Examinando por Materia "Georgia"

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Acceso abierto
Efficacy of arteriovenous fistula access compared with indwelling central venous catheter for the prevention of infections in patients with chronic kidney disease
(Universidad Privada Norbert Wiener, 2020-07-26) Quispe Huaman, Luis Fernando; Marquez Jara, Elizabeth Victoria; Arevalo Marcos, Rodolfo Amado
Objective: Systematize the effectiveness of arteriovenous fistula access compared to a permanent central venous catheter for the prevention of infections in patients with chronic kidney disease. Material and methods: Systematic observational and retrospective quantitative review, subjected to critical selection, using the Grade evaluation system to identify the degree of evidence, found in the following databases: Decs, PubMed, Cochrane, Lilacs, Scielo, Elsevier. Of the 10 articles systematically reviewed, 50% (n= 5/10) are meta-analyses, 40% (n= 4/10) are cohort studies and 10% (n= 1/10) are case studies and controls. According to the results obtained from the systematic review carried out in the present study, they come from the countries of Brazil (20%), followed by the USA (20%), Taiwan (20%), Georgia (10%), Switzerland (10%). %), Canada (10%) and Greece (10%). Results: Likewise, of the evidence found, 100% (n=10/10) indicate that the prevention of infections in patients with AVF access is more effective than CVCP in patients with chronic kidney disease. Conclusion: Prevention of infections in patients with AVF access is more effective than CVCP in patients with chronic kidney disease.
Acceso abierto
Efficacy of enteral nutrition by nasojejunal tube compared with nasogastric tube in critically ill patients
(Universidad Privada Norbert Wiener, 2017-11-12) Palomino Huaraca, Elvis; Rojas Espinoza, Juan Rommel; Bonilla Asalde, César Antonio
Materials and Methods: 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, using the GRADE evaluation to identify their level of evidence. Pudmed, Scielo, Bvs, Medline (2002 – 2017) were searched for studies comparing gastric and jejunal feeding in critically ill patients. The 10 scientific articles systematically reviewed correspond to China, Australia, Canada, Georgia, London. Results: In the final selection, a sample was chosen from the total of 10 articles systematically reviewed, we found that 60% (n = 6/10) 6 of the articles show that the placement of the nasojejunal tube reduces gastric residual volume and provides better result in nutritional status, meanwhile 40% of the reviewed articles concluded that there is no variation and significance in the use of the nasojejunal or nasogastric tube, both being equal when providing enteral nutritional support. Conclusions: The systematic review of the 10 scientific articles on the effectiveness of enteral nutrition by nasojejunal tube compared to the nasogastric tube in improving indicators of the nutritional status of critically ill patients, 60% (n=06/10) showed that the Enteral nutrition via nasojejunal tube is more effective compared to nasogastric tube in improving indicators (BMI, kcal per day, serum albumin, pre-albumin, transferrin) of the nutritional status of the critically ill patient.