Publications by authors named "Paula C Nogueira"

Article Synopsis
  • - The study explores the concept of skin failure, emphasizing the need to differentiate it from other skin injuries like pressure injuries, and aims to establish clear clinical characteristics to improve care standards.
  • - Researchers conducted a scoping review from April to May 2023, gathering literature on skin failure diagnosis in adults, while excluding studies focused on pediatrics or unrelated dermatological issues.
  • - Out of 196 articles reviewed, only 8 pertained to skin failure, highlighting factors such as sepsis and poor oxygenation as signs of acute skin failure, but overall, there was a lack of strong clinical indicators for accurate evaluation.
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Background: Specific knowledge of several domains for managing care in the driveline externalization area may be necessary for the broader application of left ventricular assist devices.

Objectives: This study aimed to map the recommendations for adult patients undergoing left ventricular assist device implantation.

Design: This scoping review, is being registered in the Open Science Framework under DOI https://doi.

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Introduction: Several interventions have been tested for cardio-protection against anthracycline-induced cancer therapy-related cardiovascular dysfunction (CTRCD). The role of statins in this setting remains unclear.

Methods: We systematically searched PubMed, Embase, Cochrane Library, Clinicaltrials.

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Background: Surgical wound infection is the most frequent type of care health associated infection. Lack of knowledge about the prevention of surgical wound infection in patients undergoing left ventricular assist device implantation could significantly undermine the potential benefits of surgical intervention.

Objectives: This study aimed to map the recommendations for adult patients undergoing left ventricular assist device implantation.

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Objective: to analyze pressure injury (PI) incidence and risk factors in patients with COVID-19 admitted to an Intensive Care Unit and characterize the identified PIs.

Method: a retrospective cohort study, consisting of 668 patients, carried out between March 2020 and February 2021. Clinical/demographic and PI variables were collected from medical records and electronic database.

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Objective: to analyze the effects of educational technologies in the prevention and treatment of diabetic ulcers.

Method: a systematic review conducted in seven databases, a bibliographic index, an electronic library and the Gray Literature. The sample consisted of 11 randomized controlled clinical trials.

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Article Synopsis
  • Hospitalized cancer patients often face daily activity limitations and sensory changes, increasing their risk of pressure injuries (PI).
  • A study conducted in a São Paulo oncological hospital assessed 341 patients, finding a 10% prevalence of PI, particularly linked to the use of disposable diapers in ICU settings.
  • Identifying risk factors is crucial for preventing PI, highlighting the need for improved protocols and a dedicated prevention program for this vulnerable patient population.
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Objective: To assess the prevalence of skin lesions and evaluate the clinical and sociodemographic factors associated with their presence in hospitalised patients.

Method: This descriptive, cross-sectional, correlational study was performed in inpatient units and intensive care units of a cancer hospital in São Paulo, Brazil, after approval by the Institutional Research Ethics Committee. Data from hospitalised adult patients with cancer were collected during physical examinations and from medical records.

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Article Synopsis
  • - The study aimed to estimate how common complicated surgical wounds are and identify factors associated with them in hospitalized adults, analyzing data from 251 patients in Manaus, Brazil.
  • - It found that 6% of patients had complicated surgical wounds, with factors like general hospitalization, ecchymosis, and being male significantly increasing the risk of complications.
  • - The research helps in understanding the prevalence and associated factors of surgical wounds, aiding in prevention efforts and providing useful data for further scientific studies.
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Objective: To evaluate the effect of abdominal electrical stimulation (EE) on bowel movement frequency and feces consistency and expelled amount in people with constipation due to spinal cord injuries (SCI).

Method: This is an experimental, crossover, randomized pilot study with two treatment groups: conventional intestinal rehabilitation and conventional rehabilitation associated with EE via 8- and 20-Hz Functional Electrical Stimulation (FES) of the abdominal muscles. Both groups were followed for two weeks with daily 30-minute EE sessions.

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Objective: Oncology patients are vulnerable to skin breakdown. The primary purpose of this study was to estimate the prevalence of skin tears (STs) in hospitalised patients with cancer and to explore related sociodemographic and clinical factors.

Method: This was an observational, epidemiological, cross-sectional study conducted in an oncology hospital in the city of São Paulo.

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The recurrence of venous ulcers is the wound reopening after a period of completed epithelisation of a previous ulcer due to exposure to causal factors and lack of prevention. Venous ulcers have a high recurrence rate that may increase through the years. Epidemiological evidence on its incidence and risk factors is scarce due to the lack of patient follow-up in outpatient clinics and adherence to treatment after healing.

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Article Synopsis
  • The study aimed to analyze the prevalence of diabetic foot ulcers (DFU) among diabetic inpatients in Manaus, Brazil, finding a prevalence rate of 26.2% among the 229 participants.
  • Results indicated that patients with peripheral artery disease (PAD) were significantly more likely to develop DFU, while the use of emollients and anticoagulants decreased the likelihood of developing ulcers.
  • The findings underscore the need for improved understanding and preventive strategies for DFU among hospitalized diabetic patients, which can aid nursing care.
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Article Synopsis
  • A study was conducted in São Paulo to examine the prevalence of medical adhesive-related skin injuries in patients in cardiac Intensive Care Units, involving 123 patients.
  • They found a 22.7% prevalence of these injuries, predominantly caused by transparent polyurethane film, with the cervical region being the most affected area.
  • The study identified significant factors associated with the injuries, including high serum urea levels and certain platelet counts, which can aid in better preventive care planning.
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The use of gamification can promote health-related behavior. This article is the first attempt to provide a historical overview of the use of games in patients undergoing hip arthroplasty. We conducted a scoping review to map and characterize the games used for the person undergoing hip arthroplasty.

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This study aimed to estimate the incidence of hospital-acquired pressure injury (PI) and its risk factors in inpatient and intensive care units of five hospitals (two public and three private) in the city of Sao Paulo, Brazil. A 6-month follow-up prospective cohort study (n = 1937) was conducted from April to September 2013. Baseline and follow-up measurements included demographic and care information, as well as risk assessments for both undernutrition (NRS-2002) and PI (Braden scale).

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Epidemiological and descriptive research on malignant wounds (MWs) is scarce. The objective of this study was to identify the prevalence of MWs and analyze the characteristics and associated factors of MWs in hospitalized patients at an oncological institution. An epidemiological, cross-sectional, and descriptive study, which was derived from a larger study that collected data on the prevalence of different types of wounds in 341 adults hospitalized in a large oncological hospital, was conducted.

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The objective of this study was to identify the occurrence of complicated surgical wounds (CSWs) and to analyze the associated factors in hospitalized patients at an oncology institution. This was an epidemiological, observational, cross-sectional, descriptive, and correlational study conducted in the intensive care and hospitalization units forming part of a large cancer hospital. Sociodemographic and clinical data were collected from medical records and physical examinations of the skin.

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Although pressure injury (PI) is preventable, the number of patients developing this type of injury is still high. In this prospective cohort study, we aimed to assess whether high risk for undernutrition was a risk factor for PI in 1937 patients aged ≥18 at six hospitals in Sao Paulo, Brazil. Patients' risk for undernutrition was assessed using three unique screening tools.

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Objective: produce and validate an educational video about bowel emptying maneuvers for training of individuals with neurogenic bowel in bowel rehabilitation process.

Method: this is a methodological study developed in four stages: script/storyboard production, validation, educational video production and pilot study, which was conducted from January 2013 to July 2015. Instruments for validation, which was performed from December 2014 to February 2015 by a group of experts.

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