Publications by authors named "Maria Joao Ferreira da Silva"
What changed between the peak and plateau periods of the first COVID-19 pandemic wave? A multicentric Portuguese cohort study in intensive care.
Rui Antunes Pereira Marta Sousa José Pedro Cidade Luís Melo Diogo Lopes Rogério C Silva Luís Silva Val-Flores Maria João Ferreira da Silva
Rev Bras Ter Intensiva
March 2023
Article Synopsis
- The study aimed to compare COVID-19 patient characteristics, clinical management, and outcomes during the peak (weeks 10-16) and plateau (weeks 17-34) phases of the first pandemic wave in Portugal.
- A total of 541 adult patients, mostly male with a median age of 65, were analyzed, showing no significant differences in age, initial health scores, and 28-day mortality between the two periods.
- Key findings indicated fewer comorbidities, higher use of certain treatments (like vasopressors and invasive ventilation) during the peak, whereas the plateau saw increased use of different therapies like remdesivir and corticosteroids and shorter ICU stays.
Bezoars are aggregates of undigested materials that accumulate in the gastrointestinal lumen. They are a rare cause of small bowel obstruction and are mostly diagnosed in patients with small bowel disease. Patients with panhypopituitarism are more susceptible to developing metabolic and haemodynamic instability, particularly during perioperative period.
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