Relationship between nutritional goals and pressure injuries in critical care patients receiving enteral nutrition.

Objective: To examine the relationship between pressure injury (PI) development and achievement of nutritional goals (protein and caloric), as well as consider the clinical conditions, hospitalisation factors, and risk assessment for PI development in patients who are critically ill and receiving enteral nutrition (EN) in the intensive care unit (ICU).

Method: An observational cohort study was conducted in the ICU of the University Hospital in São Paulo, Brazil. Inclusion criteria were as follows: age ≥18 years; length of ICU stay ≥24 hours; without PI at ICU admission; and receiving EN exclusively during ICU stay.

Predictive validity of the EVARUCI scale to evaluate risk for pressure injury in critical care patients.

Objective: To compare the predictive capacity of the current risk assessment scale for pressure ulcers in intensive care (EVARUCI), translated into Brazilian Portuguese, using the Braden scale.

Method: This cross-sectional study collected prospective data from adult patients in three intensive care units. The receiver operating characteristic (ROC) and precision-recall curve (PR curve) were used to analyse the predictive capacity for pressure injury (PI) using both predictive values and odds ratios (ORs).

In-hospital complications after trauma due to road traffic accidents.

Purpose: The study aimed to verify the association between in-hospital complications and characterization and clinical variables including hospital care and trauma severity.

Methods: This analysis with the prospective cohort data was conducted at a municipal hospital in São Paulo, Brazil, and included participants aged 14 years or older, with traumatic injuries from traffic accidents. Data was collected from January 2015 to July 2016 and included demographics variables, type of traumatic event, clinical parameters, length of stay in the Emergency department and in the Intensive Care Unit, length of hospital stay, survival probability, trauma severity and mortality.

Do frail elderly people affect the nursing workload in intensive care units?

Objective: Compare the nursing workload according to the condition of frailty in elderly people in an intensive care unit (ICU).

Method: A cross-sectional study whose sample included patients aged ≥60 years who were hospitalized for ≥24 hours in the ICU of a university hospital in São Paulo, Brazil. The Tilburg Frailty Indicator (TFI) was used to identify frailty in elderly people and the Nursing Activities Score (NAS) was used to measure the nursing workload.

Association between nonpharmacological strategies and delirium in the intensive care unit.

Background: Several nonpharmacological strategies for the prevention and treatment of delirium have been increasingly used because the aetiology of delirium is multifactorial.

Aims: To verify the association between nonpharmacological strategies (presence of companion, mobilization, absence of physical restraint and natural light) and the occurrence of delirium, and to identify risk factors for delirium in intensive care unit (ICU) patients.

Study Design: The study was conducted in a Brazilian medical and surgical ICU.

Functional Capacity Index: cultural adaptation and measurement of validity and reliability.

Objective: To carry out a cultural adaptation of the Functional Capacity Index (FCI) into Portuguese and to verify its reliability and validity in traffic accident victims.

Method: Methodological study for cultural adaptation of the FCI. Reliability and validity were verified in a convenience sample of traffic accident victims, in São Paulo city.

Is there a relationship between nutritional goal achievement and pressure injury risk in intensive care unit patients receiving enteral nutrition?

Objectives: To assess pressure injury risk and time until pressure injury development according to the achievement of nutritional goals, i.e. caloric and protein intake within the first 72 hours of the intensive care admission.

Factors associated with the use of physical restraint in intensive care patients.

Objective: To verify the frequency of physical restraint in patients and the factors associated with its use in the intensive care unit.

Method: An observational and prospective study on the use of restraint in patients observed over two days, considering the variables: age and gender, personal and clinical characteristics, devices, adverse event and restraint use. The frequency was verified in three groups of patients with different conditions by applying the Chi-Squared, Likelihood Ratio or Kruskal-Wallis tests.

The association between burn and trauma severity and in-hospital complications.

Objective: The aim of this study was to analyze the association between in-hospital complications and burn and trauma severity, inhalation injury, length of intensive care unit and hospital stay, and mortality in burned patients.

Method: This observational and retrospective study included 68 burn patients hospitalized in a university hospital located in São Paulo, Brazil. The severity of the burn injury and trauma were measured by means of Abbreviated Injury Scale and the Injury Severity Score, respectively.

Incidence and factors related to delirium in an intensive care unit.

Objectives: To identify the incidence of delirium, compare the demographic and clinical characteristics of patients with and without delirium, and verify factors related to delirium in critical care patients.

Method: Prospective cohort with a sample made up of patients hospitalized in the Intensive Care Unit (ICU) of a university hospital. Demographic, clinical variables and evaluation with the Confusion Assessment Method for Intensive Care Unit to identify delirium were processed to the univariate analysis and logistic regression to identify factors related to the occurrence of delirium.

Risk Factors for Complications of Traumatic Injuries.

Complications in hospitalized trauma patients are major causes of morbidity and mortality. The aims of this study were to identify the in-hospital trauma patients' complications and identify the risk factors for complications in this population. A retrospective analysis was conducted in a sample from a Brazilian hospital.

Outcomes and nursing workload related to obese patients in the intensive care unit.

Objectives: To compare the morbidity and mortality of patients with a body mass index (BMI) < and ≥30kg/m(2) and to identify risk factors related to death and length of stay of obese patients in the intensive care unit (ICU).

Methods: Prospective and cross-sectional study.

Setting: A 35-bed mixed ICU in São Paulo, Brazil.

[Measuring trauma severity using the 1998 and 2005 revisions of the abbreviated injury scale].

Objectives: This study aims to compare injury and trauma severity as measured by the 1998 and 2005 revisions of the Abbreviated Injury Sca le and to determine the mortality in the Injury Severity Score and the New Injury Severity Score in both versions.

Method: This cross-sectional retrospective study analyzed injuries of trauma patients from three university hospitals in Sao Paulo, Brazil. Each injury was coded using the Abbreviated Injury Scale 1998 and 2005.

[Evaluation of an educational website on First Aid].

The aim of this study was to evaluate the structure, quality of information and usability of a website on First Aid. The evaluation was performed by information technology (IT) and health care professionals and by students, using specific and validated instruments. The kappa method was used to evaluate the agreement of the answers, and Cronbach's α coefficient was used to assess the reliability of the instrument.

Quality of life before admission to the intensive care unit.

Objective: To examine the reliability of the SF-36 general health questionnaire when used to evaluate the health status of critically ill patients before admission to intensive care and to measure their health-related quality of life prior to admission and its relation to severity of illness and length of stay in the intensive care unit.

Methods: Prospective cohort study conducted in the intensive care unit of a public teaching hospital. Over three months, communicative and oriented patients were interviewed within the first 72 hours of intensive care unit admission; 91 individuals participated.

Pressure ulcers in the intensive care unit: the relationship between nursing workload, illness severity and pressure ulcer risk.

Aims and objective.  To verify association between PU development with nursing workload and illness severity and to verify whether nursing workload and illness severity are related with Braden Scale scores. Background.

Nurses' leadership styles in the ICU: association with personal and professional profile and workload.

This study aims to explore the association between nurses' leadership styles and personal and professional nursing profile and workload. The sample consisted of seven nurses and seven nursing technicians who were grouped into pairs. At the end of three months, nurses were queried regarding what leadership style would be adopted when the nursing technician under their evaluation delivered care to patients admitted to the ICU.

Confusion assessment method to analyze delirium in intensive care unit: literature review.

Unlabelled: Delirium is frequently observed in intensive care unit patients and its occurrence is related to increased morbidity and mortality, length of stay, functional decline and high costs. The Confusion Assessment Method for Intensive Care Unit is a tool that facilitates early identification and occurrence of delirium among intubated patients.

Objective: To verify the aspects of delirium studied by means of the Confusion Assessment Method for Intensive Care Unit.

[Nursing workload to verify nurse/patient ratio in a cardiology ICU].

This is a descriptive study, aiming at comparing the nursing workload in a post-operatory heart surgery unit (UPOCC) using NAS, TISS-28 and NEMS, and verifying both the observed and recommended nursing staff-to-patient ratio according to the workload indexes used. Data collection happened in a University Hospital, from October to November, 2004. The sample included 55 patients, resulting in 283 nursing workload measurements.

Nurses' training in prehospital care.

The performance of nurses in prehospital care (PHC) assumes acquiring specific competences. The objectives of the present study were to verify nurses' opinion on theoretical knowledge and nursing skills necessary for the practice in pre-hospital setting and to analyze them according to their clinical practice. In this descriptive study, the opinion of nurses, from public pre-hospital care services of the City of São Paulo, was collected through a questionnaire and the data of the clinical practice using forms.

[Nursing Specialization Course Residency Program in Intensive Care unit: graduated nurses in the labor market].

This descriptive study aimed at studying how 26 nurses graduated from Nursing Specialization Course, Residency Program in Intensive Care Unit (ICU), of São Paulo Federal University (UNIFESP), Brazil, were inserted in the labor market, and in other graduate programs, and the meaning of this course for their professional life. The questionnaire applied showed that: 73.1% nurses were immediately admitted in the labor market, and, after ICU training, 11.

Development and evaluation of standardized protocol to prevent nasoenteral tube obstruction in cardiac patients requiring enteral nutrition with restricted fluid volumes.

Aims And Objectives: This study sought to assess the impact of a standardized protocol to maintain nasoenteral tube (NET) patency in patients requiring fluid restriction and identify factors associated with tube patency.

Background: Nasoenteral tube obstruction may interrupt nutritional support and prohibit drug administration. Balancing NET patency in the context of fluid restriction can be a challenge.

[Verification of gastric residual volumes by the nursing staff in an intensive care unit].

This descriptive study aims at verifying whether or not the gastric residual volume (GRV) is assessed prior to the administration of the diet and the procedure performed by the Nursing staff when such a factor occurs. Most Nursing staff members (76.56%) did not verify the GRV before administration of the diet via tube feeding, despite the fact that the majority of them (90.

The difference between ISS and NISS in a series of trauma patients in Brazil.

ABSTRACT The difference between the ISS and NISS scores was determined for 1,533 inpatients consecutively admitted in 1998 in the Emergency Department of a University Hospital in São Paulo, Brazil. The average ISS was 12.49 +/- 12.