Examinando por Materia "Meta-Analysis"
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Ítem Acceso abierto 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 GiselleObjectives 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.Ítem Acceso abierto Effectiveness of an intervention program in early family care for the development of psychomotor capacity and adaptation to the environment in children under 5 years of age(Universidad Privada Norbert Wiener, 2019-09-29) Miraval Sosa, Carola Margarita; Rojas Collazos, Lady Karina; Bonilla Asalde, César AntonioObjective: Analyze the scientific evidence about the effectiveness of an intervention program in early family care for the development of psychomotor capacity and adaptation to the environment in children under 5 years of age. Material and methods: It is a systematic review of 10 scientific articles of interest for the study, which were found in databases: Scielo, Lilacs, Cochrane, Pubmed, Google Scholar; All of them were analyzed according to the Grade scale to determine their strength and quality of evidence. Results: Of the 10 articles reviewed, 3 are systematic reviews (30%), 2 are randomized controlled trials (20%), 2 are cohort studies (20%), 1 meta-analysis (10%), 1 case-control studies (10% ) and 1 randomized clinical trial (10%). All of them point out the effectiveness of an intervention program in early family care to improve psychomotor development and adaptation to the environment. Conclusion: 100% of the articles reviewed show effectiveness in an intervention program in early family care to improve psychomotor development and adaptation to the child's environment, which should be started as soon as possible to improve development, maximizing their abilities. and integrating the family in this process.Ítem Acceso abierto Effectiveness of bundles to reduce bloodstream infections in patients with central lines in critical units(Universidad Privada Norbert Wiener, 2019-09-29) Navarro Asencios, Carlos Alfredo; Pretell Aguilar, Rosa MaríaObjective: Systematize the evidence on the effectiveness of bundles to reduce bloodstream infections in patients with a central line in critical units. 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, Sciencedirect, PubMed, Researchgate. Of the 10 articles systematically reviewed, 30% are of high quality as described below: 30% (n= 3/10) are meta-analyses and 70% (n= 7/10) are of medium quality represented by 50% (n= 5/10) are cohort studies and 20% (n= 2/10) are quasi-experimental and come from the countries of the Netherlands (20%), Taiwan (20%) followed by Belgium (10%), Korea (10%), Chile (10%), Australia (10%), Colombia (10%), and Thailand (10%). Conclusion: Bundles are effective in reducing bloodstream infections in patients with central lines in critical units.Ítem Acceso abierto Effectiveness of early-onset prolonged prone position in improving hypoxemia in patients with acute respiratory distress syndrome in the intensive care unit(Universidad Privada Norbert Wiener, 2020-02-29) González Gestro, Rosaluz Elcira; Barrantes Quiñones, Rocío del Pilar; Rivera Lozada de Bonilla, OrianaThe prone position for prolonged periods and early onset improves the risk of hypoxemia in patients with ARDS. In the present work, the existing evidence on the effectiveness in the application of the prone position was systematically analyzed, of which 13 scientific articles with GRADE recommendation and strength of evidence were identified; These respond to different designs: randomized clinical trials; meta-analysis and systematic reviews of the last 10 years in countries such as Spain, the United Kingdom, Great Britain, the United States, Korea, Canada and China. Results: Of the 13 scientific articles, 100% indicate that there is effectiveness in prone positioning therapy, being chosen early and in prolonged periods, improving the hypoxemia compromise in patients with severe lung injury: ARDS. Conclusion: Prolonged prone positioning with early onset improves the risk of hypoxemia in patients with ARDS.Ítem Acceso abierto Effectiveness of Enhanced Recovery Program Versus Conventional Care in Decreasing Hospital Stay in Colorectal Surgery Patients(Universidad Privada Norbert Wiener, 2020-01-25) Niebles Sotelo, Estefania; Padilla Chacpi, Jackeline Fabiola; Basurto Santillán, Ivan JavierMaterial and methods: Systematic retrospective and quantitative observational review, subject to criticism, using the Grade evaluation method to establish the level of evidence, located in the following information sources: Researchgate, Sciencedirect, Epistemonikos, PubMed, Scielo. Of the 10 articles systematically reviewed, 80% are of high quality as described below: 50% (n= 5/10) are meta-analysis, 20% (n= 2/10) systematic review, 10% ( n= 1/10) is a randomized controlled trial and 20% of moderate quality as described below: 20% (n= 2/10) cohort studies. They come from the countries of the United States (20%), England (20%), China (20%), Italy (10%), Norway (10%), New Zealand (10%) and Holland (10%). Results: Of the evidence found, 100% (n=10/10) evidence concludes that the enhanced recovery program is more effective than conventional care in reducing hospital stay in colorectal surgery patients. Conclusion: 10/10 evidence concludes that the enhanced recovery program is more effective than conventional care in reducing hospital stay in colorectal surgery patients.Ítem Acceso abierto Effectiveness of high-flow central venous catheter sealing with antimicrobials and VS anticoagulants. sealing with anticoagulant in the prevention of infections(Universidad Privada Norbert Wiener, 2020-02-22) Sosa Vilcachagua, Gladys Alicia; Avila Vargas Machuca, Jeannette GiselleObjective: Systematize the studies found regarding the difference between sealing with antimicrobial and anticoagulant solutions vs. sealing with anticoagulant for the prevention of high-flow central venous catheter infections. Materials and Methods: the search was restricted to studies of complete accessibility, articles that in total were 10 were classified according to high and moderate quality of evidence, and/or according to the type of study. 20% correspond to meta-analysis studies, 50% to systematic reviews, both types of studies with high evidence and strength of recommendation. 50% corresponds to Spain, 20% corresponds to the US and Chile, 10% corresponds to China. Results: 50% reported that the exclusive use of antibiotics reduces the risk of high-flow catheter infection, 30% reported that the use of antibiotics plus anticoagulant not only reduces the risk of catheter infection but also prevents dysfunctional catheters. and 10% that the use of antibiotics to seal the catheter favors antibiotic resistance. Conclusions: Seals with solutions containing antibiotics and antimicrobials are more effective in preventing high flow catheter infection, but if an anticoagulant is added they are better.Ítem Acceso abierto Effectiveness of laparoscopic appendectomy versus open appendectomy in obese patients, to reduce complications and hospital stay(Universidad Privada Norbert Wiener, 2021-10-13) Lipa Gutierrez, Ruth Nohemi; Requis Delgado, Sonia Jasmin; Pretell Aguilar, Rosa MaríaObjective: Systematize the evidence linked to the effectiveness of laparoscopic appendectomy versus open appendectomy in obese patients to reduce complications and hospital stay. Methodology: The systematic review of the 10 scientific articles were from the following databases: Epistemonikos, Scielo, Cochrane Plus, Pubmed, Medline. They allowed us to find 10 scientific evidence. Of all the evidence, the type of research belongs to descriptive 60% (6/10), meta-analysis 20% (2/10), cohort 10% (1/10) and systematic review 10% (1/10). Likewise, 60% (6/10) correspond to the United States, the United Kingdom 10% (1/10), Chile 10% (1/10), Mexico 10% (1/10) and Argentina 10% (1/10). ). Results: 90% (n= 09/10) of the evidence indicates that laparoscopic appendectomy is more effective than open appendectomy for reducing complications and hospital stay in obese patients. On the other hand, 10% demonstrate that appendectomy is not effective compared to the open technique, since the laparoscopic technique did not show a benefit over the open approach, both in complications and hospital stay. Conclusion: 9 out of 10 evidence demonstrates that laparoscopic appendectomy is more effective than open appendectomy in reducing complications and hospital stay in obese patients.Ítem Acceso abierto Effectiveness of lower extremity flexion to reduce blood loss and improve range of motion after total knee arthroplasty in post-surgical patient(Universidad Privada Norbert Wiener, 2020-02-16) Villar Valer, Liz Evelin; Isla Urco de Nuñez, Wuendy Brecia; Pretell Aguilar, Rosa MaríaObjective: Systematize the evidence on the effectiveness of lower extremity flexion to reduce blood loss and improve range of motion after total knee arthroplasty in immediate post-surgical patients. Material and method: The study design is a systematic review consisting of 10 scientific articles that demonstrate the effectiveness in reducing blood loss and improving range of motion after total knee arthroplasty in immediate post-surgical patients, which were obtained from the following database: Epistemonikos, Pubmed, Trandfonline, jors online, Springer, publishers, publishing, Springer. They were analyzed according to the Grade scale to determine the strength and quality of the evidence. Of the 10 articles, 100% (n=10/10) are of high quality, 70% (n=7/10) are meta-analysis, 10% (n=1/10) are systematic reviews, the 10% (n = 1/10) are randomized clinical trials and 10% (n = 1/10) are randomized controlled trials. Depending on the country where the research was carried out, 70% correspond to China. (n=7/10), Europe, 10% (n=1/10), Berlin 10% (n=1/10), and the USA 10% (n = 1/10). Results: From the evidence obtained, 100% (n=10/10) (12,13,14,15,16,17,18,19,20,21) demonstrate that lower extremity flexion is effective in Decreased blood loss and improved range of motion after total knee arthroplasty in immediate post-surgical patients. Conclusions: 10 of the 10 articles demonstrate that lower extremity flexion is effective in reducing blood loss and improving range of motion after total knee arthroplasty in immediate post-surgical patients.Ítem Acceso abierto Effectiveness of music therapy in reducing pain in adult patients after surgery with general anesthesia(Universidad Privada Norbert Wiener, 2019-08-25) Romero Querevalu, Ginna Consuelo; Pulido Falcon, Maravi Victoria; Pretell Aguilar, Rosa MaríaObjective: Synthesize the evidence of the effectiveness of music therapy in reducing postoperative pain in adult patients with general anesthesia. Material and methods: The present systematic review consists of 10 scientific articles on the effectiveness of the use of music in adult patients after surgery with general anesthesia. These evidences were obtained from the following databases Pubmed, Epistemonikos, Scielo, Elsevier, Cochrane Plus and Google scholar. According to the Grade System we can show that 100% (10/10) of studies were of high quality. The Systematic Review was the study design used in 90% (9/10) of the investigations; The meta-analysis followed with 10% (1/10). Results: Of the 10 articles reviewed, 100% (10/10) demonstrate that the use of music in post-operative adult patients is effective in reducing post-operative pain. Conclusions: Of the 10 articles reviewed, all 10 show the effectiveness of the use of music therapy in the management of postoperative pain in adult patients with general anesthesia.Ítem Acceso abierto Effectiveness of relaxation therapy to reduce anxiety in adults(Universidad Privada Norbert Wiener, 2019-09-22) Morales Mendez, Fernando Nicolas; Ramos Yancce, María Angélica; Avila Vargas Machuca, Jeannette GiselleObjective: Analyze the evidence of the effectiveness of relaxation therapy to reduce anxiety in adults. Material and methods: Quantitative observational and retrospective systematic review, meta-analysis studies, experimental studies, quasi-experimental, qualitative study, randomized controlled longitudinal study, Mixed Approach Control and self-control: Pilot study, descriptive and retrospective study, subjected to a selection, using the Grade evaluation system for identifying the level of evidence, found in the databases: PubMed, Scielo, Elsevier, Cochrane. Of the 10 articles reviewed, 30% (n= 3/10) is a systematic review, 20% (n= 2/10) is a Clinical Trial, 10% (n= 1/10) is a meta-analysis, 20% ( n= 2/10) is quasi-experimental, 10% (n=1/10) is an experimental study and 10% (n= 1/10) is a descriptive study. Results of the study countries of Spain (30%), Germany (20%), USA (20%), Mexico (10%), India (10%) and finally Holland (10%). Results: In the evidence found, 100% (n=10/10) indicate that relaxation therapy is effective in reducing anxiety in adults. Conclusion: we can find that, within relaxation therapy, Jacobson's progressive relaxation techniques and applied relaxation are more effective in reducing anxiety in adults.Ítem Acceso abierto Effectiveness of sealing high-flow central venous catheter with antimicrobials and anticoagulants vs sealing with anticoagulant in the prevention of infections(Universidad Privada Norbert Wiener, 2020-02-22) Piscoya Paulino, Mariela Patricia; Sosa Vilcachagua, Gladys Alicia; Avila Vargas Machuca, Jeannette GiselleObjective: Systematize the studies found regarding the difference between sealing with antimicrobial and anticoagulant solutions vs. sealing with anticoagulant for the prevention of high-flow central venous catheter infections. Materials and Methods: the search was restricted to studies of complete accessibility, articles that in total were 10 were classified according to high and moderate quality of evidence, and/or according to the type of study. 20% correspond to meta-analysis studies, 50% to systematic reviews, both types of studies with high evidence and strength of recommendation. 50% corresponds to Spain, 20% corresponds to the US and Chile, 10% corresponds to China. Results: 50% reported that the exclusive use of antibiotics reduces the risk of high-flow catheter infection, 30% reported that the use of antibiotics plus anticoagulant not only reduces the risk of catheter infection but also prevents dysfunctional catheters. and 10% that the use of antibiotics to seal the catheter favors antibiotic resistance. Conclusions: Seals with solutions containing antibiotics and antimicrobials are more effective in preventing high flow catheter infection, but if an anticoagulant is added they are better.Ítem Acceso abierto Effectiveness of skin-to-skin contact for adaptation to extrauterine life in the newborn(Universidad Privada Norbert Wiener, 2020-02-08) Anchante Urbina, Erika; Miranda Vidal, Yesmily; Matta Solis, Hernán HugoThe following work systematizes the effectiveness of skin-to-skin contact for adaptation to extrauterine life in the neonate. Meta-analysis, systematic reviews, randomized controlled trials, a randomized clinical study and a case-control study and Grade evaluation were used to classify the degree of evidence, which were found in the following databases: PubMed, Scielo, Epistemonikos, Sciencedirect. Of the chosen articles belong to the following countries: 1 Uganda, 1 Germany, 1 United States, 1 United Kingdom, 1 India, 1 Italy, 1 Vietnam, 1 Uruguay, 1 Chile, 1 Mexico. Within the evidence reviewed in this work, all support that skin-to-skin contact between the mother and the newborn is effective for their extrauterine adaptation. Coming to the conclusion that skin-to-skin contact is effective for adaptation to extrauterine life in the newborn. Because breastfeeding is promoted, it regulates the temperature of the newborn, maintains blood glucose levels and strengthens the emotional bond. Health personnel in the neonatology area are recommended to put this procedure into practice.Ítem Acceso abierto Effectiveness of Surgical Care Bundles in Reducing the Risk of Surgical Site Infections in Patients Undergoing Colorectal Surgery(Universidad Privada Norbert Wiener, 2020-08-02) Rodriguez Oro, Kharen Fabiola; Arevalo Marcos, Rodolfo AmadoObjective: Systematize evidence on the effectiveness of surgical care bundles to reduce the risk of surgical site infections in patients undergoing colorectal surgery. Material and methods: Systematic retrospective and observational review subject to critical reading and using the GRADE system as an evaluation tool to identify the quality of scientific evidence published in the following sources of information. Epistemonikos, Scielo, Sciencedirect Researchgate and PubMed. Of the 10 articles systematically reviewed, 20% of high quality and 80% of moderate quality are described below: 20% (n= 2/10) are meta-analyses and 80% (n= 8/10) are cohort studies respectively and belong to the countries of the United States (60%), Japan (10%), Australia (10%), Holland (10%) and England (10%).Results: 100% (n=10/10) indicate that surgical care bundles are effective in reducing the risk of surgical site infections in patients undergoing colorectal surgery. Conclusion: Surgical care bundles are effective in reducing the risk of surgical site infections in patients undergoing colorectal surgeries.Ítem Acceso abierto Effectiveness of the mindfulness intervention to reduce stress levels, improve the health and well-being of workers(Universidad Privada Norbert Wiener, 2020-08-02) Lévano De La Cruz, Jessica Fanny; Obando Llontop, Zoila America Soledad; Pretell Aguilar, Rosa MaríaObjective: Systematize the linked evidence on the effectiveness of the mindfulness intervention to reduce stress levels, improve the health and well-being of workers. Materials and methods: The search was synthesized in 10 international investigations, where it was found that 40% of the investigations found correspond to the United States, 20% Australia, another 10% Colombia, 20% the United Kingdom and another 10% to Spain . Regarding the research design, 40% are experimental, 30% are randomized controlled trials, 10% are meta-analysis, 20% are systematic reviews, therefore, 100% of the evidence is of high quality; The data were obtained from Pubmed, Epistemonikos and scielo. Results: 100% of the evidence reviewed demonstrates that the mindfulness intervention is effective in reducing stress levels and improving the health and well-being of workers. Conclusions: After reviewing the evidence we can say that 10/10 evidence demonstrates that the mindfulness intervention is effective in reducing stress levels and improving the health and well-being of workers.Ítem Acceso abierto Effectiveness of the practice in the frequency of use of chlorhexidine administration for the prevention of pneumonia in patients with mechanical ventilation(Universidad Privada Norbert Wiener, 2017-11-12) Estrada Galdos, Margarita; Quiroz Ramos, Luz Kimberlin; Bonilla Asalde, César AntonioObjective: Systematize the evidence about the effectiveness of the practice in the administration of chlorhexidine for the prevention of pneumonia in patients with mechanical ventilation. Material and methods: Regarding the effectiveness in preventing pneumonia with oropharyngeal decontamination with chlorhexidine 3 times a day or more compared to 1 and 2 times a day in patients with mechanical ventilation, they were found in the following databases: Researchgate, PubMed, Data Cochrane Library, Wiley, ScienceDirect, Springer Link. Of 10 articles systematically reviewed, 4 are systematic meta-analysis reviews (40%), 3 are systematic reviews (30%}, 1 is a randomized controlled clinical trial (10%}, 1 is a quasi-experimental (10%) and 1 is a cohort study {10%). These come from Italy, Belgium, Colombia and Australia {10% each), Spain and Brazil (20%), China (30%). Results: 50% of the articles reviewed do not find differences in effectiveness, with a frequency of use of chlorhexidine of 1 to 2 times a day versus 3 times or more, while the other 50% reveal in favor of the use of Chlorhexidine is three times more effective in oropharyngeal decontamination. Conclusion: The use of chlorhexidine in oropharyngeal decontamination is effective for the prevention of pneumonia, however, 50% of the evidence indicates that its effectiveness is not related to practices in the frequency of use.Ítem Acceso abierto Effectiveness of training in prevention of occupational safety and health in workers(Universidad Privada Norbert Wiener, 2019-08-18) Tagle Principe, Noelia Milagros; Del Carmen Francia, Rosa Marlene; Basurto Santillán, Ivan JavierObjective: Systematize evidence on the effectiveness of training in occupational health and safety prevention in workers. Materials and Methods: the systematic review of 10 scientific articles found on the effectiveness of training in prevention of occupational safety and health in workers was carried out in different databases: Scielo, Scandinavian, Dialnet, Medline, BMC Medical Education, Elsevier and Emerald insight. These articles were analyzed based on the Grade scale, in order to establish the quality of the evidence and its respective strength. Results: of ten articles reviewed, 60% have a systematic review methodological design, 10% correspond to the systematic review and meta-analysis, 10% to the descriptive design, 10% are meta-analysis and the final 10% have a study design. control case. Regarding the 10 articles, 90% showed effectiveness in training on occupational health and safety prevention in workers, while 10% found that the effectiveness is not significant. Conclusions: of the 10 articles that were reviewed, (9/10) showed the effectiveness of the training in terms of preventing occupational health and safety of collaborators and (1/10) found that the effectiveness is not significant.Ítem Acceso abierto Effectiveness of transcutaneous bilirubinometry in detecting jaundice in newborns(Universidad Privada Norbert Wiener, 2019-08-25) Inga Romero, Kathia Milagros; Matta Solis, Eduardo PercyObjective: Systematize the findings of the effectiveness of transcutaneous bilirubinometry in the detection of jaundice in newborns. Materials and Methods: the design used was a systematic review, which uses original research studies. The population was made up of 20 articles, which through inclusion criteria allowed 10 articles to be selected from indexed scientific bases. Results: of the 10 articles, 7/10 (70%) belong to the Asian continent, 2/10 belong to the American continent (20%) and 1/10 belongs to the African continent, they were systematic reviews, Meta-analysis, Quasi-experimental, Trials Random 8/10 are equivalent to (80%), which are of high quality and strong recommendation; 2/10 are equivalent to (20%) which are Case Studies and weak recommendations. In the final selection, 10 articles were chosen, we found that 70% (n=7) correspond to the Asian continent, China, Japan, India, Arabia and with 30% (n=3) we find Nigeria, the United States, Canada, Most of them have been studied in Systematic and Quasi-experimental Reviews and Meta-Analyses. 8/10 (80%) showed favorable evidence, 2/10 (20%) did not find it. Conclusions: It was evident in the reviewed research that there is effectiveness of transcutaneous bilirubinometry in the detection of jaundice in newborns.Ítem Acceso abierto Effectiveness of tympanoplasty in patients with otitis media(Universidad Privada Norbert Wiener, 2018-12-02) Esteban Molina, Suly Brenda; García Chávez, Geraldine Nadir Elizabeth; Calsin Pacompia, WilmerObjective: analyze and systematize evidence on the effectiveness of tympanoplasty in patients with otitis media. Materials and methods: the research was quantitative, its design being a systematic review whose population was made up of 15 scientific articles having as a sample 10 studies that were published in different scientific databases: Mediciego, Sciencedirect, Scielo, Pubmed, Elsevier, Epistemónikos, Ebsco and for its analysis the grade method was used where the quality of evidence and the strength of recommendation was evaluated. Results: we have that of 100% of the scientific articles, 20% correspond to Chile, 10% Colombia, 10% USA, 10% Mexico, 10% Cuba, 10% Qatar, 10% Cyprus, 10% to the United Kingdom and finally 10% to China respectively. Regarding the study designs, we can mention that 70% correspond to retrospective, 10% meta-analysis, 10% prospective and 10% cohort respectively. Conclusions: it was concluded that 100% of the studies show the effectiveness of tympanoplasty in patients with otitis media; the correction of tympanic perforations in both children and adults caused by this pathology, reduction in postoperative morbidity, hearing improvement, anatomical recovery, comfort for the patient and their self-esteem.Ítem Acceso abierto Effectiveness of using external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit(Universidad Privada Norbert Wiener, 2019-09-29) Murga Aranda, Oskar Luis; Aliaga Estrada, Judith Yessica; Arevalo Marcos, Rodolfo AmadoObjective: To systematically analyze the available evidence from studies carried out on the “Effectiveness of the use of external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit.” material and method: The systematic review of the 10 scientific articles found; “Effectiveness of the use of external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit.”, were found in the following databases Cochrane, Lilacs, Scielo, Medline Pubmed, all of them were analyzed according to the Grade scale to determine its strength and quality of evidence, Results: Of the 10 articles reviewed correspond to the methodological design of the study, 10% (1/10) randomized controlled trial, 20% (2/10) meta-analysis, 20% (2/10) observational study, 20% (2/10) retrospective study and 30% (3/10) case study. Of the 10 articles systematically reviewed, 90% (9/10) evidence the effectiveness of using external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit. Conclusions: Of the 10 articles reviewed, 100% (10/10) evidence the effectiveness of using external ventricular drainage for monitoring intracranial pressure in neurocritical patients in the intensive care unit.Ítem Acceso abierto Efficacy of antibiotic prophylaxis in laparoscopic cholecystectomy(Universidad Privada Norbert Wiener, 1905-07-09) Castillo Mancilla, Janet Leslie; Herrera Vicente, Carolina; Avila Vargas Machuca, Jeannette GiselleObjective: To evaluate the effectiveness of antibiotic prophylaxis in a laparoscopic cholecystectomy Methodology: It is a Systematic Review of 10 articles with full text, which were subjected to a critical reading, using the GRADE evaluation to identify their level of evidence, obtained on the basis of Scielo, Lipecs, Publimed, etc. data. 1 meta-analysis (17%) carried out in China, 2 systematic reviews (34%) from Chile and Colombia, 7 randomized clinical trials (49%) from Turkey, China, Iran, Japan, Korea and Brazil. Conclusions: Antibiotic prophylaxis is not effective for preventing infections in laparoscopic cholecystectomy. Results: It does not reduce infections, it is unnecessary.
