Examinando por Materia "Intensive Care"

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Acceso abierto
Advantages of the FOUR scale compared to the Glasgow scale in predicting mortality in neurocritical patients.
(Universidad Privada Norbert Wiener, 2018-03-25) Achaca Palomino, Raquel Elizabeth; Caballero Ramírez, Jesús Miguel; Gamarra Bustillos, Carlos
Objective: To systematize the evidence on the advantages of the FOUR Scale compared to the Glasgow Coma Scale (GCS) in predicting mortality in neurocritical patients. Methodology: This is a systematic review of 14 articles from different databases, with the search restricted to full-text articles and using the GRADE system for evaluation. Results: From the systematic review, 50% of the authors report that the FOUR Scale provides a better prediction of mortality and offers a more detailed neurological assessment in coma patients in the ICU, as it can assess intubated patients and those with aphasia, including evaluation of brainstem reflexes and respiration. Another 50% of the reviewed articles suggest that the FOUR Scale can predict hospital mortality as well as the GCS and that both can be used to assess the level of consciousness in neurocritical patients. Conclusion: Both the FOUR Scale and the GCS perform well as predictors of mortality and neurological assessment in neurocritical patients. However, the FOUR Scale offers more advantages by including brainstem reflexes and respiration within its scoring system.
Acceso abierto
Effectiveness of negative pressure therapy to decrease infection of the surgical site of hospital stay for patients in intensive care
(Universidad Privada Norbert Wiener, 2019-11-24) Lora Núñez, Gioanna Pamela; Valle Galvez, Lourdes Madeleine; Uturunco Vera, Milagros Lizbeth
Objective: To analyze the evidence regarding the efficacy of negative pressure therapy to reduce surgical site infection and hospital stay in intensive care patients. Materials and Methods: The research design is a systematic review, with a search conducted in databases: Scielo, Pubmed, Medline, Cochrane Plus, Epistemonikos. The population consisted of 22 articles, and the sample was made up of 10 articles. The articles were evaluated using the GRADE system, which assesses the quality of evidence and strength of recommendation. Results: The scientific evidence comes from countries such as England (20%), followed by the United States (10%), Australia (20%), Sweden (10%), Spain (10%), Italy (10%), Ireland (10%), and Costa Rica (10%). 80% of the articles demonstrate the efficacy of negative pressure therapy in reducing surgical site infection and hospital stay in intensive care patients, while 20% show no evidence of efficacy due to small sample studies. Conclusions: Negative pressure therapy is effective in reducing surgical site infection and hospital stay in intensive care patients.