Navegando por Palavras-chave "Pressure injury"
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- ItemSomente MetadadadosDirect variable cost of the topical treatment of stages III and IV pressure injuries incurred in a public university hospital(Elsevier Sci Ltd, 2017) Chacon, Julieta M. F. [UNIFESP]; Blanes, Leila [UNIFESP]; Borba, Luis G. [UNIFESP]; Rocha, Luis R. M. [UNIFESP]; Ferreira, Lydia M. [UNIFESP]Aim: to estimate the direct variable costs of the topical treatment of stages III and IV pressure injuries of hospitalized patients in a public university hospital, and assess the correlation between these costs and hospitalization time. Materials and methods: Forty patients of both sexes who had been admitted to the Sao Paulo Hospital, Sao Paulo, SP, Brazil, from 2011 to 2012, with pressure injuries in the sacral, ischial or trochanteric region were included. The patients had a total of 57 pressure injuries in the selected regions, and the lesions were monitored daily until patient release, transfer or death. The quantities and types of materials, as well as the amount of professional labor time spent on each procedure and each patient were recorded. The unit costs of the materials and the hourly costs of the professional labor were obtained from the hospital's purchasing and human resources departments, respectively. Spearman's correlation coefficient and the Mann-Whitney and Kruskal-Wallis tests were used for the statistical analyses. Results: The mean topical treatment costs for stages III and IV PIs were significantly different (US$ 854.82 versus US$ 1785.35
- ItemAcesso aberto (Open Access)Lesões por pressão no intraoperatório de craniotomias : incidência e fatores de risco(Universidade Federal de São Paulo (UNIFESP), 2017-07-27) Guarise, Vanessa [UNIFESP]; Diccini, Solange [UNIFESP]; http://lattes.cnpq.br/5204290282798385; http://lattes.cnpq.br/9810213700164398; Universidade Federal de São Paulo (UNIFESP)Pacientes submetidos à craniotomia podem desenvolver lesão por pressão (LP) no intraoperatório. Objetivo: Avaliar a incidência e os fatores de risco da lesão por pressão no intraoperatório de pacientes submetidos à craniotomia. Método: Estudo prospectivo realizado nas unidades de internação hospitalar, no centro cirúrgico e nas unidades de pós-operatório de um hospital geral privado de São Paulo. O cálculo da amostra foi de 119 pacientes. Foram incluídos pacientes maiores de 18 anos, submetidos a cirurgias eletivas de craniotomia com tempo cirúrgico maior igual a duas horas e sem LP no pré-operatório. Após indução anestésica, o paciente foi posicionado com dispositivos de proteção de pele ajustados ao corpo. Ao final da cirurgia, esses dispositivos foram retirados e a pele do paciente foi avaliada em relação ao desenvolvimento, local e estágio da LP. Os pacientes foram acompanhados no período de 72 horas do pós-operatório (PO), com monitoramento diário em relação à LP. Resultados: Participaram do estudo 134 pacientes, dos quais 119 foram avaliados. A média da idade dos pacientes foi de 52,6 anos, e 52,1% eram do sexo feminino. A maioria dos pacientes (81,5%) foram posicionados em decúbito dorsal. O tempo médio de cirurgia foi de 234,5 minutos. Quanto ao porte da cirurgia, 62,2% dos pacientes foram classificados em porte II, 26,9% como porte III e 10,9% como porte IV. Ao término da cirurgia, 60,5% dos pacientes apresentaram LP. Todas as 140 LP foram classificadas como estágio I. Os locais da LP mais frequentes foram: região do calcâneo (26,5%), sacral (23,6%), olécrano (18,6%) e escapular (15,0%). Após 24 horas de PO, a incidência de LP foi de 5,0% e após 48 e 72 horas de PO, a incidência foi de 2,5% para ambos os períodos. Todas as LP apresentadas foram classificadas em estágio I. O único fator de risco do paciente submetido à craniotomia no intraoperatório foi o porte cirúrgico, porte III e porte IV. Conclusão: A incidência de LP no intraoperatório de craniotomias foi alta, porém todas as lesões foram classificadas como estágio 1. As áreas com maior incidência de LP foram a região do calcâneo e a região sacral. As cirurgias de porte III e IV foram fatores de risco para o aparecimento de LP. A utilização de dispositivos de proteção de pele no intraoperatório auxiliou na prevenção de LP em outros estágios.
- ItemSomente MetadadadosPrevalence and incidence of pressure injuries in pediatric hospitals in the city of Sao Paulo, SP, Brazil(Elsevier Sci Ltd, 2017) de Souza Pellegrino, Donata Maria [UNIFESP]; Ferreira Chacon, Julieta Maria [UNIFESP]; Blanes, Leila [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]Objective: To identify the incidence and prevalence of pressure injuries (Pls) in children admitted to hospitals in the city of Sao Paulo, and assess the association between sociodemographic and clinical characteristics with hospital-acquired pressure injuries (HAPIs). Materials and methods: A total of 543 children were evaluated, and their sociodemographic and clinical data were recorded. Student's t, Wilcoxon, chi-square, and Fisher's exact tests were used to assess associations between risk factors and the occurrence of HAPIs. The proportion comparison test was used to assess the difference between the prevalence assessments performed at 2 different time points. Results: The mean prevalence was 7.1% and the mean incidence was 21.8%. Stage 1 Pls totaled 55% of the occurrences, followed by deep tissue injury, stage 2 Pls, and unstageable Pls. Twenty-five percent of Pls were associated with the use of medical devices. The sociodemographic characteristics significantly associated with HAPIs were white skin color and the absence of a parent or guardian as the patient's companion, whereas the clinical characteristics most significantly associated with HAPIs were hospitalization time greater than 30 days, enteral nutrition pathway, a chronic illness of the central nervous system, vasomotor medication, and mechanical ventilation (p < 0.05). Conclusion: The prevalence of Pls among pediatric patients admitted to hospitals in Sao Paulo was similar to, and the incidence was higher than the reported international rates. Patients not accompanied by a parent, hospitalized for longer periods and in critical condition were those most affected by Pls. (C) 2017 Tissue Viability Society. Published by Elsevier Ltd. All rights reserved.
- ItemAcesso aberto (Open Access)“Sem pressão”: aplicativo com orientações para identificação, estadiamento e prevenção de lesões por pressão em adultos(Universidade Federal de São Paulo (UNIFESP), 2018-02-15) Campos, Rosana Siqueira [UNIFESP]; Blanes, Leila [UNIFESP]; http://lattes.cnpq.br/1898450330418640; http://lattes.cnpq.br/3861445301143294; Universidade Federal de São Paulo (UNIFESP)Introduction: The Pressure injury (PI) is a major health problem. It is one of the main complications of hospitalized patients, extending hospital stay and increasing the overall costs of care. The correct and early identification of this damage provides appropriate treatment. There are resources for guidance of health professionals on this subject, such as websites, guidelines. Among these resources, the smartphone application stands out as it can provide a starting point for identifying at-risk individuals who need preventive interventions and also teach the correct staging of those injuries. Objective: To develop a smartphone application with guidelines on identification, staging and prevention of pressure injuries in adults. Method: This study was approval of the ethics committee of the Universidade Federal de São Paulo. The descriptive method started with the search for anteriority, on the platforms Google © and Apple ©, searching for the existence of applications in the area of PI. Afterwards was developed the content, mainly based on the Guideline of the National Pressure Ulcer Advisory Panel (NPUAP). The evaluation of form and content used Design Thinking as a method and was carried out in 2 stages, the first one being based on filling out a questionnaire by 6 health professionals. After the review and conformation to the suggestions followed the second stage, in wich 3 wound care nurses answered the same questionnaire. At this stage, all the evaluators agreed. Results: The application was developed on the page "fabricadeaplicativos" and called "Sem Pressão" with seven tabs (http://app.vc/sem_pressao). Conclusion: was created the application "SEM PRESSÃO", with guidelines on identification, staging and prevention of PI in adults and made available for free download.