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).

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.

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.

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.

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.

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.

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.

Patients' anxiety before cardiac catheterization.

Objective: To identify researches related to anxiety and strategies to reduce it in patients who are in the pre-cardiac catheterization period.

Methods: A bibliographic research was carried out in the on line databases of PubMed, MedLine, CINAHL, LILACS and SciELO, from 1997 to 2009 in MedLine and from 1999 to 2009 in the others databases. The boolean expressions "and" and "or" has been used with the descriptors in Portuguese and in English.

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.

[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.

[Nursing consultation of the hypertensive patient: analysis of a current instrument and development of a new model].

This is a preliminary study on nursing consultation for hypertensive patients and analysis of the instrument used in a cardiology hospital. The development of an adequate instrument for this kind of patients, with a specif model for assessment, orientation plan, nursing care plan and evolution, was followed by the preparation of an orientation guide to be used by nurses, so an uniformed way of registration could be obtained.