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  1. Article ; Online: Study on the prevalence of neurogenic bladder in Brazilians with traumatic and non-traumatic spinal cord injury.

    Pelosi, Giovana / Faleiros, Fabiana / Pereira, Melissa Rovina Castro / Bimbatti, Karina de Fátima / Tholl, Adriana Dutra

    The journal of spinal cord medicine

    2021  Volume 46, Issue 4, Page(s) 677–681

    Abstract: Context: Considering that SCI is the main cause of neurogenic bladder, in Brazil, studies and statistical data on the number of people with neurogenic bladder are practically non-existent. To ascertain the prevalence of neurogenic bladder among users of ...

    Abstract Context: Considering that SCI is the main cause of neurogenic bladder, in Brazil, studies and statistical data on the number of people with neurogenic bladder are practically non-existent. To ascertain the prevalence of neurogenic bladder among users of SARAH Network hospitals with traumatic and non-traumatic spinal cord injury.
    Methods: Data collection form from electronic medical records to characterize the sample. The variables were related to sociodemographic data such as age, care unit, and date of admission; and to clinical data, such as main diagnosis, neurogenic bladder diagnosis. In the cases of traumatic spinal cord injury, the ASIA Impairment Scale (AIS) was considered. The statistical tests were Mann-Whitney, for two independent samples, and Pearson's Chi-squared, for the categorical variables.
    Findings: The sample included 954 participants. The prevalence of neurogenic bladder was 94.65%, of which 67% had a traumatic spinal cord injury diagnosis and 69.32% were male. Mean age of the participants was 46.12 years old (SD = 15.78 years).
    Conclusion/clinical relevance: The prevalence of neurogenic bladder found in the sample was 94.65%. The analysis showed that participants with TSCI are more afflicted by lower urinary tract dysfunction than those with NTSCI. TSCI was more prevalent among males and NTSCI was more prevalent among females. This was a pioneering study on the prevalence of neurogenic bladder in SCI in Brazil. However, further studies will be necessary to corroborate the data found here. The development of a database with national data is indispensable to obtain more reliable results that could provide a basis for public healthcare policies for the prevention and rehabilitation of people with SCI in Brazil.
    MeSH term(s) Female ; Humans ; Male ; Middle Aged ; Brazil/epidemiology ; Prevalence ; Spinal Cord Injuries/complications ; Spinal Cord Injuries/epidemiology ; Urinary Bladder, Neurogenic/epidemiology ; Urinary Bladder, Neurogenic/etiology ; Adult ; Aged
    Language English
    Publishing date 2021-12-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 1223949-5
    ISSN 2045-7723 ; 1079-0268
    ISSN (online) 2045-7723
    ISSN 1079-0268
    DOI 10.1080/10790268.2021.1981715
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Incidence of hospital acquired pressure injury in critically ill patients with COVID-19 in prone position admitted to the intensive care unit.

    Sato, Lucas / Heck, Letícia Olandin / Bimbatti, Karina de Fátima / Petroski-Moraes, Bruno Cesar / Becari, Christiane / Basile-Filho, Anibal / Auxiliadora-Martins, Maria / Gonçalves Menegueti, Mayra

    Medicine

    2023  Volume 102, Issue 18, Page(s) e33615

    Abstract: Critical patients have conditions that may favor the occurrence of hospital-acquired pressure injury (HAPI). The objective of this study was to identify the incidence and factors associated with the occurrence of HAPI in patients with coronavirus disease ...

    Abstract Critical patients have conditions that may favor the occurrence of hospital-acquired pressure injury (HAPI). The objective of this study was to identify the incidence and factors associated with the occurrence of HAPI in patients with coronavirus disease 2019 admitted to the intensive care unit (ICU) who used the prone position. Retrospective cohort study carried out in an ICU of a tertiary university hospital. Two hundred four patients with positive real-time polymerase chain reactions were evaluated, of which 84 were placed in the prone position. All patients were sedated and submitted to invasive mechanical ventilation. Of the prone patients, 52 (62%) developed some type of HAPI during hospitalization. The main place of occurrence of HAPI was the sacral region, followed by the gluteus and thorax. Of the patients who developed HAPI, 26 (50%) had this event in places possibly associated with the prone position. The factors associated with the occurrence of HAPI in patients prone to coronavirus disease 2019 were the Braden Scale and the length of stay in the ICU. The incidence of HAPI in prone patients was extremely high (62%), which denotes the need to implement protocols in order to prevent the occurrence of these events.
    MeSH term(s) Humans ; COVID-19/epidemiology ; Retrospective Studies ; Pressure Ulcer/epidemiology ; Pressure Ulcer/prevention & control ; Critical Illness/epidemiology ; Incidence ; Prone Position ; Hospitalization ; Intensive Care Units ; Hospitals
    Language English
    Publishing date 2023-04-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80184-7
    ISSN 1536-5964 ; 0025-7974
    ISSN (online) 1536-5964
    ISSN 0025-7974
    DOI 10.1097/MD.0000000000033615
    Database MEDical Literature Analysis and Retrieval System OnLINE

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