Diretrizes clínicas no sistema de saúde do Brasil

Bernardo, Wanderley Marques

doi:10.1590/s0104-42302008000500001

Cited by 2 publications

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“…A study reporting supports this finding that length of hospitalization for the elderly with pressure ulcers is nearly three times longer than hospitalization without those skin lesions in the United States [12]. …”

Section: Discussionmentioning

confidence: 64%

High prevalence of skin and wound care of hospitalized elderly in Brazil: a prospective observational study

et al. 2017

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BackgroundSkin changes caused by aging increase the risk of skin damages, such as pressure ulcers, during hospitalization of elderly patients. There is few information about the cost of wound treatment in Brazil. Conversely, skin and wound problems are highly reported among hospitalized elderly patients and caregivers. The purpose is to analyze the socio-demographic and clinical profile associated with skin and wound care in hospitalized elderly.MethodsThis is a prospective observational study. The sample consisted of 75 patients, aged 60 years or more, randomly selected in three hospitals in Rio de Janeiro, Brazil. Data extraction from nursing records of the sample, using cross mapping with Nursing Interventions Classification. Data Synthesis supported by SAS 6.11 (SAS Institute, Inc. Cary North Carolina) in association with SPSS version 14.0 and statistics analysis.ResultsThe findings were: age standard deviation 7.8, with minimum as 60, and maximum as 91 years old. Prevalence of women and married seniors. High prevalence of long-term hospitalization. There were 21 Nursing Interventions in the nursing records and seventeen of them related to skin and wound care. They were described in 57 nursing activities, present during 376 evaluations and repeated 1756 times. A significant difference was obtained between age and the presence of the nursing interventions “Positioning” (p-0.004), Eye Care/Hygiene (p- < 0.0001) and Oral Health Maintenance (p-0.0003).ConclusionThe skin care to prevention and treatment of skin damages represented the major demand of nursing interventions in different clinical conditions of hospitalized elderly.

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Section: Discussionmentioning

confidence: 64%

High prevalence of skin and wound care of hospitalized elderly in Brazil: a prospective observational study

et al. 2017

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“…We identified a further nine discrete reviews following the July 2017 search, resulting in a total of 42 eligible systematic reviews for inclusion in this overview (See Figs 1 and 2 for search results). Seven articles required translation in order to assess eligibility: one from German [9,10], four from Portuguese ([11–14], one from French [15], and one from Spanish [16]. A list of excluded studies is available on request.…”

Section: Resultsmentioning

confidence: 99%

Do alcohol control policies work? An umbrella review and quality assessment of systematic reviews of alcohol control interventions (2006 – 2017)

Siegfried

Parry

2019

PLoS ONE

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Background The 2010 World Health Organization Global Strategy to Reduce the Harmful Use of Alcohol recommends countries adopt evidence-based interventions. Aim To update, summarize, and appraise the methodological rigour of systematic reviews of selected alcohol control interventions in the Strategy. Methods We searched for systematic reviews across PUBMED, EMBase and The Cochrane Library in 2016 and updated in 2017 with no language limits. Two investigators independently in duplicate conducted screening, eligibility, data extraction, and quality assessment using the ROBIS tool. We categorised interventions according to the WHO recommendations, and rated reviews as at high, low or unclear risk of bias. We applied a hierarchical approach to summarising review results. Where overlap existed we report results of high quality reviews and if none existed, by most recent date of publication. We integrated the ROBIS rating with the results to produce a benefit indication. Results We identified 42 systematic reviews from 5,282 records. Almost all eligible reviews were published in English, one in German and one in Portuguese. Most reviews identified only observational studies (74%; 31/42) with no studies from low or lower-middle income (LMIC) countries. Ten reviews were rated as low risk of bias. Methodological deficiencies included publication and language limits, no duplicate assessment, no assessment of study quality, and no integration of quality into result interpretation. We evaluated the following control measures as possibly beneficial: 1) community mobilization; 2) multi-component interventions in the drinking environment; 3) restricting alcohol advertising; 4) restricting on- and off-premise outlet density; 5) police patrols and ignition locks to reduce drink driving; and 6) increased price and taxation including minimum unit pricing. Conclusions Robust and well-reported research synthesis is deficient in the alcohol control field despite the availability of clear methodological guidance. The lack of primary and synthesis research arising from LMIC should be prioritised globally.

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Diretrizes clínicas no sistema de saúde do Brasil

Cited by 2 publications

References 1 publication

High prevalence of skin and wound care of hospitalized elderly in Brazil: a prospective observational study

High prevalence of skin and wound care of hospitalized elderly in Brazil: a prospective observational study

Do alcohol control policies work? An umbrella review and quality assessment of systematic reviews of alcohol control interventions (2006 – 2017)

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