Comparing nursing workload for critically ill adults with and without COVID-19: Retrospective cohort study.

Background: Intensive care environments already required complex work, and, furthermore, the recent COVID-19 pandemic increased health care demands, disorganized work teams and limited resources. Nonetheless, the real workload of nursing workers in the care for critical patients during this period was seldom investigated.

Aim: To compare the workload of nursing workers, estimated using the Nursing Activities Score (NAS), in patients with and without COVID-19 who had been hospitalized in an adult intensive care unit (ICU).

Incidence and time until the first traction or obstruction of the nasoenteral tube in hospitalized adults.

Objective: To determine incidence and time until first traction or obstruction of nasoenteral tube in hospitalized adults.

Methods: Prospective double cohort study that included 494 adults who were users of nasoenteral tubes as inpatients in two clinical units and two surgical units in a teaching hospital. The occurrence of tube tractions and obstructions was monitored daily between 2017 and 2019.

Bedside ultrasonography for the confirmation of nasogastric tube placement: agreement between nurse and physician.

Objective: To evaluate the agreement between nurse and physician in verifying the positioning of the nasogastric tube by ultrasonography and describe the difficulties faced by nurse in performing the technique.

Method: Cross-sectional study conducted in 2021, including critical patients after nasogastric tube insertion who were independently evaluated by a nurse and physician, using bedside ultrasonography. The tube was considered adequately positioned when viewed in infradiaphragmatic location in the topography of the stomach.

Pressure wounds in a cohort of critical patients: incidence and associated factors.

Aim: To assess the incidence and factors associated with pressure wounds in patients of a Brazilian clinical and surgical Intensive Care Center (composed of three Intensive Care Units).

Method: Cohort monitored for clinical and therapeutic variables in an Intensive Care Center. Cox's Multiple Regression was employed, establishing the number of days until the first pressure injury as a time variable; the omnibus test was also performed.

Incidence of urinary retention and relations between patient's complaint, physical examination, and bladder ultrasound.

Objective: To describe the frequency of urinary complaints, bladder globe, and need for bladder relief catheterization according to ultrasound; to investigate the relationship between the urinary volume estimated by ultrasound and the one drained in catheterization; and to describe the relationship of patient's complaints and detection of bladder globe with the diagnosis of urinary retention.

Method: A cross-sectional study with clinical patients with suspected urinary retention in a tertiary hospital, conducted from February to September 2018. Urinary volume ≥500 mL in ultrasound was considered urinary retention.

Patient safety challenges in primary health care: a scoping review.

Objectives: to identify the patient safety challenges described by health professionals in Primary Health Care.

Methods: a scoping review was conducted on the LILACS, MEDLINE, IBECS, BDENF, and CINAHL databases, and on the Cochrane, SciELO, Pubmed, and Web of Science libraries in January 2019. Original articles on patient safety in the context of Primary Health Care by health professionals were included.

Incidence of falls in a cohort of critical adults: a cause for concerns?

Objective: To describe the incidence and to report the cases of falls in a cohort of critical adults.

Method: A prospective cohort study, conducted in 2018 at an adult Intensive Care Unit (ICU) in the south of Brazil. The patients were followed up from admission to discharge; observations were made in the morning and afternoon.

Risks of enteral nutritional therapy: a clinical simulation.

Objective: Knowing the perceptions of nursing technicians about the risks to the patient in the use of enteral nutritional therapy, in a scenario of clinical simulation.

Method: A qualitative study, performed through a clinical simulation with nursing technicians from a university hospital in the South of Brazil, in August 2017. The simulation sessions were recorded in audio and later transcribed.

Subsample analysis of the Vascular Complications Risk Score at two public referral centers for interventional cardiology.

Objective: Evaluate the performance of the Vascular Complications Risk Score in two public referral centers for interventional cardiology.

Method: Subsample analysis of the Vascular Complications Risk Score, which was developed and validated in the catheterization laboratories of three cardiology referral centers (two public, one private) with a cutoff of <3 for no risk of developing vascular complications and ≥3 for risk. In this new analysis, we excluded data from the private facility, and only included participants from the original (validation) cohort of the two public hospitals.

Vascular complications in patients who underwent endovascular cardiac procedures: multicenter cohort study.

Objective: to analyze vascular complications among patients who underwent endovascular cardiac procedures in the hemodynamic laboratories of three referral centers.

Method: a multicenter cohort study was conducted in three referral facilities. The sample was composed of 2,696 adult patients who had undergone elective or urgent percutaneous cardiac procedures.

Incidents and adverse events in enteral feeding tube users: warnings based on a cohort study.

Introduction: few studies clearly describe incidents or adverse events that occur during the enteral nutrition process, which hinders the identification of critical points.

Objective: to describe breaches of protocol, incidents and adverse events, during the period beginning with indications until the use of enteral feeding tube in an Emergency Department.

Methods: trained nurses prospectively monitored a cohort of adults in a Brazilian Emergency Department where use of enteral feeding tube was indicated and up to their use.

Nasoenteral tube: factors associated with delay between indication and use in emergency services.

Objective: to know the time between indication and use of a nasoenteral tube (NET) and factors associated with delays.

Method: A prospective cohort study that followed adults in a Brazilian emergency department, since the indication of the use of a NET, evaluating clinical variables and the work process. The Generalized Estimated Equations model was adopted to identify factors associated with the delays in each stage of the process.

Nutritional Assessment Score: A new tool derived from Subjective Global Assessment for hospitalized adults.

Background & Aims: There is no method to be used as a reference standard for nutritional assessment. This study aims to develop and verify the performance of a new tool, based on the Item Response Theory (IRT), from the Subjective Global Assessment (SGA) questionnaire, in hospitalized adult patients.

Methods: Retrospective cohort study, composed by secondary database, formed by patients included from October 2005 to June 2006.

Manchester System: time spent on risk classification and priority of care at an emergency medical service.

Objective: To assess the time before and time spent on risk classification, priority of care, and destination of patients within 24 hours after their admission to an emergency medical service.

Methods: Retrospective cohort study that included adults classified by the Manchester Triage System at the largest emergency medical service in the south of the country in 2012. The data were made available in the form of an electronic sheet and analyzed according to their characteristics and distribution.

[Feeding tube placement: auscultatory method and x-ray agreement].

Objective: to evaluate the correlation between the auscultation test and X-ray when detecting the position of an enteral feeding tube.

Methods: cross-sectional study in an intensive care unit in southern Brazil, in 2011. Clinical nurse and nurse researcher performed auscultation test recording the impressions regarding the placement of an enteral feeding tube in 80 patients.

Food intake reported versus nursing records: is there agreement in surgical patients?

Objectives: To evaluate the agreement between oral feeding by patients and chart records of this acceptance.

Method: Besides the food intake surveys of surgical patients, the nursing records of nutrition were evaluated. Is was considered good oral feeding: intake ≥ 75% of total calories prescribed at the day; medium acceptance: 50 to 74.

Is duration of postoperative fasting associated with infection and prolonged length of stay in surgical patients?

Objective: Verify whether the postoperative fasting period increases the risk for infection and prolonged length of stay.

Methods: Prospective cohort study. Elective surgery patients were included.

Assessment of calcium intake by adolescents.

Objective: To evaluate the daily calcium intake of adolescents in schools from Chapecó, Santa Catarina, Southern Brazil, to check if calcium intake is in accordance with the Dietary Reference Intakes (DRI), and to investigate variables associated with daily calcium intake.

Methods: Cross-sectional study approved by the Institutional Review Board and developed in 2010. Students of the 8th grade completed questionnaires with personal data and questions about the calcium-rich foods intake frequency.

[Clinical outcomes in the first year of life of premature infants].

The aim of this retrospective cohort study was to investigate clinical outcomes of the first year of life of premature infants discharged from the Neonatal Intensive Care Unit (NICU) based on mortality and readmission data, and the motor development of the children. The sample consisted of 170 children with gestational age under 37 weeks and who survived hospitalization in neonatal intensive care unit (NICU). Data were collected from medical records, the hospital IT system and telephone interview with the caregiver.

[Adequacy of prenatal care in a family health strategy program from Porto Alegre-RS].

The study aimed to evaluate the adequacy of low-risk prenatal care, as recommended by the Ministry of Health, concerning the minimum number of consultations, and identify possible associated factors. Prenatal care was evaluated in a historical cohort study of 95 pregnant women. Over 50% of the women underwent six or more prenatal consultations.

[Association of Braden subscales with the risk of development of pressure ulcer].

Pressure ulcers (PU) may increase the incidence of hospital complications, and one should prevent this damage. The Braden Scale stands out as a tool to assess the risk of PU. The study aimed to identify changes in the score of the Braden subscales are associated with the risk of developing PCU.

Enteral feeding tubes: are insertion techniques and positioning based on anatomical evidence?

Patients in whom oral energy intake is insufficient for daily needs may develop malnutrition and its complications, such as increased infection rates, increased length of hospitalization, and death. Enteral feeding is beneficial for these patients. However, this therapy is not without complications related to the insertion and placement of enteral feeding tubes.

Clinical impact of systematic nutritional care in adults submitted to allogeneic hematopoietic stem cell transplantation.

Background: The development of nutrition care programs for patients undergoing hematopoietic stem cell transplantation is necessity in view of the rapid and aggressive consequences frequently seen with this procedure. Patients require constant care to reduce complications and to contribute to the success of therapy.

Methods: In an attempt to ascertain the impact of systematic nutritional care on patients submitted to allogeneic hematopoietic stem cell transplantation, the present study assessed the nutritional and clinical status, use of parenteral nutrition, and complication and mortality rates in two groups of patients, who were submitted to transplantation between April 2003 and December 2004 (Non-intervention Group - NIG; n = 57) and between March 2006 and January 2008 (Intervention Group - IG; n = 34).

Open versus closed enteral nutrition systems for critically ill adults: is there a difference?

Objective: To compare the volume, total calories, and protein received by critically ill patients between open and closed enteral nutrition (EN) systems and identify the main reasons for EN discontinuation.

Methods: A cohort study in which adult patients admitted to the intensive care unit (ICU) were followed-up in two periods: throughout November 2009 with all patients (n = 85) receiving EN using the open system (OS group); and from October 2010 to April 2011 with patients (n = 170) receiving EN using the closed system (CS group). Parametric and nonparametric tests were used to compare the variables, taking into account their distribution.

Enteral nutrition: differences between volume, energy and protein prescribed and administered in adults.

Objectives: Different conditions require that critically ill patients to receive lower than prescribed enteral nutrition volumes, energy and protein. This study objective was to evaluate the prescribed versus administered enteral nutrition difference in adults admitted to an intensive care unit.

Methods: In 2009, patients were followed for 30 days from the start of enteral nutrition to its discontinuation, or discharge from the intensive care unit.