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1.
Rev. Nac. (Itauguá) ; 14(2): 67-82, jul.-dic. 2022.
Article in Spanish | LILACS, BDNPAR | ID: biblio-1410692

ABSTRACT

Introducción:existe una sospecha sobre la relación bidireccional entre la apnea obstructiva del sueño (AOS) y la hipertensión arterial (HTA). Ambas ejercen una acción sinérgica sobre desenlaces cardiovasculares porlo quees trascendente ponderar la prevalencia de riesgo para AOS en los hipertensos. En este último grupo también hemos investigado la tasa de adherencia a los fármacos prescritos. Metodología:mediante un estudio de casos y controles y con la aplicación del cuestionario STOP-BANG se han discriminado las categorías de riesgo para apnea de sueño en las dos cohortes. Para el análisis de la adherencia a fármacos antihipertensivos se utilizó el cuestionario abreviado de Morisky. Resultados:se incluyeron a 590 individuos (295 casos y 295 controles. Se observó alto riesgo para AOS en el grupo de hipertensos (36,6%) comparado con el 14,2% del grupo control. Por otro lado, el sexo masculino OR 7,77 (IC95% 4,33-13,84), la obesidad OR 5,03 (IC95% 3,11-8,13) y la HTA OR 4,31 (IC95% 2,64-7,03) se ponderan significativos en un modelo de ajuste logístico aquí estudiado. El 61,69% de los hipertensos refería adherencia al tratamiento farmacológico prescrito. Discusión:el tamizaje de AOS es factible con un cuestionario aplicable en la práctica clínica diaria. De la probabilidad clínica pre-test hay que partir hacia métodos diagnósticos específicos para el diagnóstico de AOS, enfatizando casos de HTA resistente, HTA nocturna y HTA enmascarada. Se deberían realizar estudios locales que nos ayuden a comprender las causas de la falta de adherencia a fármacos antihipertensivos en una fracción importante de los individuos con HTA


Introduction:there is a suspicion about the bidirectional relationship between obstructive sleep apnea (OSA) and arterial hypertension (AHT). Both have a synergistic action on cardiovascular outcomes, so it is important to assess the prevalence of risk for OSA in hypertensive patients. In this last group we have also investigated the rate of adherence to prescribed drugs.Metodology:through a case-control study and with the application of the STOP-BANG questionnaire, the risk categories for sleep apnea in the two cohorts have been discriminated. For the analysis of adherence to antihypertensive drugs, the abbreviated Morisky questionnaire was used. Results:590 individuals were included (295 cases and 295 controls. A high risk for OSA was observed in the hypertensive group (36.6%) compared to 14.2% in the control group. On the other hand, the male sex OR 7.77 (95%CI 4.33-13.84), obesity OR 5.03 (95%CI 3.11-8.13) and hypertensionOR4.31(95%CI 2.64-7.03) they areweighted significant in a logistic adjustment model studied here.61.69% of hypertensive patients reported adherence to the prescribed pharmacological treatment.Discussion:OSA screening is feasible with a questionnaire applicable in daily clinical practice. From the pre-test clinical probability, specific diagnostic methods for the diagnosis of OSA must be started, emphasizing cases of resistant AHT, nocturnal AHT, andmasked AHT. Local studies should be carried out to help us understand the causes of non-adherence to antihypertensive drugs in a significant fraction of individuals with AHT


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Young Adult , Risk Assessment , Sleep Apnea, Obstructive , Sleep Apnea, Obstructive/epidemiology , Treatment Adherence and Compliance , Obesity , Paraguay/epidemiology , Surveys and Questionnaires , Waist-Hip Ratio , Hypertension , Antihypertensive Agents
2.
rev.cuid. (Bucaramanga.2010) ; 13(1): 1-14, 20221213.
Article in Spanish | LILACS, BDENF, COLNAL | ID: biblio-1369115

ABSTRACT

Introducción: Las Infecciones Asociadas a la Atención en Salud (IAAS) son un grave problema de salud pública, que puede ser prevenidas al identificar los factores de riesgo con el uso de escalas. Objetivo: Adaptar transculturalmente y realizar la validación de contenido y de face de la escala Rodríguez-Almeida-Cañon (RAC) de evaluación del riesgo de infección en adultos hospitalizados. Materiales y Métodos: Estudio metodológico de adaptación transcultural. La recolección de datos se realizó de junio a noviembre de 2020. La muestra estuvo compuesta por 11 especialistas. La escala RAC se evaluó en su conjunto, determinando su alcance, los ítems fueron evaluados individualmente, verificando su claridad, relevancia y pertinencia. Para evaluar cada ítem se utilizó una escala tipo Likert de cuatro niveles. La validez de contenido fue evaluada a través del índice de validez de contenido (IVC). Resultados: Por medio de la evaluación del comité de especialistas fue posible determinar que la escala RAC es apta para uso en el contexto cultural colombiano. Se realizaron ajustes para mejorar la interpretación de algunos ítems. El IVC de los ítems estuvo entre 0.90 a 1.0 y el IVC promedio de la escala fue de 0.98. Discusión: Esta escala permite medir el riesgo de IAAS a un bajo costo, con el fin de poder planear y ejecutar intervenciones por parte del equipo multidisciplinario que tiene a cargo la salud y el cuidado del paciente. Conclusiones: La escala RAC en su versión en español es un instrumento apropiado para la evaluación del riesgo de IAAS en el adulto hospitalizado en Colombia.


Introduction: Health care­associated infections (HAI) are a serious public health problem, which can be prevented by identifying risk factors with the use of scales. Objective: To adapt cross-culturally and perform content and face validation of the Rodríguez-Almeida-Cañon (RAC) scale for assessing the risk of infection in hospitalized adults. Materials and Methods: Methodological study of cross-cultural adaptation. Data collection was carried out from June to November 2020. The sample consisted of 11 specialists. The RAC scale was evaluated as a whole, determining its scope, the items were evaluated individually, verifying their clarity, relevance and pertinence. To evaluate each item, a four-level Likert-type scale was used. The content validity was evaluated through the content validity index (CVI). Results: Through the evaluation of the committee of specialists it was possible to determine that the RAC scale is suitable for use in the Colombian cultural context. Adjustments were made to improve the interpretation of some items. The CVI of the items was between 0.90 to 1.0 and the average CVI of the scale was 0.98. Discusión: This scale makes it possible to measure the HAI risk at a low cost, in order to be able to plan and execute interventions by the multidisciplinary team in charge of the health and care of the patient. Conclusions: The RAC scale in its Spanish version is an appropriate instrument for assessing the risk of HAI in hospitalized adults in Colombia.


Introdução: As infecções associadas à assistência à saúde (IAAS) são um grave problema de saúde pública, que pode ser prevenido por meio da identificação de fatores de risco com o uso de escalas. Objetivo: Adaptar transculturalmente e realizar a validação de conteúdo e de face da escala Rodríguez-Almeida-Cañon (RAC), de avaliação do risco de infecção em adultos hospitalizados. Materiais e Métodos: Estudo metodológico de adaptação transcultural. A coleta de dados foi realizada no período de junho a novembro de 2020. A amostra foi composta por 11 especialistas. A escala RAC foi avaliada como um todo, determinando seu escopo, os itens foram avaliados individualmente, verificando sua clareza, relevância e pertinência. Para avaliar cada item, foi utilizada uma escala do tipo Likert de quatro níveis. A validade de conteúdo foi avaliada por meio do índice de validade de conteúdo (IVC). Resultados: Por meio da avaliação do comitê de especialistas, foi possível constatar que a escala RAC é adequada para uso no contexto cultural colombiano. Ajustes foram feitos para melhorar a interpretação de alguns itens. O IVC dos itens ficou entre 0,90 a 1,0 e o IVC médio da escala foi de 0,98. Discussão: Esta escala permite mensurar o risco de IAAS a baixo custo, de forma a poder planejar e executar intervenções da equipe multiprofissional responsável pela saúde e cuidado do paciente. Conclusões: A escala RAC em sua versão em espanhol é um instrumento adequado para a avaliação do risco de IAAS em adultos hospitalizados na Colômbia.


Subject(s)
Humans , Male , Female , Cross-Cultural Comparison , Infection Control , Risk Assessment , Validation Study , Patient Safety
3.
Lima; Perú. Ministerio de Salud. Dirección General de Intervenciones Estratégicas en Salud Pública. Dirección de Salud Mental; 1 ed; Ago. 2022. 34 p. ilus.
Monography in Spanish | LILACS, LIPECS, MINSAPERU | ID: biblio-1392066

ABSTRACT

La presente publicación describe los parámetros técnicos estandarizados, para la evaluación de la afectación psicológica de personas, en caso de haber sido víctimas de violencia contra las mujeres y los integrantes del grupo familiar y para contribuir a la recuperación integral y oportuna de las personas víctimas de violencia contra las mujeres e integrantes del grupo familiar que acuden a las Instituciones Prestadoras de Servicios de Salud (IPRESS)


Subject(s)
Reference Standards , Stress, Psychological , Mental Health , Domestic Violence , Risk Assessment , Victims Identification , Psychosocial Impact , Violence Against Women
4.
rev.cuid. (Bucaramanga. 2010) ; 13(3): 1-13, 20220831.
Article in Spanish | LILACS, BDENF, COLNAL | ID: biblio-1402549

ABSTRACT

Introducción: La carga de trabajo de Enfermería en unidades de cuidado intensivo está relacionada con la eficiencia y calidad de la atención, sin embargo, no existen métodos para cuantificar las enfermeras necesarias por turno en UCI. Objetivo: Identificar las herramientas más utilizadas para medir la carga de trabajo de Enfermería en UCIs. Materiales y métodos: Se realizó una revisión de literatura tipo integradora, utilizando artículos originales en inglés, español o portugués, publicados entre 1991 hasta 2017 en las bases de datos: Science@direct, BVS, Socupus y Embase, empleando la estrategia de búsqueda: Nursing and workload and intensive critical or ICU unit and measure, se excluyeron artículos duplicados y/o desarrollados en UCIs de cuidado intermedio, la calidad de los artículos fue valorada usando la lista de chequeo Strobe. Resultados: Se incluyeron 36 artículos con un total de 19.036 pacientes; el 50% (n=18) empleo el NAS, 27.7%(n=10) utilizó una combinación de métodos como el NAS, NEMS, TISS-28 o el VACTE, el 13.8%(n=5) empleo el TISS-28, el 5.6%(n=2) empleo registro de cámaras de video y un 2.7%(n=1) empleo el NEMS para cuantificar el tiempo empleado por enfermería en el cuidado. Discusión: actualmente no existe un consenso sobre métodos de medición de carga de trabajo en enfermería, en este sentido, es necesario realizar más estudios de validación y comparación que permitan mejorar la gestión del cuidado de enfermería en UCI. Conclusión: La herramienta más utilizada para cuantificar la carga de trabajo en enfermería es el Nursing Activities Score (NAS), otras herramientas identificadas fueron: NEMS, TISS-28 y VACTE.


Introduction: Nursing workload in intensive care units (ICUs) is related to efficiency and quality of care; however, there are no methods to quantify the nurses needed per shift in ICUs. Objective: To identify the most used tools to measure ICU nursing workload. Methods: An integrative literature review was performed using original articles in English, Spanish or Portuguese, published between 1991 and 2017 in the databases ScienceDirect, BVS, Scopus, and Embase. The search strategy was "nursing and workload and intensive critical or ICU and measure." Duplicate articles or articles about intermediate care units were excluded. The quality of the articles was assessed using the Strobe checklist. Results: Thirty-six articles with a total of 19,036 patients were included; 50% (n=18) used NAS, 27.7% (n=10) used a combination of methods such as NAS, NEMS, TISS-28 or VACTE; 13.8% (n=5) used TISS-28, 5.6% (n=2) used video camera recording, and 2.7% (n=1) used NEMS to quantify the time spent by nurses in care. Discussion: There is currently no consensus on workload measurement methods in nursing. In this sense, more validation and comparison studies are needed to improve nursing care management in the ICUs. Conclusion: The most used tool to quantify workload in nursing is the Nursing Activities Score (NAS). Other tools identified were NEMS, TISS-28, and VACTE.


Introdução: A carga de trabalho de enfermagem em unidades de terapia intensiva está relacionada à eficiência e qualidade da assistência, entretanto, não existem métodos para quantificar o número de enfermeiros necessários por turno na UTI. Objetivo: Identificar os instrumentos mais utilizados para mensurar a carga de trabalho de Enfermagem nas UTIs. Metodologia: Foi realizada uma revisão integrativa da literatura, utilizando artigos originais em inglês, espanhol ou português, publicados entre 1991 e 2017 nas bases de dados: Science@direct, BVS, Socupus e Embase, utilizando a estratégia de busca: Nursing and workload and intensivo critical ou unidade e medida de UTI, artigos duplicados e/ou desenvolvidos nas UTIs de cuidados intermediários foram excluídos, a qualidade dos artigos foi avaliada por meio do Strobe checklist. Resultados: foram incluídos 36 artigos com um total de 19.036 pacientes; 50% (n=18) utilizaram o NAS, 27,7%(n=10) utilizaram uma combinação de métodos como NAS, NEMS, TISS-28 ou VACTE, 13,8%(n=5) utilizaram o TISS-28, 5,6% (n=2) utilizaram registros de câmeras de vídeo e 2,7%(n=1) utilizaram o NEMS para quantificar o tempo gasto pela enfermagem no cuidado. Discussão: atualmente não há consenso sobre métodos de mensuração da carga de trabalho em enfermagem, nesse sentido, faz-se necessária a realização de mais estudos de validação e comparação para melhorar o gerenciamento do cuidado de enfermagem em UTI. Conclusão: O instrumento mais utilizado para quantificar a carga de trabalho de enfermagem é o Nursing Activities Score (NAS), outros instrumentos identificados foram: NEMS, TISS-28 e VACTE.


Subject(s)
Nursing , Workload , Risk Assessment , Intensive Care Units , Nursing Care
5.
Rev. bras. ortop ; 57(4): 546-551, Jul.-Aug. 2022. graf
Article in English | LILACS | ID: biblio-1394874

ABSTRACT

Abstract Objective The present study aims to understand the perceptions of orthopedists and traumatologists regarding the risk of exposure to ionizing radiation in fluoroscopy procedures. Methods An objective, structured, self-administered questionnaire with sociodemographic, professional, and occupational variables was developed, available through an invitation sent to orthopedist physicians whose contacts were made publicly available. Results A total of 141 questionnaires were answered and analyzed. Most respondents (99%) use fluoroscopy in their surgeries, and only 34.8% of the participants feel safe with the use of the equipment. It was observed that the knowledge about ionizing radiation is inadequate, because 22.6% of the participants are unaware of the type of radiation emitted in fluoroscopy and its biological effects. In addition, 52% of the participants did not know or do not understand the principles of radiological protection and their relationship with surgical practices. Conclusion We concluded that the radiological protection of most orthopedists in surgical procedures is inadequate, and initial and continued training programs of professionals are necessary, bringing health benefits to orthopedists and their patients.


Resumo Objetivo Este estudo visa compreender as percepções dos médicos ortopedistas e traumatologistas em relação ao risco da exposição à radiação ionizante nos procedimentos de fluoroscopia. Métodos Desenvolveu-se um questionário objetivo, estruturado, autoaplicável e com variáveis sociodemográficas, profissionais e ocupacionais, disponibilizado através de convite enviado a médicos ortopedistas cujos contatos estavam disponibilizados publicamente. Resultados Foram respondidos e analisados 141 questionários. A maioria dos respondentes (99%) utilizam a fluoroscopia em suas cirurgias, e apenas 34,8% dos participantes se sentem seguros com o uso do equipamento. Observou-se que o conhecimento sobre radiação ionizante é inadequado, pois 22,6% dos respondentes desconhecem o tipo de radiação emitida na fluoroscopia e seus efeitos biológicos. Além disso, 52% dos respondentes não conhecem ou não compreendem os princípios de proteção radiológica e suas relações com as práticas cirúrgicas. Conclusão Conclui-se que a proteção radiológica da maioria dos ortopedistas nos procedimentos cirúrgicos é inadequada e são necessários programas de formação inicial e continuada dos profissionais, trazendo benefícios para a saúde dos ortopedistas e de seus pacientes.


Subject(s)
Humans , Radiation, Ionizing , X-Rays , Surveys and Questionnaires , Risk Assessment , Radiation Exposure
6.
Salud trab. (Maracay) ; 30(1): 33-44, jun. 2022. tab.
Article in Spanish | LILACS, LIVECS | ID: biblio-1411888

ABSTRACT

Los riesgos psicosociales intralaborales asociados al estrés interfieren de manera negativa en el bienestar de los trabajadores de las empresas. En el sector de la construcción, los riesgos de mayor atención están enfocados a cuidar la salud física, por tal motivo el ministerio de protección social de Colombia valido la batería de riesgo Psicosocial. Objetivo: Identificar los riesgos psicosociales asociados a los altos niveles de estrés en los empleados de una constructora de la Ciudad de Bucaramanga Santander, con el fin establecer medidas preventivas. Materiales y Métodos: La población objeto de estudio fueron los 101 empleados con que contaba la compañía constructora de Colombia, de los cuales se aplicó el instrumento a 98 de ellos. Estudio de tipo descriptivo, cuantitativo de corte transversal. Se aplicó la Batería de instrumentos para la evaluación de factores de riesgo psicosocial intralaboral validada. Resultados: Los factores de riesgo psicosocial intralaborales fueron el estrés en un nivel muy alto en un 40.8% y este tuvo una relación con las recompensas derivadas de la organización que presentaron un valor (P<0.01), seguido de las demandas del ambiente con un valor (P<0.02 y las exigencias de responsabilidad en el cargo con un valor (P<0.05). Conclusiones: Las dinámicas laborales del personal operativo generaron niveles de estrés muy altos. Los resultados de esta investigación evidenciaron que los síntomas asociados al estrés pueden afectar la salud física y mental de los colaboradores(AU)


Intra-labor Intra-labor psychosocial risks associated with stress interfere negatively with the company workers well-being. In the construction sector, the risks of greater attention are focused on taking care of physical health, for this reason the Ministry of Social Protection of Colombia validated the Psychosocial risk battery. Objective: To identify the psychosocial risks associated with high levels of stress in the employees of a construction company in the City of Bucaramanga Santander, in order to establish preventive measures. Materials and Methods: The population under study were the 101 employees of the Colombian construction company, of whom the instrument was applied to 98 of them. Descriptive, quantitative, cross-sectional study. The validated battery of instruments for the evaluation of intralabor psychosocial risk factors was applied. Results: The intra-labor psychosocial risk factors were: stress at a very high level in 40.8% and this had a relationship with the rewards derived from the organization that presented a value (P <0.01), followed by the demands of the environment with a value (P<0.02) and the demands of responsibility in the position with a value (P<0.05). Conclusions: The labor dynamics of the operative personnel generated very high levels of stress. The results of this investigation showed that the symptoms associated with stress can affect the physical and mental health of employees(AU)


Subject(s)
Humans , Adult , Middle Aged , Working Conditions , Occupational Risks , Occupational Stress/diagnosis , Occupational Stress/psychology , Construction Industry , Mental Health , Cross-Sectional Studies , Surveys and Questionnaires , Risk Factors , Workload , Colombia , Risk Assessment , Occupational Groups
7.
Arch. pediatr. Urug ; 93(1): e602, jun. 2022. ilus, tab
Article in Spanish | LILACS, BNUY, UY-BNMED | ID: biblio-1383638

ABSTRACT

Las dietas vegetarianas han alcanzado en los últimos tiempos un gran protagonismo como modalidad de alimentación de nuestra población, incluyendo la población pediátrica. Constituyen una opción de alimentación válida si se planifican adecuadamente. Los padres que optan ofrecer a sus hijos este tipo de dietas deben conocer sus riesgos y potenciales beneficios. El médico del primer nivel de atención que asiste a niños, niñas y adolescentes (NNA) tiene una formación limitada sobre nutrición, sin embargo debe supervisar que la alimentación de esta población sea la adecuada. Es necesario conocer los alimentos que integran las dietas vegetarianas, así como las necesidades calóricas, de nutrientes críticos y suplementación de estos NNA según su edad. Realizar una adecuada planificación, es el gold standard para mantener un adecuado estado nutricional, crecimiento y desarrollo. El objetivo de esta publicación es revisar los principios de este tipo de dietas, sus beneficios y riesgos, y se establecen algunas consideraciones y recomendaciones prácticas para su abordaje desde la Atención Primaria de la Salud.


Vegetarian diets have recently reached a great protagonism as a way of feeding our population, including the pediatric population. They are a valid feeding option if properly planned. Parents who choose to offer their children this type of diet should know its risks and potential benefits. The primary care physician who assists children and adolescents (NNA) has limited training in nutrition; however, you must supervise that the diet of this population is adequate. It is necessary to know the foods that make up vegetarian diets, as well as the caloric needs, of critical nutrients and supplementation of these children according to their age. Carrying out adequate planning is the gold standard to maintain adequate nutritional, growth and development status. The objective of this publication is to review the principles of this type of diet, its benefits and risks, and establish some practical considerations and recommendations for its approach from Primary Health Care.


A alimentação vegetariana tem atingido recentemente um grande protagonismo como forma de alimentação de nossa população, inclusive a pediátrica. Ela é uma opção de alimentação válida se devidamente planejada. Os pais que optam por oferecer a seus filhos esse tipo de dieta devem estar conscientes de seus riscos e potenciais benefícios. O médico de atenção primária que assiste crianças e adolescentes (NNA) tem treinamento limitado em nutrição; no entanto, deve-se supervisionar se a alimentação dessa população é adequada. É necessário conhecer os alimentos que compõem a dieta vegetariana, bem como as necessidades calóricas, de nutrientes críticos e de suplementação dessas crianças de acordo com a sua idade. Realizar um planejamento adequado é fundamental para manter o estado nutricional, de crescimento e de desenvolvimento adequado. O objetivo deste paper é revisar os princípios desse tipo de dieta, seus benefícios e riscos, e estabelecer algumas considerações práticas e recomendações para sua abordagem desde a perspectiva da Atenção Primária à Saúde.


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Diet, Vegetarian , Micronutrients/administration & dosage , Micronutrients/deficiency , Risk Assessment , Micronutrients/blood , Dietary Supplements
8.
Rev. cuba. hematol. inmunol. hemoter ; 38(2): e1620, abr.-jun. 2022.
Article in Spanish | LILACS, CUMED | ID: biblio-1408456

ABSTRACT

Introducción: La enfermedad tromboembólica venosa es una complicación frecuente en las hemopatías malignas, con incidencia similar a la observada en tumores sólidos de alto riesgo trombótico. Objetivo: Describir la influencia de factores de riesgo y biomarcadores de la enfermedad tromboembólica venosa asociada a hemopatías malignas y su aplicación en el diseño de modelos de evaluación de riesgo para la prevención de esta enfermedad. Métodos: Se realizó una revisión exhaustiva en la literatura especializada de artículos publicados sobre la temática a través de las bases de datos: PubMed, SciELO, ScienceDirect, Medline y el motor de búsqueda Google académico. Análisis y síntesis de la información: En pacientes con hemopatías malignas han sido descritos múltiples factores de riesgo para la ocurrencia de eventos tromboembólicos venosos: moleculares, relacionados con el paciente, la enfermedad y el tratamiento, así como biomarcadores de riesgo. Basados en ellos, varias investigaciones han sido desarrolladas para elaborar y validar modelos predictivos de enfermedad tromboembólica venosa que guíen la estratificación del riesgo y el tratamiento profiláctico de esta enfermedad en hemopatías malignas, aunque aún son insuficientes. Enfermedades como los linfomas y el mieloma múltiple tienen más investigaciones en esta área que el resto de las hemopatías malignas. Conclusión: Se necesita diseñar nuevos modelos de riesgo y validar los existentes en un mayor número de casos; así como desarrollar estudios prospectivos en pacientes con riesgo de eventos tromboembólicos y hemopatías malignas, para realizar una estrategia de prevención primaria personalizada con estratificación de la tromboprofilaxis(AU)


Introduction: Venous thromboembolic disease is a frequent complication in hematologic malignancies with incidence similar to that observed in solid tumors with high thrombotic risk. Objective: To describe the influence of risk factors and biomarkers of venous thromboembolic disease associated with hematologic malignancies and their application in the design of risk assessment models for the prevention of this disease. Methods: An exhaustive review was carried out in the specialized literature of articles published on the subject using the following databases: PubMed, SciELO, ScienceDirect, Medline and the academic Google search engine. Analysis and synthesis of the information: Multiple risk factors for the occurrence of venous thromboembolism have been described in patients with hematologic malignancies: patient-related, disease-related, treatment-related and molecular, as well as biomarkers of risk. Based on these, several investigations have been developed to elaborate and validate predictive venous thromboembolism models to guide risk stratification and prophylactic treatment of venous thromboembolic disease in hematologic malignancies, although they are still insufficient. Lymphomas and multiple myeloma have more research in this area than other hematologic malignancies. Conclusion: There is a need to design new risk models and validate existing ones in a larger number of cases, as well as to develop prospective studies in patients at risk of thromboembolic events and hematologic malignancies, to carry out a personalized primary prevention strategy with thromboprophylaxis stratification(AU)


Subject(s)
Humans , Primary Prevention , Biomarkers , Risk Assessment , Hematologic Neoplasms/prevention & control , Venous Thromboembolism/complications , Multiple Myeloma , Prospective Studies , Risk Factors
9.
Article in Spanish | LILACS, BNUY, UY-BNMED | ID: biblio-1383556

ABSTRACT

Introducción: Se describe la evolución de un paciente que recibe morfina intratecal mediante una bomba de infusión, que le fuera implantada hace 14 años para tratamiento de su dolor lumbar crónico post-laminectomía. Material y método: Requería la administración de 60 mg/día de morfina subcutánea que le provocaban efectos secundarios que no toleraba, y múltiples internaciones para control del dolor. Se le implantó una bomba de infusión continua (Isomed) conectada a un catéter subaracnoideo, que libera 1 ml/día, y requiere ser llenada cada 60 días. Resultados: Se observó una disminución del dolor promedio de 50% al año, y de 75% a los 6 y 14 años. Requirió un aumento progresivo de las dosis de llenado, que pasaron de 30 mg de morfina (0.5 mg/día) al inicio, a 40 mg de morfina (0.66 mg /día) al año, a 70 mg de morfina (1.16 mg/día) a los 6 años, a 140 mg (2.33 mg/día) a los 14 años. No se registraron complicaciones médicas graves. Mantuvo constipación y sudoración durante todo el período, e instaló un hipogonadismo secundario con trastornos de la libido y de la erección que fueron corregidos con la administración de testosterona. No requirió más internaciones por dolor. No se observaron complicaciones relacionadas con el funcionamiento o llenado de la bomba, ni vinculadas al catéter. El paciente manifestó estar satisfecho con el implante. Discusión: A pesar del aumento de las dosis de llenado, expresión del desarrollo de tolerancia, las dosis de morfina/día requeridas son francamente inferiores al límite recomendado. Conclusiones: El balance del riesgo-beneficio del implante resultó positivo, considerando el mejor control del dolor logrado, las menores dosis de morfina utilizadas, así como la ausencia de complicaciones graves y de internaciones para control del dolor.


Introduction: The evolution of a patient receiving intrathecal morphine through an infusion pump that was implanted 14 years ago for the treatment of chronic post-laminectomy low back pain is described. Material and method: It required the administration of 60 mg / day of subcutaneous morphine that caused side effects that did not tolerate, and multiple hospitalizations for pain control. He was implanted with a continuous infusion pump (Isomed) connected to a subarachnoid catheter, which releases 1 ml / day, and needs to be filled every 60 days. Results: An average pain decrease of 50% per year, and 75% at 6 and 12 years was observed. It required a progressive increase in filling doses, which went from 30 mg of morphine (0.5 mg / day) at the beginning, to 40 mg of morphine (0.66 mg / day at the first year, to 70 mg of morphine (1.16 mg / day) at the sixth year, at 140 mg (2.33 mg / day) at the fourteen year. No serious medical complications were recorded, he maintained constipation and sweating throughout the period, and installed secondary hypogonadism with libido and erection disorders, that were corrected with the administration of testosterone. No further hospitalizations were required due to pain. No complications were observed related to the operation or filling of the pump or linked to the catheter. The patient stated that he was satisfied with the implant. Discussion: Despite the increase in filling doses, expression of tolerance development, the required morphine / day doses are frankly below the recommended limit. Conclusions: The risk-benefit balance of the implant was positive, considering the best pain control, the lowest doses used, the absence of serious complications, and the lack of hospitalizations for pain control.


Introdução: Descreve-se a evolução de um paciente que recebeu morfina intratecal através de uma bomba de infusão, implantada há 14 anos para o tratamento de lombalgia crônica pós-laminectomia. Material e método: Necessitou de administração de 60 mg/dia de morfina por via subcutânea, que provocou efeitos colaterais intolerantes, e múltiplas internações para controle da dor. Foi implantada uma bomba de infusão contínua (Isomed) conectada a um cateter subaracnóideo, que libera 1 ml/dia, necessitando de reenchimento a cada 60 dias. Resultados: Observou-se redução média da dor de 50% em um ano e 75% em 6 e 14 anos. Foi necessário um aumento progressivo das doses de enchimento, que passaram de 30 mg de morfina (0,5 mg/dia) no início, para 40 mg de morfina (0,66 mg/dia) por ano, para 70 mg de morfina (1,16 mg/dia) dia) aos 6 anos, para 140 mg (2,33 mg/dia) aos 14 anos. Não foram registradas complicações médicas graves. Manteve constipação e sudorese durante todo o período e desenvolveu hipogonadismo secundário com distúrbios de libido e ereção que foram corrigidos com administração de testosterona. Ele não necessitou de mais hospitalizações por dor. Não foram observadas complicações relacionadas à operação ou enchimento da bomba, ou relacionadas ao cateter. O paciente afirmou estar satisfeito com o implante. Discussão: Apesar do aumento das doses de enchimento, expressão do desenvolvimento da tolerância, as doses necessárias de morfina/dia são francamente inferiores ao limite recomendado. Conclusões: A relação risco-benefício do implante foi positiva, considerando o melhor controle da dor alcançado, as menores doses de morfina utilizadas, bem como a ausência de complicações graves e internações para controle da dor.


Subject(s)
Humans , Male , Aged , Infusion Pumps, Implantable , Low Back Pain/drug therapy , Analgesics, Opioid/administration & dosage , Morphine/administration & dosage , Pain Measurement , Injections, Spinal , Treatment Outcome , Risk Assessment , Catheters , Chronic Pain/drug therapy , Analgesics, Opioid/adverse effects , Morphine/adverse effects
10.
Vitae (Medellín) ; 29(2): 1-12, 2022-05-19. Ilustraciones
Article in English | LILACS, COLNAL | ID: biblio-1393169

ABSTRACT

Background: COVID-19 pandemic situation made the pharmaceutical companies develop the vaccine with different formulations in a short period. Objectives: The main objective of the review is to focus on different types of vaccine formulations available globally and the importance of technology transfer in vaccine development associated with potential risks. Results: Research on vaccine development led to various types of vaccines, such as Inactivated vaccines, Live Attenuated vaccines, Ribonucleic acid (RNA) and Deoxyribonucleic acid (DNA) vaccines, viral vector vaccines, and Protein Subunit Vaccines for COVID-19. But the process of vaccine development and technology transfer is lined with various risks and challenges. Through risk assessment, we found some major potential risks involved in product development; this leads to a smoother and more efficient method to develop safe vaccines available for public health. Conclusions: This review will explain the significance of technology collaboration for the faster development of various formulations of vaccines globally


Antecedentes: La situación de pandemia de COVID-19 hizo que las empresas farmacéuticas desarrollaran la vacuna con diferentes formulaciones en un corto período. Objetivos: El objetivo principal de la revisión es centrarse en los diferentes tipos de formulaciones de vacunas disponibles a nivel mundial y la importancia de la transferencia de tecnología en el desarrollo de vacunas asociado con los riesgos potenciales. Resultados: La investigación sobre el desarrollo de vacunas condujo al desarrollo de varios tipos de vacunas, como vacunas inactivadas, vacunas vivas atenuadas, vacunas de ácido ribonucleico (ARN) y ácido desoxirribonucleico (ADN), vacunas de vectores virales y vacunas de subunidades de proteínas para COVID-19. Pero el proceso de desarrollo de vacunas y transferencia de tecnología está lleno de varios riesgos y desafíos. A través de la evaluación de riesgos, encontramos algunos riesgos potenciales importantes involucrados en el desarrollo de productos, lo que conduce a un método más fluido y eficiente para desarrollar vacunas seguras disponibles para la salud pública. Conclusiones: Esta revisión dará una idea de la importancia de la colaboración tecnológica para el desarrollo más rápido de varias formulaciones de vacunas a nivel mundial


Subject(s)
Humans , Technology Transfer , COVID-19 Vaccines , Vaccine Development , Risk Assessment
11.
Rio Janeiro; s.n; 18/05/2022. 175 p.
Thesis in Portuguese | LILACS, SES-RJ | ID: biblio-1397156

ABSTRACT

O objetivo geral desse trabalho foi formular uma proposta para implantar o sistema de Categorização dos serviços de alimentação no Estado do Rio de Janeiro. Para isso foi realizada uma pesquisa aplicada com análise documental que derivou o desenvolvimento de produtos tecnológicos e inovadores. Elaborou-se um roteiro para auxiliar na escrita do ato normativo da Categorização de serviços de alimentação; uma planilha para facilitar o cálculo do risco sanitário; um guia e um vídeo orientativo para auxiliar o processo de implantação da Categorização dos serviços de alimentação.


Subject(s)
Unified Health System , Food Hygiene/standards , Risk Assessment/standards , Brazilian Health Surveillance Agency , Sanitary Inspection , Food Safety/methods , Food Handling/standards , Foodborne Diseases/prevention & control , Food Services/classification , Food Supply/standards , Poison Control Centers/classification , Food and Nutritional Surveillance/methods , Food Contamination/analysis , Pollution Indicators , Vector Control of Diseases , Health Risk , Health Councils , Food Guide , Food Storage/standards , Epidemiological Monitoring , Food Services/standards
12.
ABCS health sci ; 47: e022305, 06 abr. 2022. tab
Article in English | LILACS | ID: biblio-1391922

ABSTRACT

Introduction: Monosodium glutamate (MSG) is known as a flavor-enhancing compound and also the fifth basic taste (umami). About the safety of using MSG as a food additive, some studies show indications that there is no threat and others showthe opposite. There is no consensus about the advantages and disadvantages of using MSG. Objective: To systematically review studies in the international literature on the knowledge of the pros and cons of using glutamate in food. Methods: Systematic review of studies published in journals indexed in ScienceDirect and PubMed databases. Articles published until 2020 were included. The aspects involving the advantages and disadvantages were discussed, as well as the health risks related to the MSG intake from diet. Results: The revised studies showed that MSG can reduce the amount of sodium in foods without modifying flavor. Although authorities indicate that MSG is safe for human consumption, some studies highlight that health risk is real. The use of MSG is still controversial because there are some misunderstandings in the applied amounts of MSG absorption and metabolism. Conclusion: MSG is widely applied in industrial and homemade food. The need for further studies is crucial, and aspects such as metabolism and amounts of MSG effectively consumed must be better evaluated.


Subject(s)
Sodium Glutamate , Flavoring Agents , Food Preservatives , Risk Assessment
13.
Rev. Méd. Inst. Mex. Seguro Soc ; 60(2): 164-170, abr. 2022. ilus, tab
Article in Spanish | LILACS | ID: biblio-1367405

ABSTRACT

Introducción: a pesar de que la técnica de papanicolaou es el método más eficaz para la prevención y detección del cáncer cervicouterino, la precisión de esta herramienta sigue siendo controversial; debido a esto, existen esfuerzos médicos y científicos para mejorar la calidad del procedimiento. Objetivo: comparar la calidad en la toma de muestra entre la técnica convencional y la modificada. Material y métodos: estudio observacional descriptivo y comparativo en 150 muestras de citología cervical (75 muestras técnica convencional y 75 en técnica modificada) en mujeres de 25 a 64 años. Se analizaron variables emográficas, características del cérvix y calidad de la muestra. Se realizó estadística descriptiva y medidas de asociación. Estudio con riesgo mayor que el mínimo. Todas las participantes firmaron consentimiento informado. Resultados: la calidad de la muestra fue satisfactoria en el 92% para la técnica convencional frente al 89.3% para la técnica modificada. La causa principal de muestras insatisfactorias fue la celularidad insuficiente, la cual se presentó en el 6.7% de las muestras con técnica convencional frente al 12% de la técnica modificada, sin diferencia significativa entre ambas técnicas p = 0.575 (1.37; 0.45-4.1), hallazgos que rechazan la hipótesis de trabajo. Conclusiones: no hubo diferencia significativa al utilizar ambas pruebas, las muestras con calidad satisfactoria fueron similares entre ambas técnicas.


Background: Despite the fact that the Papanicolaou technique is the most effective method of prevention and detection of cervical cancer, the precision of this tool remains controversial; Because of this, there are medical and scientific efforts to improve the quality of the procedure. Objective: Compare the quality of sampling between the conventional and modified technique. Material and methods: Descriptive and comparative observational study in 150 cervical cytology samples (75 conventional technique samples and 75 in modified technique) in women aged 25 to 64 years. Demographic variables, characteristics of the cervix and quality of the sample were analyzed. Descriptive statistics and association measures were performed. Study with risk greater than the minimum. All participants signed an informed consent. Results: The quality of the sample was satisfactory in 92.0% for the conventional technique vs 89.3% for the modified technique. The main cause of unsatisfactory samples was insufficient cellularity 6.7% in conventional technique vs 12% of the modified technique, with no significant difference between both techniques p = 0.575 (1.37; 0.45-4.1), findings that reject the working hypothesis. Conclusions: There was no significant difference when using both tests, the samples with satisfactory quality were similar between both techniques.


Subject(s)
Humans , Female , Adult , Middle Aged , Uterine Cervical Neoplasms/diagnosis , Papanicolaou Test/methods , Quality Control , Prospective Studies , Risk Assessment , Saline Solution
14.
Int. j. cardiovasc. sci. (Impr.) ; 35(2): 174-180, Mar.-Apr. 2022. tab, graf
Article in English | LILACS | ID: biblio-1364980

ABSTRACT

Abstract Background The wide range of clinical presentations of acute coronary syndrome (ACS) makes it indispensible to use tools for risk stratification and for appropriate risks management; thus, the use of prognosis scores is recommended in the immediat clinical decision-making. Objective To validate the Global Registry of Acute Coronary Events (GRACE) score as a predictor of in-hospital and 6-month post-discharge mortality in a population diagnosed with ACS. Methods This is a prospective cohort study of consecutive patients diagnosed with ACS between May and December 2018. GRACE scores were calculated, as well as their predictive value for in-hospital and 6-month post-discharge mortality. The validity of the model was assessed by two techniques: discriminative power using the area under the receiver operating characteristic curve (AUC) and goodness-of-fit, using the Hosmer-Lemeshow (HL) test, at the 5% level of significance. Results A total of 160 patients were included, mean age 64 (±10.9) years; of which 60% were men. The risk model showed to have satisfactory ability to predict both in-hospital mortality, with an area under the curve (AUC) of 0.76 (95% confidence interval [CI], 0.57-0.95; p = 0.014), and 6-month post-discharge mortality, with AUC of 0.78 (95%CI, 0.62-0.94), p = 0.002. The HL test indicated good-fit for both models of the GRACE score. Conclusion In this study, the GRACE risk score for predicting mortality was appropriately validated in patients with ACS, with good discriminative power and goodness-of-fit. The results suggest that the GRACE score is appropriate for clinical use in our setting.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Risk Assessment/methods , Acute Coronary Syndrome/mortality , Prognosis , Predictive Value of Tests , Prospective Studies , Risk Factors , ROC Curve , Follow-Up Studies , Hospital Mortality , Acute Coronary Syndrome/diagnosis
16.
Int. j. cardiovasc. sci. (Impr.) ; 35(1): 1-10, Jan.-Feb. 2022. tab
Article in English | LILACS | ID: biblio-1356319

ABSTRACT

Abstract Background The lower frequency of cardiovascular (CV) risk factors observed in vegetarians compared to omnivores may be due to more appropriate nutrient intake according to recommendations for the prevention of cardiovascular diseases. Objective To compare the dietary adequacy according to the recommendations of the National Cholesterol Education Program (NCEP) in apparently healthy vegetarian (VEG) and omnivorous (OMN) men. Methods This was a cross-sectional study, conducted with apparently healthy men (44 omnivorous and 44 vegetarians, ≥ 35 years), who were assessed for daily food consumption, anthropometric data, physical exercise status, and clinical data. Multiple logistic regression was used to test the association between the type of diet and the dietary adequacy. Significant values were considered for p<0.05. Results Several clinical CV risk markers were significantly lower in VEG when compared to OMN: body mass index (BMI) (23.1 vs. 27.3 kg/m2), systolic blood pressure (119.5 vs. 129.2 mmHg), and diastolic blood pressure (75.7 vs. 83.9 mmHg). VEG presented significant lower values of blood lipids and glucose. No significant difference was observed in caloric intake; however, VEG consumed significantly more carbohydrates, dietary fibers, and polyunsaturated fats. VEG presented an adequate consumption of dietary cholesterol and saturated and polyunsaturated fatty acids, regardless of caloric intake and age. Conclusion VEG were more likely to consume saturated fatty acids, dietary cholesterol, and fibers according to the recommendations of NCEP, factors that may contribute to lower levels of CV risk markers than OMN.


Subject(s)
Humans , Male , Adult , Middle Aged , Aged , Aged, 80 and over , Diet, Vegetarian , Recommended Dietary Allowances , Heart Disease Risk Factors , Cross-Sectional Studies , Risk Assessment , Eating , Fatty Acids , Life Style
17.
Int. j. cardiovasc. sci. (Impr.) ; 35(1): 14-24, Jan.-Feb. 2022. tab, graf
Article in English | LILACS | ID: biblio-1356322

ABSTRACT

Abstract Background: The risk of sports-related sudden cardiac arrest after COVID-19 infection can be a serious problem. There is an urgent need for evidence-based criteria to ensure patient safety before resuming exercise. Objective: To estimate the pooled prevalence of acute myocardial injury caused by COVID-19 and to provide an easy-to-use cardiovascular risk assessment toolkit prior to resuming sports activities after COVID-19 infection. Methods: We searched the Medline and Cochrane databases for articles on the prevalence of acute myocardial injury associated with COVID-19 infection. The pooled prevalence of acute myocardial injury was calculated for hospitalized patients treated in different settings (non-intensive care unit [ICU], ICU, overall hospitalization, and non-survivors). Statistical significance was accepted for p values <0.05. We propose a practical flowchart to assess the cardiovascular risk of individuals who recovered from COVID-19 before resuming sports activities. Results: A total of 20 studies (6,573 patients) were included. The overall pooled prevalence of acute myocardial injury in hospitalized patients was 21.7% (95% CI 17.3-26.5%). The non-ICU setting had the lowest prevalence (9.5%, 95% CI 1.5-23.4%), followed by the ICU setting (44.9%, 95% CI 27.7-62.8%), and the cohort of non-survivors (57.7% with 95% CI 38.5-75.7%). We provide an approach to assess cardiovascular risk based on the prevalence of acute myocardial injury in each setting. Conclusions: Acute myocardial injury is frequent and associated with more severe disease and hospital admissions. Cardiac involvement could be a potential trigger for exercise-induced clinical complications after COVID-19 infection. We created a toolkit to assist with clinical decision-making prior to resuming sports activities after COVID-19 infection.


Subject(s)
Sports , Heart Disease Risk Factors , COVID-19/complications , Myocarditis/complications , Death, Sudden, Cardiac , Risk Assessment/methods , Evidence-Based Practice/methods , Athletes
19.
Psico USF ; 27(1): 61-72, jan.-mar. 2022. tab
Article in English | LILACS, INDEXPSI | ID: biblio-1376040

ABSTRACT

This study aimed to verify the extent to which the levels of quality of life are related to and influence suicide risk indices. A descriptive, correlational, quantitative research was performed. A non-probabilistic sample was used which was composed of 11,863 Brazilian participants all over 18 years old, who responded to the Risk Assessment Suicide Scale (RASS) and the World Health Organization Quality of Life BREF Instrument (WHOQOL-BREF), and whose data were analyzed by using descriptive statistics, the Spearman correlation and multiple linear regression using the Statistical Package for Social Sciences (SPSS). The results identify negative, moderate and significant correlations between the constructs, and that the domains of quality of life influence 47.8% of the variations in the suicide risk indices, confirming that the psychological domain is the most relevant within the explanatory model created. The conclusion is that there is a the need for public policies to improve the quality of life and prevent suicide (AU).


Este estudo objetivou verificar em que medida os níveis de qualidade de vida se relacionam e influenciam os índices de risco de suicídio. Realizou-se uma pesquisa descritiva, correlacional, de abordagem quantitativa. Contou-se com uma amostra não probabilística composta por 11.863 participantes - brasileiros e maiores de 18 anos, que responderam à Risk Assessment Suicide Scale (RASS) e ao Word Health Organization Quality of Life Instrument Bref(WHOQOL-bref), cujos dados foram analisados por meio de estatística descritiva, correlação de Spearman e regressão linear multivariada pormeio do Statistical Package for Social Science (SPSS). Os resultados identificam correlações negativas, moderadas e significativas entre os construtos; e que os domínios de qualidade de vida influenciam em 47,8% as variações nos índices de risco de suicídio, constatando que o domínio psicológico é o mais relevante dentro do modelo explicativo criado. Conclui-se a necessidade de políticas públicas para melhoria da qualidade de vida e prevenção de suicídio (AU).


Este estudio objetivó comprobar hasta qué medida los niveles de calidad de vida se relacionan e influyen en las tasas de riesgo de suicidio. Se realizó una investigación descriptiva, correlacional y cuantitativa. Hubo una muestra no probabilística compuesta por 11.863 participantes brasileños mayores de 18 años, que respondieron a la Risk Assessment Suicide Scale (RASS) y al Word Health Organization Quality of Life Instrument Bref(WHOQOL-bref), cuyos datos fueron analizados mediante estadística descriptiva, correlación de Spearman y regresión lineal multivariante en Statistical Package for Social Science (SPSS). Los resultados identifican correlaciones negativas, moderadas y significativas entre los constructos; y que los dominios de calidad de vida influyen en un 47,8% en las variaciones de los índices de riesgo de suicidio, encontrando que el dominio psicológico es el más relevante dentro del modelo explicativo creado. Estos hallazgos revelan la necesidad de políticas públicas para mejorar la calidad de vida y prevenir el suicidio (AU).


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Quality of Life/psychology , Suicide/statistics & numerical data , Health Promotion , Surveys and Questionnaires , Statistics, Nonparametric , Risk Assessment
20.
Rev. SOBECC (Online) ; 27: 1-9, 01-01-2022.
Article in Portuguese | LILACS, BDENF | ID: biblio-1399720

ABSTRACT

Objetivo: Descrever a implantação da escala Munro de avaliação de risco de lesão por pressão em pacientes no período perioperatório no prontuário eletrônico. Método: Relato de experiência do processo de implantação em sistema eletrônico da escala Munro em um hospital filantrópico de grande porte localizado no município de São Paulo, com 40 enfermeiros. Resultados: Foi implantada a escala Munro no prontuário eletrônico, com visualização rápida do seu resultado em alertas de segurança em painel do mapa cirúrgico. Para utilizar a técnica, 40 enfermeiros foram treinados em duas etapas: na modalidade ensino a distância e presencialmente, quando acompanharam sua aplicação. Três desses profissionais necessitaram de mais um dia de acompanhamento e cinco apresentaram dúvidas quanto aos critérios de aplicabilidade após o treinamento. Conclusão: A implantação da escala Munro foi concluída na unidade primária proposta, a determinação de risco sistematizada e a implementação de medidas preventivas contribuiu para evitar lesões por pressão no perioperatório. O sistema eletrônico proporcionou agilidade para implantação, e os alertas e a visualização em mapa cirúrgico melhoraram a comunicação com a equipe na identificação do risco; poucas foram as dúvidas sobre o processo ou itens da escala.


Objective: To describe the implementation of the Munro scale in electronic medical records to assess the risk of pressure injury in patients in the perioperative period. Method: Experience report on the process of implementing the Munro scale electronic system in a large philanthropic hospital located in the city of São Paulo, with 40 nurses. Results: The Munro scale was implemented in the electronic medical record, with a quick view of its result in safety alerts on the surgical map panel. To use the technique, 40 nurses were trained in two stages: in the distance learning modality and in person, when they followed its application. Three of these professionals required one more day of follow-up and five had queries about the applicability criteria after training. Conclusion: The implementation of the Munro scale was completed in the proposed primary unit, and the systematic risk determination and implementation of preventive measures contributed to avoid perioperative pressure injuries. The electronic system provided agility for implementation, and the alerts and visualization on a surgical map improved communication with the team in the identification of risk; there were few queries about the process or any items of the scale.


Objetivo: Describir la implementación de la escala de evaluación de riesgo de lesión por presión de Munro para pacientes perioperatorios en la historia clínica electrónica. Método: Relato de experiencia del proceso de implementación del sistema electrónico escala Munro en un gran hospital filantrópico de la ciudad de São Paulo, con 40 enfermeros. Resultados: Inserción de la escala Munro en la historia clínica electrónica con visualización rápida del resultado de la escala en alertas de seguridad y panel de visualización del mapa quirúrgico. En el proceso de implementación de la escala se capacitaron 40 enfermeras en la modalidad a distancia y posterior seguimiento de la aplicación con capacitación presencial. De los 40 enfermeros, tres necesitaron undía más de seguimiento y cinco tenían dudas sobre los criterios después de la capacitación. Conclusión: Se completó la implementación de la escala de Munro en la unidad primaria propuesta. La determinación sistematizada del riesgo y la implementación de medidas preventivas contribuyen a la prevención de las lesiones por presión perioperatorias. El sistema electrónico proporcionó agilidad para la implementación, las alertas y la visualización en un mapa quirúrgico mejoran la comunicación con el equipo en la identificación del riesgo y se presentan pocas dudas sobre el proceso o los ítems de la escala. Palabras clave: Medición de riesgo. Enfermería perioperatoria. Úlcera por presión. Registros electrónicos de salud.


Subject(s)
Humans , Wounds and Injuries , Equipment and Supplies , Nurses , Safety , Risk Assessment , Electronic Health Records
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