Importância da monitorização do delirium na unidade de terapia intensiva

Pitrowsky, Melissa Tassano; Righy, Cássia; Soares, Márcio; Lima, Marco Antônio; Salluh, Jorge I.

doi:10.1590/s0103-507x2010000300010

Cited by 16 publications

(35 citation statements)

References 49 publications

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“…7 Among the clinical forms, are identified the hyperactive, characterized by States of agitation; the underactive, in which the patient is lethargic, and mixed, with features that permeate the two previous forms. 8 It should be noted that the elderly are more affected by hypoactive 9 making consequently more difficult the identification of this syndrome in these patients, and therefore, a deficiency in identifying signs and symptoms suggestive. [9][10] It should be noted that data about the delirium in the elderly in national surveys are scarce.…”

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confidence: 99%

“…8 It should be noted that the elderly are more affected by hypoactive 9 making consequently more difficult the identification of this syndrome in these patients, and therefore, a deficiency in identifying signs and symptoms suggestive. [9][10] It should be noted that data about the delirium in the elderly in national surveys are scarce. Associated with this fact, the disorientation and confusion -signs suggestive of delirium in these patients may go unnoticed, since many practitioners mistakenly attributed these findings to characteristics of senescence.…”

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confidence: 99%

“…Predisposing and precipitating risk factors for the development of delirium in the elderly in ICU , sleep disturbances 5,9,12,19 , invasive devices 9,13 and environmental characteristics of the ICU as artificial lighting, noise, family isolation. 7,9 The delirium association with the aggravation of chronic Comorbidities that culminate with hepatic dysfunction, cardiovascular and renal has been described in five studies.…”

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confidence: 99%

“…7,9 The delirium association with the aggravation of chronic Comorbidities that culminate with hepatic dysfunction, cardiovascular and renal has been described in five studies. 4,6,17,18,19 Prevention strategies of modifiable risk factors for delirium in elderly in ICU Delirium prevention must be based on recognition of the modifiable risk factors, which are amenable to intervention.…”

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confidence: 99%

“…2, 5,8,9,13,17,18,19,20,21 Among the pharmacological strategies highlight the use of haloperidol, being recommended for the elderly at half the dose used in adults. 21 The sedative of choice was dexmetomidin.…”

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confidence: 99%

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Delirium in the elderly in intensive care units: an integrative literature review

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Figueirêdo

Fernandes

et al. 2015

R. pesq. cuid. fundam. online

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Objective: conducting a survey about delirium in the elderly in an Intensive Care Unit (ICU). Method: an integrative review of the literature held in databases MEDLINE and IBECS, in May 2012, whose inclusion criteria were: to be published between May 2007 to May 2012, available in full and in Portuguese, English and Spanish. Results: there were found 68 productions and selected 16, which were categorized into: 1) Incidence and prevalence of delirium in the elderly in ICU; 2) Factors predisposing and precipitating risk of delirium in the elderly in ICU and 3) Strategies for preventing modifiable risk factors of delirium in the elderly patients in the ICU. Conclusion: the scientific production about delirium is incipient in Brazil, health professionals, especially nurses, need to improving the recognition of this syndrome and implementing strategies for risk prevention factors for delirium

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Delirium in the elderly in intensive care units: an integrative literature review

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Fernandes

et al. 2015

R. pesq. cuid. fundam. online

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Risk factors for liner wear and head migration in total hip arthroplasty: a systematic review

Migliorini,

Maffulli,

Pilone

et al. 2023

Sci Rep

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Total hip arthroplasty (THA) is a successful orthopaedic surgical procedure, and its longevity depends on bearing components and implant fixation. Optimizing polyethylene and ceramics has led to improved wear parameters and contributed to improved long-term outcomes. The present systematic review investigated whether time span from implantation, patient characteristics and performance status exert an influence on liner wear and head migration in THA. This study was conducted in conformity to the 2020 PRISMA guidelines. All the clinical investigations which reported quantitative data on the amount of liner wear and head migration in THA were considered. Only studies which reported quantitative data at least on one of the following patient characteristics were suitable: mean age, mean BMI (kg/m2), sex, side, time span between the index THA and the last follow-up (months) were eligible. A multiple linear model regression analysis was employed to verify the association between patient characteristics and the amount of liner wear and/or head migration. The Pearson Product-Moment Correlation Coefficient was used to assess the association between variables. Data from 12,629 patients were considered. The mean length of the follow-up was 90.5 ± 50.9 months. The mean age of patients at surgery was 58.4 ± 9.4 years, and the mean BMI was 27.2 ± 2.5 kg/m2. 57% (7199 of 12,629 patients) were women, and in 44% (5557 of 12,629 patients) THAs were performed on the left. The mean pre-operative Harris hip score was 46.5 ± 6.0 points. There was evidence of a moderate positive association between the amount of liner wear and the time elapsed between the index surgery to the follow-up (P = 0.02). There was evidence of a moderate positive association between the amount of head migration and the time elapsed between the index surgery to the follow-up (P = 0.01). No further statistically significant association was found. The time elapsed between the index surgery to the follow-up was the most important factor which influence the head migration and liner wear in THA. Patients’ characteristics and preoperative physical activity did not influence the amount of head migration and liner wear.

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Diretrizes para a assistência da terapia ocupacional na pandemia da COVID-19 e perspectivas pós-pandemia

Carlo

Gomes-Ferraz

Rezende

et al. 2020

Medicina (Ribeirão Preto)

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INTRODUÇÃO: A COVID-19 é uma doença altamente contagiosa, de apresentação recente, causada pelo novo coronavírus, denominado SARS-CoV-2 por ser da família SARS (Síndrome Respiratória Aguda Grave). São necessárias diretrizes cientificamente fundamentadas sobre as intervenções dos terapeutas ocupacionais no cuidado de pessoas com a COVID-19 e sobre as perspectivas de atenção pós-pandemia. OBJETIVO: Apresentar diretrizes e recomendações aos terapeutas ocupacionais sobre o manejo clínico de pacientes com COVID-19 em diferentes níveis de atenção à saúde, para favorecer a assistência segura e com qualidade técnico-científica. MÉTODO: Dez terapeutas ocupacionais de diferentes estados brasileiros, experts em suas áreas de atuação, reuniram-se, por meio de web conferências, para desenvolver diretrizes para a atuação do terapeuta ocupacional na pandemia da COVID-19. O público-alvo destas diretrizes é composto por terapeutas ocupacionais, gestores e outros profissionais interessados no conhecimento e nas ações da terapia ocupacional com pacientes com COVID-19 e seus familiares. Como ainda não existem estudos e revisões sistemáticas de evidências científicas relativas à terapia ocupacional na COVID-19, foram analisadas as melhores diretrizes e evidências disponíveis na literatura. Foi realizada uma ampla revisão de documentos nacionais e internacionais publicados sobre o tema, como artigos científicos e resoluções da Organização Mundial da Saúde e do Ministério da Saúde do Brasil. Foram também revisadas publicações disponibilizadas por sociedades ou organizações profissionais internacionais de terapia ocupacional, como a Federação Mundial de Terapeutas Ocupacionais, a Associação Americana dos Terapeutas Ocupacional, o Royal College of Occupational Therapists, do Reino Unido, e o Colegio Profesional de Terapeutas Ocupacionales de la Comunidad de Madrid, Espanha. RESULTADOS: As diretrizes reunidas nesta publicação não substituem as políticas institucionais e nacionais. Estão baseadas nos princípios da Ciência Ocupacional e nas melhores evidências disponíveis na literatura, balizadas pela experiência de todos os profissionais envolvidos na produção deste documento. Foram abordados temas como a privação ocupacional decorrente da pandemia e da estratégia de distanciamento social e os recursos técnicos recomendados para a promoção do desempenho ocupacional e manejo de dor e de sintomas em diferentes contextos, com destaque para a atuação do terapeuta ocupacional na atenção básica, na atenção hospitalar e nos cuidados paliativos. CONSIDERAÇÕES FINAIS: Dada a recente apresentação da COVID-19, há necessidade de constante atualização das informações e novas evidências científicas poderão ser publicadas. O raciocínio clínico é imprescindível para o planejamento e implementação da assistência aos pacientes e seus familiares ou cuidadores e será necessário o acompanhamento dos pacientes positivos para o SARS-CoV-2 para a verificação das consequências da COVID-19, das necessidades e demandas de reabilitação das pessoas acometidas, pós-hospitalização e pós-pandemia.

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Importância da monitorização do delirium na unidade de terapia intensiva

Abstract: The importance of delirium monitoring in the intensive care unit Importância da monitorização do delirium na unidade de terapia intensiva

Cited by 16 publications

References 49 publications

Delirium in the elderly in intensive care units: an integrative literature review

Delirium in the elderly in intensive care units: an integrative literature review

Risk factors for liner wear and head migration in total hip arthroplasty: a systematic review

Diretrizes para a assistência da terapia ocupacional na pandemia da COVID-19 e perspectivas pós-pandemia

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