Kelly Dayane Stochero Velozo

Validação Concorrente de Escores de Enfermagem (NEMS e TISS-28) em terapia intensiva pediátrica

OBJECTIVE: Examine the concurrent validity of the Nine Equivalents of Nursing Manpower Use Score (NEMS) in comparison to the Therapeutic Intervention Scoring System-28 (TISS-28) in a Pediatric Intensive Care Unit (PICU). METHODS: Prospective observational cohort study conducted in a PICU of a Brazilian university hospital over a period of two years with a sample of 816 patients. A total of 7,702 observations were obtained for each of the scores. RESULTS: The average maximum score of the NEMS was 26.6±9.2 and for the TISS-28 it was 21.3±8.2. The TISS-28 was lower than the NEMS (p<0.001) for all the averages. A good correlation was observed between them (r2=0.704) for all observations. Agreement between the TISS-28 and the NEMS was good, presenting only a 6.2% difference between the scores. CONCLUSION: The results show good correlation and agreement between the TISS-28 and the NEMS, enabling the NEMS validation in this population of pediatric patients.

Aplicação do índice de intervenção terapêutica em unidade de terapia intensiva pediátrica

Introduction: Indices of gravity aim to estimate the disease’s severity. The Therapeutic Intervention Scoring System – 28 (TISS-28) is used in Intensive Care Units as an indirect index to estimate the disease`s gravity interval, which has also been recently used to relate the nursing workload Objective: To review each operational item/definition of the Therapeutic Intervention Scoring System (TISS-28), making a re-reading in order to systematize the data collection practice in Pediatric Intensive Care Units (PICUs). Materials and Methods: An integrative revision research of medical and nursing literature through the base of data from Medical Literature Analysis and Retrieval System Online (MEDLINE) and Scientific Electronic Library Online (SciELO) using the terms Intensive Care Units, scales and Therapeutic Intervention Scoring System-28 or TISS-28. The articles were selected according to their relevance, as the authors opinion. Results: Preliminary studies show that the use of TISS-28 in ICU of adults patients, has helped in the evolutionary clinical assessment of the patient’s worsening, besides associations between death and elevated scores. The items/operational definitions evaluated in this score are reviewed in order to facilitate the interpretation of each item in the TISS -28 daily application in Pediatric Intensive Care Unit (PICU). Conclusion: The daily assessment of the 28 TISS variables allows the acquirement of an evolutionary profile of hospitalized children, which can help to increase the knowledge of the hospitalized child clinical picture and its prognosis.

Variação de peso corporal de pacientes em diálise peritoneal

Este estudo teve como objetivo principal avaliar a variacao de peso corporal de pacientes em dialise peritoneal (DP) durante o primeiro ano de tratamento e, como objetivo secundario, identificar pacientes com criterio para sindrome metabolica (SM). Estudo observacional, com 35 pacientes, com o minimo de um ano em DP, de um hospital universitario. Foram coletados dados quanto a situacao clinica e demografica, a variacao de peso corporal e aos criterios para SM. Apos doze meses do inicio da dialise, aproximadamente 40% dos pacientes apresentava sobrepeso e/ou obesidade. A media de variacao de peso corporal apos um ano foi de 3,7 kg, sendo que a maior variacao foi encontrada nos primeiros tres meses, com valores de 2,2 kg. A prevalencia de SM foi de 30%. Conclui-se que a variacao de peso corporal mais importante aconteceu no primeiro ano de tratamento e ha uma alta prevalencia de SM nos pacientes em DP.This study had as its main objective to assess the variation in body weight of patients on peritoneal dialysis (DP) during the first year of treatment and as a secondary goal to identify patients with criteria for metabolic syndrome (SM). Observational study conducted with 35 patients of a university hospital. Data were collected on the clinical and demographic status, change of body weight and criteria for SM from the sample. After 12 months of initiation of dialysis, approximately 40% of patients showed overweight and/or obesity. The average variation of body weight after one year was 3.7 Kg, and the largest variation was found in the first three months, with values of 2.2 Kg The prevalence of SM was 30%. It was concluded that the most important change of body weight happened in the first year of treatment and there is a high prevalence of SM in patients on DP.

Assessment of body weight changes in patients on peritoneal dialysis

Este estudo teve como objetivo principal avaliar a variacao de peso corporal de pacientes em dialise peritoneal (DP) durante o primeiro ano de tratamento e, como objetivo secundario, identificar pacientes com criterio para sindrome metabolica (SM). Estudo observacional, com 35 pacientes, com o minimo de um ano em DP, de um hospital universitario. Foram coletados dados quanto a situacao clinica e demografica, a variacao de peso corporal e aos criterios para SM. Apos doze meses do inicio da dialise, aproximadamente 40% dos pacientes apresentava sobrepeso e/ou obesidade. A media de variacao de peso corporal apos um ano foi de 3,7 kg, sendo que a maior variacao foi encontrada nos primeiros tres meses, com valores de 2,2 kg. A prevalencia de SM foi de 30%. Conclui-se que a variacao de peso corporal mais importante aconteceu no primeiro ano de tratamento e ha uma alta prevalencia de SM nos pacientes em DP.This study had as its main objective to assess the variation in body weight of patients on peritoneal dialysis (DP) during the first year of treatment and as a secondary goal to identify patients with criteria for metabolic syndrome (SM). Observational study conducted with 35 patients of a university hospital. Data were collected on the clinical and demographic status, change of body weight and criteria for SM from the sample. After 12 months of initiation of dialysis, approximately 40% of patients showed overweight and/or obesity. The average variation of body weight after one year was 3.7 Kg, and the largest variation was found in the first three months, with values of 2.2 Kg The prevalence of SM was 30%. It was concluded that the most important change of body weight happened in the first year of treatment and there is a high prevalence of SM in patients on DP.

Análisis de cambios en el peso de pacientes en diálisis peritoneal

Este estudo teve como objetivo principal avaliar a variacao de peso corporal de pacientes em dialise peritoneal (DP) durante o primeiro ano de tratamento e, como objetivo secundario, identificar pacientes com criterio para sindrome metabolica (SM). Estudo observacional, com 35 pacientes, com o minimo de um ano em DP, de um hospital universitario. Foram coletados dados quanto a situacao clinica e demografica, a variacao de peso corporal e aos criterios para SM. Apos doze meses do inicio da dialise, aproximadamente 40% dos pacientes apresentava sobrepeso e/ou obesidade. A media de variacao de peso corporal apos um ano foi de 3,7 kg, sendo que a maior variacao foi encontrada nos primeiros tres meses, com valores de 2,2 kg. A prevalencia de SM foi de 30%. Conclui-se que a variacao de peso corporal mais importante aconteceu no primeiro ano de tratamento e ha uma alta prevalencia de SM nos pacientes em DP.This study had as its main objective to assess the variation in body weight of patients on peritoneal dialysis (DP) during the first year of treatment and as a secondary goal to identify patients with criteria for metabolic syndrome (SM). Observational study conducted with 35 patients of a university hospital. Data were collected on the clinical and demographic status, change of body weight and criteria for SM from the sample. After 12 months of initiation of dialysis, approximately 40% of patients showed overweight and/or obesity. The average variation of body weight after one year was 3.7 Kg, and the largest variation was found in the first three months, with values of 2.2 Kg The prevalence of SM was 30%. It was concluded that the most important change of body weight happened in the first year of treatment and there is a high prevalence of SM in patients on DP.