Examinando por Materia "France"

Mostrando 1 - 14 de 14

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Aspiration of subglottic secretions as an effective alternative for the prevention of pneumonia in patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2020-02-29) Costa Pisfil, Erika Amavila; Elías Garcia, Karen Pamela; Avila Vargas Machuca, Jeannette Giselle
Objectives Systematize evidence on the effectiveness of subglottic aspirations for reducing pneumonia in patients with mechanical ventilation. Materials and Methods: Observational and retrospective systematic review, the search was based exclusively on articles with full text, and the chosen studies were subjected to a critical reading, based on the GRADE evaluation to identify their level of evidence. In the selection, 10 articles were chosen, of which 20% (2/10) correspond to the United States, 20% (2/10) Australia, 10% (1/10) to India, 20% (2/10) ) Canada, 10% (1/10) China, 10% (1/10) France and 10% (1/10) Belgium. Of these there are 2 systematic reviews, 4 meta-analyses, 3 clinical trials and 1 control study, all of high quality. Results: Of the 10 articles reviewed, 100% (10/10) demonstrated that aspiration of subglottic secretions reduces the incidence of pneumonia and edema problems compared to tracheal aspirations. Conclusions: It was shown that aspiration of subglottic secretions is effective in reducing the risk of pneumonia associated with mechanical ventilation.
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Effect of noise intensity on the newborn hospitalized in the neonatal ICU
(Universidad Privada Norbert Wiener, 2021-02-28) Checglio Cusi, Jessica Sadith; Santamaría Olivos, Elida; Pretell Aguilar, Rosa María
Objective: Systematize the available evidence on the effect of noise intensity on newborns hospitalized in the neonatal ICU. Material and methods: Systematic observational and retrospective review, quantitative, the 10 articles found on the effect of noise intensity in the newborn hospitalized in the neonatal ICU, were found in the databases PubMed, Sciencedirect, Scielo, Wiley Online Library, Elsevier, Epistemonikos. Results: Of the total articles found, 60% were systematic reviews, 10% quasi-experimental, 20% descriptive and 10% experimental and all referred to the effect of noise intensity on newborns hospitalized in the neonatal ICU. 20% corresponds to Colombia and 10% to France, the United States, Spain, Mexico, Canada, Italy, Brazil and Iran with 10% respectively. Of the total evidence, 80% were of high quality and 20% of low quality. The intensity of noise in neonatal intensive care units affects the development of the hospitalized newborn. The evidence also mentions that noise affects the newborn, both physically and neurologically, leaving them hospitalized for several days. Studies indicate that not only the newborn is affected, but also the health personnel since they are the ones who spend most of the day in these units. Conclusion: The 10 articles show that the intensity of noise in the neonatal intensive care unit affects the development of the newborn physically and neurologically, leaving them hospitalized for several days.
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Effectiveness of hydrogen peroxide in reducing contamination of pathogenic microorganisms in the hospital environment
(Universidad Privada Norbert Wiener, 2020-12-27) Carrera Gonzales, Jarumi Ananda; Dominguez Cuevas, Eddy Johnny; Basurto Santillán, Ivan Javier
Objective: Systematize the evidence on the effectiveness of hydrogen peroxide to reduce the contamination of pathogenic microorganisms in the hospital environment. Material and methods: Systematic observational and retrospective review, subjected to critical reading and using the GRADE evaluation system to identify the degree of evidence of the articles published in the following databases Epistemonikos, Researchgate, PubMed, Scielo and Sciencedirect. Of the 10 articles systematically reviewed, 50% of high quality and 50% of moderate quality are described below: 20% (n= 2/10) are systematic reviews, 30% (n= 3/10) are randomized controlled trials, 10% (n= 1/10) are quasi-experimental and 40% (n= 4/10) are cohort studies and belong to the countries of England (40%), followed by the United States (30%), Greece (10%), France (10%) and Australia (10%). Results: 100% (n=10/10) indicate that hydrogen peroxide is effective in reducing the contamination of pathogenic microorganisms in the hospital environment. Conclusion: Hydrogen peroxide is effective in reducing contamination of pathogenic microorganisms in the hospital environment.
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Effectiveness of skin antisepsis with chlorhexidine compared to other antiseptics for the prevention of infections in patients requiring a peripheral venous catheter
(Universidad Privada Norbert Wiener, 2019-09-22) Martinez Vera, Yasmina Tatiana; Rosales Clemente, Raquel Nelly; Bonilla Asalde, César Antonio
Objective: Systematize the patents on the effectiveness of skin antisepsis for the prevention of infection in patients who require the use of a peripheral venous catheter. Materials and Methods: Systematic Reviews are scientific inquiries, where the element of exploration is the unique primary works. It is a fundamental instrument for the synthesis of scientific reference, increasing the value of study results and in turn identifying areas that need to be investigated. It is executed using a strict methodology and high quality control to avoid erroneous conclusions. The investigation is limited to writings with complete content. Those chosen were subjected to a thorough investigation, using the grade system that allowed us to record the strength of recommendation. From the final choice, 10 articles were selected, of which we found that 20% (02) belong to the country of Japan and France, while 10% (01) correspond, respectively, to Canada, Portugal, Singapore, and the United Kingdom. , United States and Ireland. Among the randomized clinical trials we find studies from Canada, the United Kingdom, France with 70% and systematic reviews from Portugal, the United States and Singapore with 30%. Results: Of all the articles analyzed, 80% affirm that chlorhexidine is more effective than the use of other antiseptics in preventing infections. Conclusions: The research reviewed shows that there is effectiveness of skin antisepsis with chlorhexidine compared to other antiseptics in preventing infections in patients requiring a peripheral venous catheter.
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Effectiveness of the CPSS scale in the prognostic assessment of patients with stroke in emergency services
(Universidad Privada Norbert Wiener, 2021-07-04) Cornejo Olazabal, Dina Yolanda; Guerra Condorpusa, María Asunta; Pretell Aguilar, Rosa María
A systematic review of international research is carried out, obtained through a database search: Epistemonikos, PubMed, Elsevier, Google Academic and Scielo, which have been analyzed using the grade system to locate the level of evidence. The search has been carried out using the DeCS and MeSH descriptors for the search in Spanish and English respectively. The studied population consisted of 89 scientific articles, of which 10 represent the sample. 40% (4/10) of the articles reviewed correspond to the USA, and 60% (6/10) to Germany, France, China, Egypt, England, and Italy respectively. 40% (4/10) correspond to systematic reviews, randomized clinical trials, non-randomized clinical trials, and observational studies respectively and 60% (6/10) to cohort studies. Results: 100% (10/10) of the evidence indicates that the CPSS scale is effective in the prognostic assessment of patients with stroke in emergency services. Proving to be a reliable instrument that allows timely and appropriate decision making. Conclusions: 10 out of 10 evidence demonstrate that the CPSS scale is effective in the prognostic assessment of stroke patients treated in emergency services.
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Efficacy of Cuff Pressure Control in Patients With Endotracheal Tube
(Universidad Privada Norbert Wiener, 1905-07-09) Aguilar Tafur, Sory Marianita; Socla Cadenas, Paulina Yaqueline; Gamarra Bustillos, Carlos
Objective: Systematize and analyze the effectiveness of cuff pressure control in patients with an endotracheal tube. Methodology: Observational and retrospective systematic review, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading to identify their level of evidence. Results: In the final selection, 10 articles were chosen, we found that 30% (03) correspond to Iran, with 10% (01) we find the United States, France, Switzerland, Spain, India and Venezuela respectively. It has been studied that the majority of these were quasi-experimental studies, with 40%, mainly in the countries of Iran, India, Venezuela and Mexico. A Meta-analysis of France was found, with 10%, with 20% randomized clinical trials, mainly in the countries of the United States and Spain, likewise 20% we have experimental studies and 10% descriptive studies in Iran. Where of the total articles analyzed; 80% affirm that the use of a manometer to control cuff pressure in patients with an endotracheal tube is the most effective and the digital palpation technique is not a reliable measure to estimate pressure. Conclusions: It was evident in the reviewed research that the use of a manometer to control cuff pressure in patients with an endotracheal tube is the most effective and palpation is not a reliable measure to estimate the pressure, thereby reducing the risk. of tracheal mucosal lesions in patients treated in critical units.
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Efficacy of early mobilization in intensive care unit patients
(Universidad Privada Norbert Wiener, 1905-07-09) Delgado Marquina, Cecilia; Ruiz Burgos, Laura Isabel; Calsin Pacompia, Wilmer
This is a Systematic Review that consists of 10 research articles with full text that describe the results of its application in the early mobilization of patients hospitalized in intensive care units, as well as the benefits that this entails. The selected articles were subjected to a reading. criticism, using the Grade evaluation to identify its level of evidence. 60% (06) of the research found correspond to systematic reviews, the countries being Brazil (20%); USA, Canada, France and Australia with 10% each; and 40% (4) correspond to quantitative scientific articles from the countries Colombia, France, Brazil and Switzerland. Results: 90% (9) of the total of articles reviewed (10) indicated that early mobilization is effective, safe and has beneficial effects for the patient in intensive care units; in addition to having a significantly positive impact on the functional outcomes of patients; reduces associated complications derived from prolonged bed rest and also reduces the length of hospital stay. Conclusion: it was evident that 90% of studies affirm that early mobilization is an effective, safe and beneficial therapy to reduce complications and the stay of hospitalized patients in intensive care units.
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Efficacy of enoxaparin versus unfractionated heparin in the treatment of adult patients with acute coronary syndrome
(Universidad Privada Norbert Wiener, 1905-07-09) Villanueva Andrade, Raul Eduardo; Villanueva Torres, Ingrid Estela; Gamarra Bustillos, Carlos
Objective: Systematize and analyze the effectiveness of enoxaparin vs unfractionated heparin in the treatment of adult patients with acute coronary syndrome. Methodology: Observational and retrospective systematic review, the search has been restricted to articles with full text, and the selected articles underwent Jover evaluation to identify their level of evidence. Results: In the final selection, 9 articles were chosen, we found that 50% (05) correspond to Canada, with 30% (03) we find the United States, while with 10% (01) we find Korea and France respectively. Most of them are quantitative studies with 100%, mainly in the countries of Canada and the United States. Conclusions: Of the total of 9 articles systematically reviewed, 70% of the articles show that Enoxaparin is more effective than unfractionated heparin in the treatment of adult patients with acute coronary syndrome and 20% of the studies presented in the systematic review concludes that there are no significant differences between enoxaparins and low molecular weight heparin.
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Efficacy of self-care intervention programs in patients with hemodialysis treatments
(Universidad Privada Norbert Wiener, 1905-07-09) Béjar Alvarado, Cinthya Madeleine; Calsin Pacompia, Wilmer
Materials and Methods: This is a Systematic Review of 08 articles, in the database Scielo, Lilacs, Medline, Epistemonikos, Cocharne Plus, Pubmed, whose search has been restricted to articles with full text, the selected articles were included the most important according to level of evidence and the least relevant were excluded. In the final selection, 07 articles were chosen, 01 systematic review, we found that 100% (08) of the research found correspond to Iran (3), Taiwan (2), Pakistan (1), France (1), and Peru ( 1); with 37.5% (03) corresponding to Iran, they are quasi-experimental studies and randomized controlled clinical trials, with 25.0%, quasi-experimental and experimental, 12.5%, experimental, 12.5% quasi-experimental and 12.5% review systematic. Results: It was evident in the research reviewed that 100% show that there is effectiveness in self-care intervention programs, before and during hemodialysis treatment. Conclusions: Self-care Intervention Programs in hemodialysis patients are effective according to research studies, which indicate improvement in self-care in lifestyles, diet, decreased anxiety, as well as life expectancy.
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Efficacy of the prone position used in the patient with acute respiratory distress syndrome in the intensive care unit
(Universidad Privada Norbert Wiener, 1905-07-09) Choque Madueño, Dreysi Eliyana; Campos Taquire, Giovanna Victoria; Avila Vargas Machuca, Jeannette Giselle
Objective: To evaluate the effectiveness of the prone position used in patients with Acute Respiratory Distress Syndrome in the Intensive Care Unit. Materials and Methods: Systematic observational and retrospective review, the search was restricted to articles with full texts and the selected articles were subjected to critical reading. In the final selection, 12 articles were chosen, we found that 42% (05) correspond to the United States, we found 25% (03) in France and 17% (2) in Korea, while only 8% (01) we found Canada and Colombia respectively. . Most of the Meta-analysis studies have been studied with 50%. Among the systematic reviews we find 8.3% in Colombia, controlled clinical trials 33.3% in the United States, France, and we have 8.3% case-control studies belonging to France. Results: In the articles we found that 46.6% (08) affirm that the prone position reduces mortality in patients with Acute Respiratory Distress Syndrome in the prone position, we found 8.3% (01) affirm that the prone position is also safe in patients obese and improves oxygenation more than in non-obese patients and 8.3%(01) affirm that patients with Acute Respiratory Distress Syndrome In the prone position, the cardiac index improved. Conclusions: Of the total number of articles analyzed, 83.3% of the reviewed research affirm that there is effectiveness of the prone position used in patients with acute respiratory distress syndrome in the intensive care unit, there is a better redistribution of gas volume in the lung. , improving the ventilation/perfusion ratio, thus reducing mortality and increasing the survival benefit of patients who were prone.
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Efficacy of the use of adhesives with chlorhexidine for central venous catheters, in the prevention of bacteremia in patients in intensive care units
(Universidad Privada Norbert Wiener, 1905-07-09) Caballero Malaver, Mónica Elena; Samanamú Mauricio, Gabriela Cecilia; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of the use of chlorhexidine dressings for central venous catheters, for the prevention of bacteremia in patients in intensive care units. Materials and methods: Systematic Review, observational and retrospective research design, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading according to the degree of evidence that synthesizes the results of 01 Meta-analysis and 03 scientific articles that demonstrate the powerful bactericidal activity of the use of dressings with Chlorhexidine for central venous catheters as a preventive measure against bloodstream infections. Results: 1 meta-analysis and 3 articles were chosen in which we found that 50% (02) correspond to the United States with 25% (01), we find France and Israel with 25% (01) respectively. Of the total number of articles analyzed, 100% affirm the effectiveness of the use of dressings with chlorhexidine for CVC in the prevention of bacteremia and infections. The meta-analysis included 9 primary studies that showed a significant reduction in the incidence of infections due to colonization of the central venous catheter as well as bloodstream infection. A randomized trial demonstrated that the use of dressings impregnated with Chlorhexidine gel decreases the rate of CRF in ICU patients with a central venous catheter. A prospective comparative trial provided excellent results of bactericidal and antimicrobial action of the use of transparent dressings impregnated with CHG and finally a randomized controlled study was carried out in a pediatric cardiac intensive unit where gluconate sponge impregnated with chlorhexidine is safe and significantly reduces rates. of CVC colonization in infants and children after cardiac surgery. Conclusion: It was evident in the reviewed research that there is effectiveness in the use of adhesives with chlorhexidine for venous catheters in the prevention of bacteremia since it reduces the percentages of bacteremia associated with central venous catheters, therefore reducing hospital stay, deaths and costs. .
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Efficacy of using ultrasound guidance in catheter placement in patients with difficult vascular access
(Universidad Privada Norbert Wiener, 2019-08-25) Matos Bonifacio, Yeny; Pretell Aguilar, Rosa María
Objective: Systematize the evidence on the effectiveness of the use of ultrasound guidance in the placement of catheters in patients with difficult vascular disease. Materials and Methods: The type and design of the study was quantitative and systematic review respectively, 10 scientific articles made up the population and sample, of 100%, 10% correspond to Spain, 10% correspond to France, 10% London England, 10% Ireland, 30% USA, 10% Great Britain, 10% Canada and 10% Japan. The systematic review of the 10 scientific articles of which according to the type of research design, 10% (n=1/10) are randomized trials, 80% (n=8/10) are a systematic review and meta-analysis, and 10 % (n=1/10) are randomized studies. Results We found in 100% (10/10) of the studies that the use of ultrasound guidance in the placement of catheters in patients with difficult vascular access was effective in older adult patients, children, oncology patients, and diabetic patients who undergo dialysis. Conclusions: 10 of the 10 evidence concluded that the use of ultrasound in the placement of peripheral catheters is effective, because it has significant beneficial effects, being successful on the first attempt, reducing the risk of arterial puncture and hematomas, reducing complications.
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Limiting the volume of gastric residue in critically ill patients with enteral nutrition to prevent interruption of feeding
(Universidad Privada Norbert Wiener, 2020-02-16) Castiglione Rojas, Carmela Virginia; Midolo Novoa, Jennifer Clane; Matta Solis, Eduardo Percy
Objective: Systematize the evidence regarding the limit of the volume of gastric residue in critically ill patients receiving enteral diet to prevent interruption of feeding. MATERIALS AND METHODS: The study design used was a systematic review that are ordered and explicit evaluations that help collect and synthesize scientific evidence on a topic, also knowing that it is an observational and retrospective research design, which abbreviates the results of various investigations. The population is made up of 77 articles whose publication was in scientific databases. which Selection criteria were established such as age, degree and quality of evidence through which 10 articles that represent the sample published in Spanish and English no older than 10 years were selected. Results: the 10 articles found are Systematic Reviews with a 40% of the Countries of Spain (4/10), Colombia (1/10), Germany, France, China, Germany and the United Kingdom (4/10), Single-blind randomized controlled clinical trial with a 40%, the Countries of Spain and France (3/10), Systematic Review Meta analysis with 30% the Countries of Germany, the United Kingdom, China (1/10), and the United States, Colombia and Spain (3/10) , Descriptive Study Therefore, high and low quality is evident. Where the volume limit of gastric residue was observed in critically ill patients receiving enteral diet to prevent interruption of feeding. Conclusions: There is favorable evidence that a gastric volume of 150 to 500ml does not allow the interruption of gastric residue.
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Obese recipients increase risk of delayed graft function
(Universidad Privada Norbert Wiener, 1905-07-09) Encalada Borjas, Nadia Peggy; Guivín Munayco, Elizeth del Pilar; Remuzgo Artezano, Anika
Material and methods: The systematic review of 10 selected articles, using the database Pubmed, Advance Access, Redalyc, Open Access, Researchgate, Wiley Online Library, HHS Public Access. The 10 evidence = 100% (n=10/10) is quantitative (16-25) in design; 30% (n=3/10) systematic review and meta-analysis (16-18) and 70% (n=7/10) cohort study. Results: According to the systematic review, shown in the 10 articles, 30% (3) are systematic review - meta-analysis and 70% (7) are cohort studies, which come from the United States (50%), followed by Brazil ( 10%),England(10%),Holland(10%),Italy(10%),France(10%).point out that 100%(n=10)(16 - 25) of the evidence found specify that obese post-kidney transplant recipients have a greater risk of delayed graft function. Conclusion: The 10 articles reviewed, 100% (n=10/10), according to the evidence found, it is concluded that obese recipients do increase the risk of delayed graft function in post-kidney transplantation, accompanied by a significant increase in the risk of several adverse outcomes such as; post-surgical cardiovascular, metabolic (Diabetes mellitus 2) lymphatic complications with longer hospital stay. However; It is evident that kidney transplantation can be performed safely in these obese recipients with survival and graft rates similar to those of non-obese patients.