Examinando por Materia "Hospital Mortality"

Mostrando 1 - 5 de 5

Acceso abierto
Effectiveness of activating a sepsis code to reduce in-hospital mortality in patients with severe sepsis/septic shock
(Universidad Privada Norbert Wiener, 2020-08-02) Loayza Goicochea, Oscar Roger; Pretell Aguilar, Rosa María
Objective: Systematize the available evidence on the effectiveness of activating a sepsis code to reduce in-hospital mortality in patients with severe sepsis/septic shock. MATERIALS AND METHODS: The type of research is quantitative, the design is a systematic review of 10 articles that were obtained from the following databases: Pubmed, Biomedcentral, Sciencedirect, Medintensiva, Scielo. Of the 10 articles reviewed and analyzed, 50% (n= 5/10) are Quasi-experimental, 40% (n= 4/10) Cohort and 10% (n=1/10) are systematic reviews. According to the quality of the evidence, it was found to be 90% moderate and 10% high. According to the recommendation strength it is 90% weak and 10% strong. According to the country where the investigations were carried out, they correspond to Spain 70%, the United States 20% and Cuba 10%. Results: According to the review, it is evident that 100% of the articles (n = 10/10) indicate that the implementation of the sepsis code is effective in reducing in-hospital mortality in patients with severe sepsis and septic shock. Conclusion: It is concluded that 10 of 10 evidence reviewed and analyzed demonstrate that the activation of a sepsis code is effective in reducing in-hospital mortality in patients with severe sepsis/septic shock.
Acceso abierto
Efficacy of the bundle in reducing mortality in patients with severe sepsis in critical units.
(Universidad Privada Norbert Wiener, 2018-07-08) Poma Suarez, Rosa Elena; Carranza Manco, Alexis Armando; Glenni Garay, Zarely Zabeli
"Systematic review, subjected to critical reading and using the GRADE evaluation system to identify the level of evidence of articles published in the following databases: PubMed, Sciencedirect, Redalyc, Scielo, Researchgate, Epistemonikos. Of the 10 articles systematically reviewed, 20% (n=2/10) are systematic reviews, 10% (n=2/10) are meta-analyses, and 70% (n=7/10) are cohort studies, originating from the countries of the United States (20%), Brazil (20%), China (20%), followed by Italy (10%), Australia (10%), France (10%), and the Netherlands (10%). 100% (n=10/10) indicate that the bundle is effective in reducing mortality in patients with sepsis in critical care units. Conclusion: The bundle is effective in reducing mortality in patients with sepsis in critical care units."
Acceso abierto
Efficacy of the use of convective method (hemodiafiltration) compared to the use of diffusive method (hemodialysis) in reducing mortality (general and cardiovascular) in adult patients with end-stage renal failure.
(Universidad Privada Norbert Wiener, 2018-07-08) Meléndez López, Edwin Moisés; Matta Solis, Hernan Hugo
Objective: Analyze and systematize the evidence found regarding the effectiveness of the convective method (Hemodiafiltration) vs. the use of diffusive method modalities (Hemodialysis) to decrease mortality (general and cardiovascular) in adult patients with terminal chronic kidney failure. Materials and Methods: Systematic review, Randomized and non-randomized clinical trials, with 10 scientific evidences obtained from the following databases: Epistemonikos and Pubmed. Therefore, 80% (8/10) are systematic reviews, 10% (1/10) are non-randomized trials, and 10% (1/10) are randomized trials. Of the total evidence, 20% (2/10) come from Romania, followed by 20% (2/10) from Spain, 10% (1/10) from Argentina, 10% (1/10) from Turkey, 10% (1/10) from the U.S., 10% (1/10) from Germany, 10% (1/10) from Australia, and 10% (1/10) from the Netherlands. Results: 70% of the evidence found indicate that the use of the convective method (HDF) is more effective than the use of the diffusive method (HD) in reducing mortality (cardiovascular or general) in adult patients with terminal chronic kidney failure, while 30% indicate no significant difference between the two renal replacement therapies. Conclusion: Of the evidence, 7 out of 10 indicate that the use of the convective method (Hemodiafiltration) is more effective than the use of the diffusive method (Hemodialysis) in reducing mortality (cardiovascular and general) in adult patients with terminal chronic kidney failure, while 3 out of 10 indicate no significant difference.
Acceso abierto
Efficacy of the use of convective method (hemodiafiltration) compared to the use of diffusive method (hemodialysis) in reducing mortality (general and cardiovascular) in adult patients with end-stage renal failure.
(Universidad Privada Norbert Wiener, 2018-07-08) Bendezú Moreno, Wilma Erika; Meléndez López, Edwin Moisés; Matta Solis, Hernan Hugo
Objective: Analyze and systematize the evidence found regarding the effectiveness of the convective method (Hemodiafiltration) vs. the use of diffusive method modalities (Hemodialysis) to decrease mortality (general and cardiovascular) in adult patients with terminal chronic kidney failure. Materials and Methods: Systematic review, Randomized and non-randomized clinical trials, with 10 scientific evidences obtained from the following databases: Epistemonikos and Pubmed. Therefore, 80% (8/10) are systematic reviews, 10% (1/10) are non-randomized trials, and 10% (1/10) are randomized trials. Of the total evidence, 20% (2/10) come from Romania, followed by 20% (2/10) from Spain, 10% (1/10) from Argentina, 10% (1/10) from Turkey, 10% (1/10) from the U.S., 10% (1/10) from Germany, 10% (1/10) from Australia, and 10% (1/10) from the Netherlands. Results: 70% of the evidence found indicate that the use of the convective method (HDF) is more effective than the use of the diffusive method (HD) in reducing mortality (cardiovascular or general) in adult patients with terminal chronic kidney failure, while 30% indicate no significant difference between the two renal replacement therapies. Conclusion: Of the evidence, 7 out of 10 indicate that the use of the convective method (Hemodiafiltration) is more effective than the use of the diffusive method (Hemodialysis) in reducing mortality (cardiovascular and general) in adult patients with terminal chronic kidney failure, while 3 out of 10 indicate no significant difference.
Acceso abierto
Efficacy of therapeutic hypothermia in reducing the risk of mortality in adults with cardiac arrest
(Universidad Privada Norbert Wiener, 1905-07-09) Mendoza Blas, Zully Janneth; Orbegoso Escobedo, Claudia Vanessa; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of therapeutic hypothermia to reduce the risk of mortality in adults with cardiac arrest. Material and methods: Systematic Reviews are an observational and retrospective research design, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: The population was made up of the bibliographic review of 13 scientific articles published and indexed in the Scielo, Pubmed, Medline, Lilacs databases, no older than ten years and that respond to articles published in the Spanish language. This work makes it clear that 92 percent (12 studies) prove that the use of therapeutic hypothermia is effective after cardiac arrest; while 8 percent (1 study) show that it is not effective. Conclusions: The studies reviewed show that therapeutic hypothermia in intensive care units is associated with a relative reduction in hospital mortality in patients with cardiac arrest, therefore we can affirm that therapeutic hypothermia is effective in reducing mortality in patients with cardiac arrest. cardiac, a stable temperature of 32-34°C must be maintained for 24 hours