos puede ayudar a cambiar esta situacion, ya que tiene un papel de liderazgo en la planificacion de la atencion y la provision de recursos para cuidados intensivos. DESCRIPTORES: Sector publico. Sector privado. Unidades de Terapia Intensiva. Evolucion clinica. Enfermeria. 59

/pdf/clinical-characteristics-and-severity-of-the-patients-3ypx34ksf6.pdf

Clinical characteristics and severity of the patients admitted to the public and private ICUS

https://repositorio.bahiana.edu.br:8443/jspui/bitstream/bahiana/3090/1/ARTIGO%20-%20ROGERIO%20DA%20HORA%20PASSOS%20-%202018.2.pdf

Acid base variables predict survival early in the course of treatment with continuous venovenous hemodiafiltration.

O estudo comparou a evolucao clinica de adultos, idosos e muito idosos, internados em Unidades de Terapia Intensiva, localizadas em Sao Paulo, Brasil. Trata-se de estudo retrospectivo-longitudinal, do tipo comparativo. Participaram 279 adultos (≥18 e <60 anos), 216 idosos (≥60 e <80 anos) e 105 muito idosos (≥80 anos). Os adultos diferiram dos outros grupos em relacao a unidade de destino e evolucao da gravidade, segundo Simplified Acute Physiology Score II. Foi mais prevalente o encaminhamento dos adultos para unidades de internacao, porem, os idosos e muito idosos, sobreviventes a internacao na unidade critica, apresentaram melhora mais acentuada antes da alta. Entre adultos e idosos ocorreu diferenca em relacao a mortalidade, com maior taxa no grupo mais velho; entretanto, a mortalidade dos muito idosos e adultos foi similar. Em geral, os resultados indicaram que a idade mais avancada nao foi fator associado aos desfechos indesejaveis da assistencia intensiva.

/pdf/evolucao-clinica-de-adultos-idosos-e-muito-idosos-internados-57vvyt0frk.pdf

Evolução clínica de adultos, idosos e muito idosos internados em Unidade de Terapia Intensiva

El estudio comparo la evolucion clinica de adultos, ancianos y muy ancianos internados en Unidades de Terapia Intensiva localizadas en Sao Paulo, Brasil. El estudio fue retrospectivo longitudinal, del tipo comparativo. Participaron 279 adultos (≥18 y <60 anos), 216 ancianos (≥60 y <80 anos) y 105 muy ancianos (≥80 anos). Los adultos difirieron de los otros grupos en relacion a la unidad de destino y evolucion de la gravedad, segun Simplified Acute Physiology Score II. Fue mas frecuente el encaminamiento de los adultos para unidades de internacion, sin embargo los ancianos y muy ancianos sobrevivientes de la internacion en la unidad critica presentaron mejoria mas acentuada antes del alta. Entre adultos y ancianos ocurrio diferencia en relacion a la mortalidad, con mayor tasa en el grupo mas viejo; entretanto, la mortalidad de los muy ancianos y adultos fue similar. En general, los resultados indicaron que la edad mas avanzada no fue factor asociado a los resultados indeseables de la asistencia intensiva.

/pdf/evolucion-clinica-de-adultos-ancianos-y-muy-ancianos-2swqvds02x.pdf

Evolución clínica de adultos, ancianos y muy ancianos internados en Unidades de Terapia Intensiva

/pdf/risk-of-factors-for-readmission-in-the-intensive-care-unit-5ce0m8ffgf.pdf

Risk of factors for readmission in the intensive care unit

/pdf/impact-of-continuous-veno-venous-hemodiafiltration-with-3ewb5jj3sk.pdf

Impact of continuous veno-venous hemodiafiltration with regional citrate anticoagulation on the acid-base balance of critically ill patients

/pdf/regional-citrate-anticoagulation-rca-for-continuous-44s8n9pfxl.pdf

Regional citrate anticoagulation (RCA) for continuous venovenous hemodiafiltration (CVVHDF): initial experience

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Risk of factors for readmission in the intensive care unit

Impact of continuous veno-venous hemodiafiltration with regional citrate anticoagulation on the acid-base balance of critically ill patients

Regional citrate anticoagulation (RCA) for continuous venovenous hemodiafiltration (CVVHDF): initial experience