Base de dados : MEDLINE
Pesquisa : N02.278.388.493.696 [Categoria DeCS]
Referências encontradas : 576 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 58 ir para página                         

  1 / 576 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
[PMID]:27821009
[Ti] Título:Commission calls for improved training.
[So] Source:Nurs Child Young People;28(9):6, 2016 Nov 08.
[Is] ISSN:2046-2344
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The training of community teams caring for children who need respiratory support in their own homes can be inadequate, clinical leads have revealed in a Care Quality Commission (CQC) report.
[Mh] Termos MeSH primário: Educação em Enfermagem
Unidades de Cuidados Respiratórios
Ensino
[Mh] Termos MeSH secundário: Qualidade da Assistência à Saúde
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170523
[Lr] Data última revisão:
170523
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161109
[St] Status:MEDLINE


  2 / 576 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
PubMed Central Texto completo
Texto completo
[PMID]:27387544
[Au] Autor:Masa JF; Utrabo I; Gomez de Terreros J; Aburto M; Esteban C; Prats E; Núñez B; Ortega-González Á; Jara-Palomares L; Martin-Vicente MJ; Farrero E; Binimelis A; Sala E; Serrano-Rebollo JC; Barrot E; Sánchez-Oro-Gomez R; Fernández-Álvarez R; Rodríguez-Jerez F; Sayas J; Benavides P; Català R; Rivas FJ; Egea CJ; Antón A; Peñacoba P; Santiago-Recuerda A; Gómez-Mendieta MA; Méndez L; Cebrian JJ; Piña JA; Zamora E; Segrelles G
[Ad] Endereço:San Pedro de Alcántara Hospital, C/Rafael Alberti 12, 10005, Cáceres, Spain. fmasa@separ.es.
[Ti] Título:Noninvasive ventilation for severely acidotic patients in respiratory intermediate care units : Precision medicine in intermediate care units.
[So] Source:BMC Pulm Med;16(1):97, 2016 Jul 07.
[Is] ISSN:1471-2466
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Severe acidosis can cause noninvasive ventilation (NIV) failure in chronic obstructive pulmonary disease (COPD) patients with acute hypercapnic respiratory failure (AHRF). NIV is therefore contraindicated outside of intensive care units (ICUs) in these patients. Less is known about NIV failure in patients with acute cardiogenic pulmonary edema (ACPE) and obesity hypoventilation syndrome (OHS). Therefore, the objective of the present study was to compare NIV failure rates between patients with severe and non-severe acidosis admitted to a respiratory intermediate care unit (RICU) with AHRF resulting from ACPE, COPD or OHS. METHODS: We prospectively included acidotic patients admitted to seven RICUs, where they were provided NIV as an initial ventilatory support measure. The clinical characteristics, pH evolutions, hospitalization or RICU stay durations and NIV failure rates were compared between patients with a pH ≥ 7.25 and a pH < 7.25. Logistic regression analysis was performed to determine the independent risk factors contributing to NIV failure. RESULTS: We included 969 patients (240 with ACPE, 540 with COPD and 189 with OHS). The baseline rates of severe acidosis were similar among the groups (45 % in the ACPE group, 41 % in the COPD group, and 38 % in the OHS group). Most of the patients with severe acidosis had increased disease severity compared with those with non-severe acidosis: the APACHE II scores were 21 ± 7.2 and 19 ± 5.8 for the ACPE patients (p < 0.05), 20 ± 5.7 and 19 ± 5.1 for the COPD patients (p < 0.01) and 18 ± 5.9 and 17 ± 4.7 for the OHS patients, respectively (NS). The patients with severe acidosis also exhibited worse arterial blood gas parameters: the PaCO2 levels were 87 ± 22 and 70 ± 15 in the ACPE patients (p < 0.001), 87 ± 21 and 76 ± 14 in the COPD patients, and 83 ± 17 and 74 ± 14 in the OHS patients (NS)., respectively Further, the patients with severe acidosis required a longer duration to achieve pH normalization than those with non-severe acidosis (patients with a normalized pH after the first hour: ACPE, 8 % vs. 43 %, p < 0.001; COPD, 11 % vs. 43 %, p < 0.001; and OHS, 13 % vs. 51 %, p < 0.001), and they had longer RICU stays, particularly those in the COPD group (ACPE, 4 ± 3.1 vs. 3.6 ± 2.5, NS; COPD, 5.1 ± 3 vs. 3.6 ± 2.1, p < 0.001; and OHS, 4.3 ± 2.6 vs. 3.7 ± 3.2, NS). The NIV failure rates were similar between the patients with severe and non-severe acidosis in the three disease groups (ACPE, 16 % vs. 12 %; COPD, 7 % vs. 7 %; and OHS, 11 % vs. 4 %). No common predictive factor for NIV failure was identified among the groups. CONCLUSIONS: ACPE, COPD and OHS patients with AHRF and severe acidosis (pH ≤ 7.25) who are admitted to an RICU can be successfully treated with NIV in these units. These results may be used to determine precise RICU admission criteria.
[Mh] Termos MeSH primário: Acidose Respiratória/terapia
Hipercapnia/complicações
Ventilação não Invasiva
Síndrome de Hipoventilação por Obesidade/complicações
Doença Pulmonar Obstrutiva Crônica/complicações
Insuficiência Respiratória/terapia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Gasometria
Feminino
Seres Humanos
Modelos Logísticos
Masculino
Meia-Idade
Monitorização Fisiológica
Medicina de Precisão
Estudos Prospectivos
Edema Pulmonar/complicações
Unidades de Cuidados Respiratórios
Índice de Gravidade de Doença
Espanha
Falha de Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160709
[St] Status:MEDLINE
[do] DOI:10.1186/s12890-016-0262-9


  3 / 576 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo SciELO Brasil
[PMID]:27167542
[Au] Autor:Carvalho AK; Nascimento OA; Fonseca MC; Pereira ED; Jardim JR
[Ad] Endereço:Graduate Program in Cardiorespiratory Physiotherapy, Universidade de Fortaleza, Fortaleza, CE, Brazil.
[Ti] Título:Sponsored multicentric clinical research conducted in Brazil in the respiratory area - losses and gains.
[So] Source:Rev Assoc Med Bras (1992);62(2):131-7, 2016 Apr.
[Is] ISSN:1806-9282
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate the sponsored centers for clinical trial in the respiratory care setting in Brazil: profile; logistics and structure. METHODS: Principal investigators (29) and subinvestigators (30) of 39 research centers completed the questionnaires that addressed personal identification and training of researchers, the centers' facilities and advantages and/or disadvantages of performing sponsored trials. RESULTS: 75.6% of the centers were located in southern and southeastern Brazil. Most principal investigators were men with a mean age of 53.4 years. The clinical trials in the respiratory care setting focus on asthma and chronic obstructive pulmonar disease (COPD). 80% of the researchers cited delay of the Conep and Anvisa as a barrier to performing research. The advantages of participating in clinical trials were updating knowledge of the researcher and the team, and additional income for the team. The main disadvantages mentioned by the researchers included low financial compensation for the performed workload, and time availability. The median number of professionals per research center was six people, predominantly physicians. CONCLUSION: The number of research centers in the respiratory care setting in Brazil is still relatively small. The teams have good training for performing the clinical trials. Asthma and COPD are the most studied diseases in sponsored clinical trials. The main barrier is delay by the Conep and Anvisa. The factors that lead investigators to participate range from being updated along with the team, to site and staff financial issues; the main disadvantage is the low compensation for the required workload demand.
[Mh] Termos MeSH primário: Pesquisa Biomédica/estatística & dados numéricos
Ensaios Clínicos como Assunto/estatística & dados numéricos
Estudos Multicêntricos como Assunto/estatística & dados numéricos
Pesquisadores/estatística & dados numéricos
Apoio à Pesquisa como Assunto/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Idoso
Asma
Brasil
Feminino
Seres Humanos
Masculino
Meia-Idade
Doença Pulmonar Obstrutiva Crônica
Unidades de Cuidados Respiratórios/estatística & dados numéricos
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170105
[Lr] Data última revisão:
170105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160512
[St] Status:MEDLINE


  4 / 576 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
PubMed Central Texto completo
Texto completo
[PMID]:26765452
[Au] Autor:Lai CC; Ko SC; Chen CM; Weng SF; Tseng KL; Cheng KC
[Ad] Endereço:From the Department of Intensive Care Medicine, Chi Mei Medical Center, Liouying (C-CL); Department of Internal Medicine (S-CK, K-LT, K-CC); Intensive Care Medicine (C-MC); Medical research, Chi Mei Medical Center, Tainan(C-MC); Department of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung (S-FW); and Department of Safety Health and Environmental Engineering, Chung Hwa University of Medical Technology, Tainan, Taiwan (K-CC).
[Ti] Título:The Outcomes and Prognostic Factors of the Very Elderly Requiring Prolonged Mechanical Ventilation in a Single Respiratory Care Center.
[So] Source:Medicine (Baltimore);95(2):e2479, 2016 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study investigated the outcomes and the prognostic factors among the very elderly (patients ≥80 years old) requiring prolonged mechanical ventilation (PMV).Between 2006 and 2014, all of the very elderly patients of age 80 or more transferred to respiratory care center (RCC) of a tertiary medical center were retrospectively identified, and only patients who used mechanical ventilation (MV) for >3 weeks were included in this study.A total of 510 very elderly patients undergoing PMV were identified. The mean age of the patients was 84.3 ±â€Š3.3 years, and it ranged from 80 to 96 years. Male comprised most of the patients (n = 269, 52.7%), and most of the patients were transferred to RCC from medical ICU (n = 357, 70.0%). The APACHE II scores on RCC admission was 17.6 ±â€Š6.0. At least 1 comorbidity was found in 419 (82.2%) patients. No significant differences of gender, disease severity, diagnosis, dialysis, laboratory examinations, comorbidities, and outcome were found between octogenarians (aged 80-89) and nonagenarians (aged ≥ 90). The overall in-hospital mortality rate was 21.8%. In the multivariate analysis, patients who had APACHE II score ≥ 15(odds ratio [OR], 2.30, 95% confidence interval [CI], 1.36-3.90), or albumin ≤ 2 g/dL (OR, 3.92, 95% CI, 2.17-7.01) were more likely to have significant in-hospital mortality (P < 0.05).The in-hospital mortality rate of the very elderly PMV patients in our RCC is 21.8%, and poor outcomes in this specific population were found to be associated with a higher APACHE II score and lower albumin level.
[Mh] Termos MeSH primário: Idoso Fragilizado
Tempo de Internação
Respiração Artificial/métodos
Unidades de Cuidados Respiratórios
Insuficiência Respiratória/terapia
[Mh] Termos MeSH secundário: Fatores Etários
Idoso de 80 Anos ou mais
Estudos de Coortes
Feminino
Avaliação Geriátrica
Mortalidade Hospitalar
Seres Humanos
Modelos Logísticos
Masculino
Análise Multivariada
Prognóstico
Respiração Artificial/mortalidade
Insuficiência Respiratória/diagnóstico
Insuficiência Respiratória/mortalidade
Estudos Retrospectivos
Medição de Risco
Análise de Sobrevida
Centros de Atenção Terciária
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1605
[Cu] Atualização por classe:160205
[Lr] Data última revisão:
160205
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160115
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000002479


  5 / 576 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
PubMed Central Texto completo
Texto completo
[PMID]:26604736
[Au] Autor:Alsubaiei ME; Cafarella PA; Frith PA; McEvoy RD; Effing TW
[Ad] Endereço:Repatriation General Hospital, Department of Respiratory Medicine, Adelaide, SA, Australia ; Flinders University, School of Medicine, Adelaide, SA, Australia.
[Ti] Título:Current care services provided for patients with COPD in the Eastern province in Saudi Arabia: a descriptive study.
[So] Source:Int J Chron Obstruct Pulmon Dis;10:2379-91, 2015.
[Is] ISSN:1178-2005
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: COPD is a leading cause of morbidity and mortality worldwide. The prevalence rate of COPD in the general Saudi population is estimated to be 2.4% and 14.2% among smokers. Not much is known about current health care services for patients with COPD in Saudi Arabia. The objective of this study was to determine the current care services for patients with COPD provided by government hospitals in the Eastern province of Saudi Arabia. METHODS: A cross-sectional study was conducted in the Eastern province of Saudi Arabia. Directors of the Department of Internal Medicine from all 22 general government hospitals that are under the responsibility of the Ministry of Health or the Ministry of Higher Education in this region were asked to participate. Data were collected using a questionnaire. RESULTS: The study results indicated that there are limited hospital facilities for patients with COPD: no respiratory departments in any of the included hospitals, no spirometry in 77.3% of the hospitals, no intensive care units in 63.7% of the hospitals, and no pulmonary rehabilitation program in any of the hospitals. Among the included 22 hospitals, 24 respiratory physicians, 29 respiratory therapists, and three physiotherapists were involved in COPD care. CONCLUSION: In conclusion, current care services provided by government hospitals in the Eastern province of Saudi Arabia for patients with COPD do not meet international recommendations for COPD management. Increased awareness, knowledge, and implementation of COPD guidelines by health care providers will most probably improve COPD management in Saudi Arabia. In addition, the government could improve dissemination of information about COPD management through national programs and by offering specific education regarding respiratory diseases.
[Mh] Termos MeSH primário: Assistência à Saúde/estatística & dados numéricos
Hospitais Públicos/estatística & dados numéricos
Avaliação de Processos (Cuidados de Saúde)/estatística & dados numéricos
Doença Pulmonar Obstrutiva Crônica/terapia
Terapia Respiratória/estatística & dados numéricos
[Mh] Termos MeSH secundário: Estudos Transversais
Assistência à Saúde/normas
Feminino
Fidelidade a Diretrizes
Pesquisas sobre Serviços de Saúde
Pesquisa sobre Serviços de Saúde
Hospitais Públicos/normas
Seres Humanos
Unidades de Terapia Intensiva/estatística & dados numéricos
Masculino
Modalidades de Fisioterapia/estatística & dados numéricos
Guias de Prática Clínica como Assunto
Avaliação de Processos (Cuidados de Saúde)/normas
Doença Pulmonar Obstrutiva Crônica/diagnóstico
Doença Pulmonar Obstrutiva Crônica/epidemiologia
Doença Pulmonar Obstrutiva Crônica/fisiopatologia
Melhoria de Qualidade
Unidades de Cuidados Respiratórios/estatística & dados numéricos
Terapia Respiratória/normas
Arábia Saudita/epidemiologia
Espirometria/estatística & dados numéricos
Inquéritos e Questionários
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151126
[St] Status:MEDLINE
[do] DOI:10.2147/COPD.S89456


  6 / 576 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26488970
[Au] Autor:Cole E
[Ti] Título:Specialty that boosts survival.
[So] Source:Nurs Stand;30(8):22-4, 2015 Oct 21.
[Is] ISSN:2047-9018
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Enfermagem de Cuidados Críticos/normas
Lesão Pulmonar/enfermagem
Unidades de Cuidados Respiratórios
[Mh] Termos MeSH secundário: Seres Humanos
Lesão Pulmonar/fisiopatologia
Lesão Pulmonar/terapia
Análise de Sobrevida
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170116
[Lr] Data última revisão:
170116
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:151022
[St] Status:MEDLINE
[do] DOI:10.7748/ns.30.8.22.s23


  7 / 576 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:26449057
[Au] Autor:Perikala V; Irving L; Smallwood D; Cleveland B
[Ti] Título:Review of a ward based respiratory care unit. Three years post implementation of a respiratory education module and annual assessments.
[So] Source:Aust Nurs Midwifery J;22(9):36, 2015 Apr.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Mh] Termos MeSH primário: Recursos Humanos em Hospital
Unidades de Cuidados Respiratórios/estatística & dados numéricos
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Austrália
Seres Humanos
Tempo de Internação
Moral
Recursos Humanos em Hospital/educação
Recursos Humanos em Hospital/psicologia
Recursos Humanos em Hospital/estatística & dados numéricos
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1602
[Cu] Atualização por classe:151009
[Lr] Data última revisão:
151009
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:151010
[St] Status:MEDLINE


  8 / 576 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:25962567
[Au] Autor:Ewert R; Wilkens H; Skowasch D; Reppel M; Bollmann T; Halank M; Held M; Klose H; Gall H; Lange TJ; Opitz CF; Seyfarth HJ; Winkler J
[Ad] Endereço:Universitätsmedizin Greifswald, Klinik für Innere Medizin B.
[Ti] Título:[Dyspnoea in Patients with Pulmonary Hypertension (PH) - a Survey in Spezialized German PH Centres].
[Ti] Título:Dyspnoe bei Patienten mit Pulmonaler Hypertonie (PH) - Ergebnisse einer Befragung in deutschen PH-Zentren..
[So] Source:Pneumologie;69(6):361-5, 2015 Jun.
[Is] ISSN:1438-8790
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Dyspnoea is the predominant symptom in patients with pulmonary hypertension (PH) at diagnosis. However, since dyspnoea is nonspecific and often occurs in a number of common diseases, the presence of PH can easily be underdiagnosed.In addition, this symptom underlies a high variability in the subjective perception, therefore further diagnostic procedures are often delayed by the patients.A survey of the incidence and severity of dyspnoea in 372 patients with PAH was conducted by questionnaire in German centres. Age, sex distribution and the range of comorbidities corresponded to the findings of national and international registries.Approximately 99 % of patients reported the presence of dyspnoea on exertion, even at low loads.Remarkably, in 13 % of patients dyspnoea occurs as a paroxysmal symptom, which may lead to the differential diagnosis of bronchial asthma. In addition, the patients who were being followed in specialized PH centres reported an increase in dyspnoea during the last year.The results of the survey on the incidence of dyspnoea in patients with PAH are consistent with the findings of international studies.
[Mh] Termos MeSH primário: Dispneia/diagnóstico
Dispneia/epidemiologia
Hipertensão Pulmonar/diagnóstico
Hipertensão Pulmonar/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Distribuição por Idade
Idoso
Idoso de 80 Anos ou mais
Comorbidade
Feminino
Alemanha/epidemiologia
Pesquisas sobre Serviços de Saúde
Seres Humanos
Incidência
Masculino
Meia-Idade
Unidades de Cuidados Respiratórios/estatística & dados numéricos
Centro Respiratório
Medição de Risco
Distribuição por Sexo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1611
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150513
[St] Status:MEDLINE
[do] DOI:10.1055/s-0034-1391893


  9 / 576 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:25944947
[Au] Autor:Ford RM
[Ad] Endereço:Department of Pulmonary Services University of California San Diego Health System San Diego, California rmford@ucsd.edu.
[Ti] Título:Therapist-driven protocols: new incentives for change.
[So] Source:Respir Care;60(5):757-9, 2015 May.
[Is] ISSN:1943-3654
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Protocolos Clínicos
Fidelidade a Diretrizes/estatística & dados numéricos
Hospitais/estatística & dados numéricos
Unidades de Cuidados Respiratórios/estatística & dados numéricos
Terapia Respiratória/estatística & dados numéricos
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:COMMENT; EDITORIAL
[Em] Mês de entrada:1604
[Cu] Atualização por classe:150506
[Lr] Data última revisão:
150506
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150507
[St] Status:MEDLINE
[do] DOI:10.4187/respcare.04123


  10 / 576 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:25777333
[Au] Autor:Romero-Ganuza J; García-Forcada A; Vargas E; Gambarrutta C
[Ad] Endereço:Intermediate Respiratory Care Unit, Internal Medicine Service, Toledo, Spain.
[Ti] Título:An intermediate respiratory care unit for spinal cord-injured patients. A retrospective study.
[So] Source:Spinal Cord;53(7):552-6, 2015 Jul.
[Is] ISSN:1476-5624
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Patients with cervical spinal cord injury (SCI) may need prolonged mechanical ventilation (MV) and a long stay in the Intensive Care Unit. An intermediate respiratory care unit (IRCU) can shorten that stay, optimizing hospital resources. The aim of our work has been to evaluate the activity of such a unit in our hospital. METHODS: This is a descriptive retrospective study based on the data of patients with SCI and respiratory failure discharged from our IRCU between 1 July 2010 and 28 February 2013. RESULTS: We have analysed data from 146 patients with SCI, adding up to 228 admissions (68 first admissions and 160 readmissions due to complications or scheduled review visits). Sixty-three out of the 68 newly admitted patients survived their first admission (92.6%). Length of hospitalization was 195.6±110.4 days, 22 were admitted to monitor their respiratory status and 46 were on MV on admission. Of these, 26 (38.2%) were admitted to attempt weaning from the respirator and 20 (29.4%) to enter a programme of permanent respiratory support. Weaning was successful in 23 out of 26 patients (88.4%), the process taking 47.2±49.3 days. Forty of them (58.8%) were discharged to their home. CONCLUSIONS: An IRCU can manage a substantial number of severe SCI patients who need MV, and an important number of them can be weaned from the respirator. It may also achieve a good success rate in the integration of MV-dependent patients within family and society.
[Mh] Termos MeSH primário: Hospitalização/estatística & dados numéricos
Avaliação de Resultados (Cuidados de Saúde)/estatística & dados numéricos
Respiração Artificial/estatística & dados numéricos
Unidades de Cuidados Respiratórios/estatística & dados numéricos
Insuficiência Respiratória/terapia
Traumatismos da Medula Espinal/complicações
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Insuficiência Respiratória/etiologia
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1604
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150318
[St] Status:MEDLINE
[do] DOI:10.1038/sc.2015.10



página 1 de 58 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde