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4 results on '"Chaiben,Viviane Bernardes de Oliveira"'

1. Epidemiology and outcome of high-surgical-risk patients admitted to an intensive care unit in Brazil

Author

Silva Júnior, João Manoel, primary, Chaves, Renato Carneiro de Freitas, additional, Corrêa, Thiago Domingos, additional, Assunção, Murillo Santucci Cesar de, additional, Katayama, Henrique Tadashi, additional, Bosso, Fabio Eduardo, additional, Amendola, Cristina Prata, additional, Serpa Neto, Ary, additional, Malbouisson, Luiz Marcelo Sá, additional, Oliveira, Neymar Elias de, additional, Veiga, Viviane Cordeiro, additional, Rojas, Salomón Soriano Ordinola, additional, Postalli, Natalia Fioravante, additional, Alvarisa, Thais Kawagoe, additional, Lucena, Bruno Melo Nobrega de, additional, Oliveira, Raphael Augusto Gomes de, additional, Sanches, Luciana Coelho, additional, Silva, Ulysses Vasconcellos de Andrade e, additional, Nassar Junior, Antonio Paulo, additional, Réa-Neto, Álvaro, additional, Amaral, Alexandre, additional, Teles, José Mário, additional, Freitas, Flávio Geraldo Rezende de, additional, Bafi, Antônio Tonete, additional, Pacheco, Eduardo Souza, additional, Ramos, Fernando José, additional, Vieira Júnior, José Mauro, additional, Pereira, Maria Augusta Santos Rahe, additional, Schwerz, Fábio Sartori, additional, Menezes, Giovanna Padoa de, additional, Magalhães, Danielle Dourado, additional, Castro, Cristine Pilati Pileggi, additional, Henrich, Sabrina Frighetto, additional, Toledo, Diogo Oliveira, additional, Parra, Bruna Fernanda Camargo Silva, additional, Dias, Fernando Suparregui, additional, Zerman, Luiza, additional, Formolo, Fernanda, additional, Nobrega, Marciano de Sousa, additional, Piras, Claudio, additional, Piras, Stéphanie de Barros, additional, Conti, Rodrigo, additional, Bittencourt, Paulo Lisboa, additional, D’Oliveira, Ricardo Azevedo Cruz, additional, Estrela, André Ricardo de Oliveira, additional, Oliveira, Mirella Cristine de, additional, Reese, Fernanda Baeumle, additional, Motta Júnior, Jarbas da Silva, additional, Câmara, Bruna Martins Dzivielevski da, additional, David-João, Paula Geraldes, additional, Tannous, Luana Alves, additional, Chaiben, Viviane Bernardes de Oliveira, additional, Miranda, Lorena Macedo Araújo, additional, Brasil, José Arthur dos Santos, additional, Deucher, Rafael Alexandre de Oliveira, additional, Ferreira, Marcos Henrique Borges, additional, Vilela, Denner Luiz, additional, Almeida, Guilherme Cincinato de, additional, Nedel, Wagner Luis, additional, Passos, Matheus Golenia dos, additional, Marin, Luiz Gustavo, additional, Oliveira Filho, Wilson de, additional, Coutinho, Raoni Machado, additional, Oliveira, Michele Cristina Lima de, additional, Friedman, Gilberto, additional, Meregalli, André, additional, Höher, Jorge Amilton, additional, Soares, Afonso José Celente, additional, and Lobo, Suzana Margareth Ajeje, additional

Published
2020
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2. Cognition and renal function: findings from a Brazilian population

Author

Chaiben, Viviane Bernardes de Oliveira, primary, Silveira, Thabata Baechtold da, additional, Guedes, Murilo Henrique, additional, Fernandes, João Pedro de Almeida, additional, Ferreira, João Henrique Fregadolli, additional, Beltrão, Julianna, additional, Leal, Giovanna Foltran, additional, Erbano, Lucas Henrique Olandoski, additional, Bosch, Natasha Ludmila, additional, Pecoits Filho, Roberto, additional, Moraes, Thyago Proença de, additional, and Baena, Cristina Pellegrino, additional

Published
2019
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3. Epidemiologia e desfecho dos pacientes de alto risco cirúrgico admitidos em unidades de terapia intensiva no Brasil

Author

Silva Júnior,João Manoel, Chaves,Renato Carneiro de Freitas, Corrêa,Thiago Domingos, Assunção,Murillo Santucci Cesar de, Katayama,Henrique Tadashi, Bosso,Fabio Eduardo, Amendola,Cristina Prata, Serpa Neto,Ary, Malbouisson,Luiz Marcelo Sá, Oliveira,Neymar Elias de, Veiga,Viviane Cordeiro, Rojas,Salomón Soriano Ordinola, Postalli,Natalia Fioravante, Alvarisa,Thais Kawagoe, Lucena,Bruno Melo Nobrega de, Oliveira,Raphael Augusto Gomes de, Sanches,Luciana Coelho, Silva,Ulysses Vasconcellos de Andrade e, Nassar Junior,Antonio Paulo, Réa-Neto,Álvaro, Amaral,Alexandre, Teles,José Mário, Freitas,Flávio Geraldo Rezende de, Bafi,Antônio Tonete, Pacheco,Eduardo Souza, Ramos,Fernando José, Vieira Júnior,José Mauro, Pereira,Maria Augusta Santos Rahe, Schwerz,Fábio Sartori, Menezes,Giovanna Padoa de, Magalhães,Danielle Dourado, Castro,Cristine Pilati Pileggi, Henrich,Sabrina Frighetto, Toledo,Diogo Oliveira, Parra,Bruna Fernanda Camargo Silva, Dias,Fernando Suparregui, Zerman,Luiza, Formolo,Fernanda, Nobrega,Marciano de Sousa, Piras,Claudio, Piras,Stéphanie de Barros, Conti,Rodrigo, Bittencourt,Paulo Lisboa, D’Oliveira,Ricardo Azevedo Cruz, Estrela,André Ricardo de Oliveira, Oliveira,Mirella Cristine de, Reese,Fernanda Baeumle, Motta Júnior,Jarbas da Silva, Câmara,Bruna Martins Dzivielevski da, David-João,Paula Geraldes, Tannous,Luana Alves, Chaiben,Viviane Bernardes de Oliveira, Miranda,Lorena Macedo Araújo, Brasil,José Arthur dos Santos, Deucher,Rafael Alexandre de Oliveira, Ferreira,Marcos Henrique Borges, Vilela,Denner Luiz, Almeida,Guilherme Cincinato de, Nedel,Wagner Luis, Passos,Matheus Golenia dos, Marin,Luiz Gustavo, Oliveira Filho,Wilson de, Coutinho,Raoni Machado, Oliveira,Michele Cristina Lima de, Friedman,Gilberto, Meregalli,André, Höher,Jorge Amilton, Soares,Afonso José Celente, and Lobo,Suzana Margareth Ajeje

Subjects
Procedimentos cirúrgicos operatórios/mortalidade, Cuidados pós-operatórios, Unidades de terapia intensiva, RC86-88.9, Brasil, Procedimentos cirúrgicos operatórios/ epidemiologia, Complicações pós-operatórias/mortalidade, Medical emergencies. Critical care. Intensive care. First aid
Abstract

RESUMO Objetivo: Definir o perfil epidemiológico e os principais determinantes de morbimortalidade dos pacientes cirúrgicos não cardíacos de alto risco no Brasil. Métodos: Estudo prospectivo, observacional e multicêntrico. Todos os pacientes cirúrgicos não cardíacos admitidos nas unidades de terapia intensiva, ou seja, considerados de alto risco, no período de 1 mês, foram avaliados e acompanhados diariamente por, no máximo, 7 dias na unidade de terapia intensiva, para determinação de complicações. As taxas de mortalidade em 28 dias de pós-operatório, na unidade de terapia intensiva e hospitalar foram avaliadas. Resultados: Participaram 29 unidades de terapia intensiva onde foram realizadas cirurgias em 25.500 pacientes, dos quais 904 (3,5%) de alto risco (intervalo de confiança de 95% - IC95% 3,3% - 3,8%), tendo sido incluídos no estudo. Dos pacientes envolvidos, 48,3% eram de unidades de terapia intensiva privadas e 51,7% de públicas. O tempo de internação na unidade de terapia intensiva foi de 2,0 (1,0 - 4,0) dias e hospitalar de 9,5 (5,4 - 18,6) dias. As taxas de complicações foram 29,9% (IC95% 26,4 - 33,7) e mortalidade em 28 dias pós-cirurgia 9,6% (IC95% 7,4 - 12,1). Os fatores independentes de risco para complicações foram Simplified Acute Physiology Score 3 (SAPS 3; razão de chance − RC = 1,02; IC95% 1,01 - 1,03) e Sequential Organ Failure Assessment Score (SOFA) da admissão na unidade de terapia intensiva (RC =1,17; IC95% 1,09 - 1,25), tempo de cirurgia (RC = 1,001; IC95% 1,000 - 1,002) e cirurgias de emergências (RC = 1,93; IC95% 1,10 - 3,38). Em adição, foram associados com mortalidade em 28 dias idade (RC = 1,032; IC95% 1,011 - 1,052) SAPS 3 (RC = 1,041; IC95% 1,107 - 1,279), SOFA (RC = 1,175; IC95% 1,069 - 1,292) e cirurgias emergenciais (RC = 2,509; IC95% 1,040 - 6,051). Conclusão: Pacientes com escores prognósticos mais elevados, idosos, tempo cirúrgico e cirurgias emergenciais estiveram fortemente associados a maior mortalidade em 28 dias e mais complicações durante permanência em unidade de terapia intensiva.

4. Cognition and renal function: findings from a Brazilian population.

Author

Chaiben VBO, Silveira TBD, Guedes MH, Fernandes JPA, Ferreira JHF, Beltrão J, Leal GF, Erbano LHO, Bosch NL, Pecoits Filho R, Moraes TP, and Baena CP

Subjects
Adult, Aged, Brazil epidemiology, Creatinine blood, Cross-Sectional Studies, Executive Function, Female, Glomerular Filtration Rate, Humans, Male, Mental Status and Dementia Tests, Middle Aged, Prevalence, Risk Factors, Severity of Illness Index, Cognitive Dysfunction etiology, Renal Insufficiency, Chronic complications, Renal Insufficiency, Chronic epidemiology
Abstract

Introduction: The prevalence of chronic kidney disease (CKD) is increasing, with a potential impact in the risk of acceleration of dementia. The potential association between glomerular filtration rate (eGFR) and cognitive performance was scarcely studied. The aim of this study was to evaluate cognitive performance levels across different degrees of kidney function., Methods: We analyzed 240 outpatients in a nephrology service, classified according to eGFR: Advanced (≤ 30ml/min/1.73m2), Moderate (30,1ml/min/1.73m2 to ≤ 60ml/min/1.73m2), and Mild CKD (> 60ml/min/1.73m2). Word list memory, Semantic fluency, Mental State Mini Exam and Trail Making Test (TMT) were applied to evaluate cognitive performance. In the TMT, lower scores are associated with better cognition. In linear regression, cognitive function was considered as dependent variables while groups based on eGFR were considered explanatory variables. The group with eGFR > 60ml/min was the reference and models were adjusted for confounding factors., Results: In our population (n = 240) 64 patients (26.7%) were classified as having advanced, 98(40,8%) moderate, and 78(32,5%) mild. There was no statistical difference among them in MMSE or in the verbal fluency test. However, comparing to mild, patients with advanced CKD presented significantly worse cognitive performance measured by TMTA [50,8s ± 31.1s versus 66,6s ± 35,7s (p = 0.016)] and TMTB [92,7s ± 46,2s versus 162,4s ± 35,7s (p < 0.001)]. Significantly lower TMTB scores (CI95%) 33,0s (4,5-61,6s) were observed in patients with mild compared to advanced CKD in the multivariate analysis adjusting for age, education, sex, diabetes, and alcohol use., Conclusion: Advanced CKD is independently associated with poorer cognitive performance measured by an executive performance test compared to mild CKD.

Published
2019
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