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ABSTRACT Objective: This study aims to investigate the ability of the six-minute walk distance (6MWD) as a prognostic marker for midterm clinical outcomes three months after coronary artery bypass grafting (CABG), to identify possible predictors of fall in 6MWD in the early postoperative period, and to establish the percentage fall in early postoperative 6MWD, considering the preoperative baseline as 100%. Methods: A prospective cohort of patients undergoing elective CABG were included. The percentage fall in 6MWD was assessed by the difference between preoperative and postoperative day (POD) five. Clinical outcomes were evaluated three months after hospital discharge. Results: There was a significant decrease in 6MWD on POD5 compared with preoperative baseline values (percentage fall of 32.5±16.5%, P<0.0001). Linear regression analysis showed an independent association of the percentage fall of 6MWD with cardiopulmonary bypass (CPB) and preoperative inspiratory muscle strength. Receiver operating characteristic curve analysis revealed that the best cutoff value of percentage fall in 6MWD to predict poorer clinical outcomes at three months was 34.6% (area under the curve = 0.82, sensitivity = 78.95%, specificity = 76.19%, P=0.0001). Conclusion: This study indicates that a cutoff value of 34.6% in percentage fall of 6MWD on POD5 was able to predict poorer clinical outcomes at three months of follow-up after CABG. Use of CPB and preoperative inspiratory muscle strength were independent predictors of percentage fall of 6MWD in the postoperative period. These findings further support the clinical application of 6MWD and propose an inpatient preventive strategy to guide clinical management over time.

https://doi.org/10.21470/1678-9741-2022-0459

Early Six-Minute Walk Test May Predict Midterm Outcomes Following Coronary Artery Bypass Grafting
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Pauletti, Hayanne O.

; Gomes, Walter José

; Rocco, Isadora S.

; Viceconte, Marcela

; Garcia, Bruna Caroline Matos

; Marcondi, Natasha O.

; Bublitz, Caroline B.

; Costa, Ariele dos Santos

; Paiva, Thâmara Pequeno de

; Spina, Giovanna Domingues

; Begot, Isis

; Silva, Célia Camelo

; Moreira, Rita Simone L.

; Branco, João Nelson Rodrigues

; Vargas, Guilherme Flora

; Hossne Jr., Nelson A.

; Arena, Ross

; Guizilini, Solange

Brazilian Journal of Cardiovascular Surgery

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2023, Volume 38 N. 4 elocation e20220459

Abstract: En | Text: En | PDF: En

https://doi.org/10.21470/1678-9741-2022-0459

COVID-19 in the Perioperative Period of Cardiovascular Surgery: the Brazilian Experience
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Gomes, Walter J.

; Rocco, Isadora

; Pimentel, Wallace S.

; Pinheiro, Aislan H. B.

; Souza, Paulo M. S.

; Costa, Luiz A. A.

; Teixeira, Marjory M. P.

; Ohashi, Leonardo P.

; Bublitz, Caroline

; Begot, Isis

; Moreira, Rita Simone L

; Hossne Jr, Nelson A.

; Vargas, Guilherme F.

; Branco, João Nelson R.

; Teles, Carlos A.

; Medeiros, Eduardo A. S.

; Sáfadi, Camila

; Rampinelli, Amândio

; Moratelli Neto, Leopoldo

; Rosado, Anderson Rosa

; Mesacasa, Franciele Kuhn

; Capriata, Ismael Escobar

; Segalote, Rodrigo Coelho

; Palmieri, Deborah Louize da Rocha Vianna

; Jardim, Amanda Cristina Mendes

; Vianna, Diego Sarty

; Coutinho, Joaquim Henrique de Souza Aguiar

; Jazbik, João Carlos

; Coutinho, Henrique Madureira da Rocha

; Kikuta, Gustavo

; Almeida, Zely Sant'Anna Marotti de

; Feguri, Gibran Roder

; Lima, Paulo Ruiz Lucio de

; Franco, Anna Carolina

; Borges, Danilo de Cerqueira

; Cruz, Felipe Ramos Honorato De La

; Croti, Ulisses Alexandre

; Borim, Bruna Cury

; Marchi, Carlos Henrique De

; Goraieb, Lilian

; Postigo, Karolyne Barroca Sanches

; Jucá, Fabiano Gonçalves

; Oliveira, Fátima Rosane de Almeida

; Souza, Rafael Bezerra de

; Zilli, Alexandre Cabral

; Mas, Raul Gaston Sanchez

; Bettiati Junior, Luiz Carlos

; Tranchesi, Ricardo

; Bertini Jr, Ayrton

; Franco, Leandro Vieira

; Fernandes, Priscila

; Oliveira, Fabiana

; Moraes Jr, Roberto

; Araújo, Thiago Cavalcanti Vila Nova de

; Braga, Otávio Penna

; Pedrosa Sobrinho, Antônio Cavalcanti

; Teixeira, Roberta Tavares Barreto

; Camboim, Irla Lavor Lucena

; Gomes, Eduardo Nascimento

; Reis, Pedro Horigushi

; Garcia, Luara Piovan

; Scorsioni, Nelson Henrique Goes

; Lago, Roberto

; Guizilini, Solange

Brazilian Journal of Cardiovascular Surgery

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dec 2021, Volume 36 N. 6 Pages 725 - 735

Abstract: En | Text: En | PDF: En

Abstract Introduction: We investigated the clinical course and outcomes of patients submitted to cardiovascular surgery in Brazil and who had developed symptoms/signs of coronavirus disease 2019 (COVID-19) in the perioperative period. Methods: A retrospective multicenter study including 104 patients who were allocated in three groups according to time of positive real time reverse transcriptase-polymerase chain reaction (RT-PCR) for the SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2): group 1, patients who underwent cardiac surgery > 10 days after positive RT-PCR; group 2, patients with a positive RT-PCR within 10 days before or after surgery; group 3, patients who presented positive RT-PCR > 10 days after surgery. The primary outcome was mortality and secondary outcomes were postoperative complications, intensive care unit (ICU) length of stay, and postoperative days of hospitalization. Results: The three groups were similar with respect to age, the European System of Cardiac Operative Risk Evaluation score, and comorbidities, except hypertension. Postoperative complications and death were significantly higher in groups 2 and 3 than in group 1, and no significant difference between groups 2 and 3 was seen. Group 2 showed a high prevalence of surgery performed as an urgent procedure. Although no significant differences were observed in ICU length of stay, total postoperative hospitalization time was significantly higher in group 3 than in groups 1 and 2. Conclusion: COVID-19 affecting the postoperative period of patients who underwent cardiovascular surgery is associated with a higher rate of morbidity and mortality. Delaying procedures in RT-PCR-positive patients may help reduce risks of perioperative complications and death.

https://doi.org/10.21470/1678-9741-2021-0960

Inspiratory Muscle Weakness is Related to Poor Short-Term Outcomes for Heart Transplantation
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Begot, Isis

; Gomes, Walter J.

; Rocco, Isadora S.

; Bublitz, Caroline

; Gonzaga, Laion R. A.

; Bolzan, Douglas W.

; Santos, Vinicius Batista

; Moreira, Rita Simone Lopes

; Breda, João R.

; Almeida, Dirceu Rodrigues de

; Arena, Ross

; Guizilini, Solange

Brazilian Journal of Cardiovascular Surgery

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jun 2021, Volume 36 N. 3 Pages 308 - 317

Abstract: En | Text: En | PDF: En

Abstract Introduction: In heart transplantation (HT) recipients, several factors are critical to promptly adopting appropriate rehabilitation strategies and may be important to predict outcomes way after surgery. This study aimed to determine preoperative patient-related risk factors that could adversely affect the postoperative clinical course of patients undergoing HT. Methods: Twenty-one hospitalized patients with heart failure undergoing HT were evaluated according to respiratory muscle strength and functional capacity before HT. Mechanical ventilation (MV) time, reintubation rate, and intensive care unit (ICU) length of stay were recorded, and assessed postoperatively. Results: Inspiratory muscle strength as absolute and percentpredicted values were strongly correlated with MV time (r=-0.61 and r=-0.70, respectively, at P<0.001). Concerning ICU length of stay, only maximal inspiratory pressure (MIP) absolute and percent-predicted values were significantly associated. The absolute |MIP| was significantly negatively correlated with ICU length of stay (r=-0.58 at P=0.006) and the percent-predicted MIP was also significantly negatively correlated with ICU length of stay (r=-0.68 at P=0.0007). No associations were observed between preoperative functional capacity, age, sex, and clinical characteristics and MV time and ICU length of stay in the cohort included in this study. Patients with respiratory muscle weakness had a higher prevalence of prolonged MV, reintubation, and delayed ICU length of stay. Conclusion: An impairment of preoperative MIP was associated with poorer short-term outcomes following HT. As such, inspiratory muscle strength is an important clinical preoperative marker in patients undergoing HT.

https://doi.org/10.21470/1678-9741-2020-0344 14 downloads

Síndrome metabólica em pessoas vivendo com HIV: prevalência e concordância de critérios
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Costa, Christefany Régia Braz

; Melo, Elizabete Santos

; Oliveira, Layze Braz de

; Moreira, Rita Simone Lopes

; Gir, Elucir

; Reis, Renata Karina

Acta Paulista de Enfermagem

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2021, Volume 34 elocation eAPE00625

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo Objetivo Identificar a prevalência da síndrome metabólica e a concordância entre os critérios do National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATPIII) e da International Diabetes Federation (IDF) em pessoas vivendo com HIV. Métodos Estudo analítico transversal, realizado em cinco serviços especializados em município do interior paulista, de 2014 a 2016, com 340 pessoas vivendo com HIV. Variáveis sociodemográficas e clínicas necessárias para classificação da síndrome metabólica pelos critérios do NCEP-ATPIII e da IDF foram coletadas por meio de entrevistas. Para avaliar a concordância entre os critérios da SM, NCEP-ATPIII e IDF, foi utilizada a estatística first-order agreement coefficient. Para verificar a relação entre a síndrome metabólica e as variáveis do estudo, utilizou-se a regressão de Poisson com variância robusta. Resultados A prevalência da síndrome metabólica foi de 28,5% pelo critério NCEP-ATPIII e 39,3% IDF. As maiores prevalências foram associadas ao sexo feminino e faixas etárias a partir dos 50 anos, enquanto que, no tempo de diagnóstico entre 2 a 10 anos, prevalências menores. A concordância entre os dois critérios foi considerada substancial. Conclusão A concordância substancial entre os critérios IDF e NCEP-ATPIII sugere a possibilidade de intercambio entre eles. Ademais, os resultados sinalizam para a necessidade de atenção especial dos serviços para a avaliação do perfil metabólico e identificação das pessoas vivendo com HIV que possuem alto risco cardiovascular.

Abstract Objective To identify the prevalence of metabolic syndrome and the agreement between the criteria of the National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATPIII) and the International Diabetes Federation (IDF) in people living with HIV. Methods This is a cross-sectional analytical study, carried out in five specialized services in a city in the interior of São Paulo, from 2014 to 2016, with 340 people living with HIV. Sociodemographic and clinical variables necessary for classification of the metabolic syndrome by the NCEP-ATPIII and IDF criteria were collected through interviews. To assess the agreement between MS, NCEP-ATPIII and IDF criteria, the first-order agreement coefficient statistic was used. To verify the relationship between the metabolic syndrome and the study variables, Poisson regression with robust variance was used. Results The prevalence of metabolic syndrome was 28.5% by the NCEP-ATPIII criterion and 39.3% IDF. The highest prevalence was associated with females and age groups from 50 years old, while, in the time of diagnosis between 2 and 10 years, lower prevalence. The agreement between the two criteria was considered substantial. Conclusion The substantial agreement between the IDF and NCEP-ATPIII criteria suggests the possibility of interchange between them. Moreover, the results signal the need for special attention from services for the assessment of the metabolic profile and identification of people living with HIV who are at high cardiovascular risk.

Resumen Objetivo Identificar la prevalencia del síndrome metabólico y la concordancia entre los criterios del National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATPIII) y de la International Diabetes Federation (IDF) en personas que viven con el VIH. Métodos Estudio analítico transversal, realizado en cinco servicios especializados en un municipio del interior del estado de São Paulo, de 2014 a 2016, con 340 personas que viven con el VIH. Por medio de entrevistas se recopilaron las variables sociodemográficas y clínicas necesarias para la clasificación del síndrome metabólico mediante los criterios del NCEP-ATPIII y de la IDF. Para evaluar la concordancia entre los criterios del SM, NCEP-ATPIII e IDF, se utilizó la estadística first-order agreement coefficient. Para verificar la relación entre el síndrome metabólico y las variables del estudio, se utilizó la regresión de Poisson con varianza robusta. Resultados La prevalencia del síndrome metabólico fue del 28,5 % mediante el criterio NCEP-ATPIII y 39,3 % por la IDF. Las mayores prevalencias se asociaron al sexo femenino y los grupos de edad a partir de los 50 años, mientras que hubo prevalencias menores en el tiempo de diagnóstico entre 2 y 10 años. La concordancia entre los dos criterios fue considerada sustancial. Conclusión La concordancia sustancial entre los criterios IDF y NCEP-ATPIII sugiere la posibilidad de intercambio entre ellos. Además, los resultados señalan la necesidad de una atención especial de los servicios para evaluar el perfil metabólico e identificar a las personas que viven con el VIH con alto riesgo cardiovascular.

https://doi.org/10.37689/acta-ape/2021ao00625 1 downloads

Cardiovascular involvement in COVID-19: not to be missed
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Rocco, Isadora S.

; Gomes, Walter J.

; Viceconte, Marcela

; Bolzan, Douglas W.

; Moreira, Rita Simone L

; Arena, Ross

; Guizilini, Solange

Brazilian Journal of Cardiovascular Surgery

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aug 2020, Volume 35 N. 4 Pages 530 - 538

Abstract: En | Text: En | PDF: En

Abstract In December 2019, a striking appearance of new cases of viral pneumonia in Wuhan led to the detection of a novel coronavirus (SARS-CoV2). By analyzing patients with severe manifestations, it became apparent that 20 to 35% of patients who died had preexisting cardiovascular disease. This finding warrants the important need to discuss the influence of SARS-CoV2 infection on the cardiovascular system and hemodynamics in the context of clinical management, particularly during mechanical ventilation. The SARS-CoV2 enters human cells through the spike protein binding to angiotensin-converting enzyme 2 (ACE2), which is important to cardiovascular modulation and endothelial signaling. As ACE2 is highly expressed in lung tissue, patients have been progressing to acute respiratory injury at an alarming frequency during the Coronavirus Disease (COVID-19) pandemic. Moreover, COVID-19 leads to high D-dimer levels and prothrombin time, which indicates a substantial coagulation disorder. It seems that an overwhelming inflammatory and thrombogenic condition is responsible for a mismatching of ventilation and perfusion, with a somewhat near-normal static lung compliance, which describes two types of pulmonary conditions. As such, positive pressure during invasive mechanical ventilation (IMV) must be applied with caution. The authors of this review appeal to the necessity of paying closer attention to assess microhemodynamic repercussion, by monitoring central venous oxygen saturation during strategies of IMV. It is well known that a severe respiratory infection and a scattered inflammatory process can cause non-ischemic myocardial injury, including progression to myocarditis. Early strategies that guide clinical decisions can be lifesaving and prevent extended myocardial damage. Moreover, cardiopulmonary failure refractory to standard treatment may necessitate the use of extreme therapeutic strategies, such as extracorporeal membrane oxygenation.

https://doi.org/10.21470/1678-9741-2020-0224 659 downloads

Não adesão medicamentosa nos pacientes transplantados cardíacos
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Poltronieri, Nadja Van Geen

; Moreira, Rita Simone Lopes

; Schirmer, Janine

; Roza, Bartira de Aguiar

Revista da Escola de Enfermagem da USP

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2020, Volume 54 elocation e03644

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Objetivo Mensurar a não adesão medicamentosa nos pacientes pós-transplante cardíaco mediante o uso da Escala Basel para Avaliação de Aderência a Medicamentos Imunossupressores e Escala Analógica Visual; comparar os resultados das biópsias realizadas, com comorbidades prevalentes e sobrevida. Método Coorte histórica de abordagem quantitativa. A população foi composta de pacientes transplantados no período de 2009 a 2016. Resultados Participação de 60 pacientes. A mensuração da não adesão por meio do instrumento Escala Basel para Avaliação de Aderência a Medicamentos Imunossupressores foi de 46,7% e adesão de 53,3% dos pacientes. O grupo com maior dificuldade de não adesão foi aquele com relato de atraso de até 2 horas do prescrito (25%), porém, sem interrupção nas medicações. O diagnóstico inicial foi Doença de Chagas (33,3%). As comorbidades estudadas foram hipertensão arterial sistêmica, diabetes mellitus (DM), dislipidemias e insuficiência renal crônica. Conclusão A avaliação por meio da Escala Basel para Avaliação de Aderência a Medicamentos Imunossupressores verificou não adesão medicamentosa de 46,7% dos pacientes transplantados cardíacos. A Escala Analógica Visual pelo autorrelato do paciente e avaliação do enfermeiro apresentaram valores elevados (93,3% vs 83,3%). A Escala Basel para Avaliação de Aderência a Medicamentos Imunossupressores tende a se aproximar das dificuldades informadas pelos pacientes, quanto há alteração de doses, atrasos ou antecipações de horário e dose.

ABSTRACT Objective To measure medication non-adherence in patients after heart transplantation using the Basel Assessment of Adherence to Immunosuppressive Medications Scale (BAASIS) and the Visual Analogue Scale (VAS); to compare the results of biopsies performed with the prevalent comorbidities and survival. Method Quantitative historical cohort. The population consisted of patients undergoing transplantation between 2009 and 2016. Results Participation of 60 patients. The measurement using the BAASIS was 46.7% of non-adherence and 53.3% of patient adherence. The group with greater difficulty in non-adherence reported up to 2 hours delay of medication intake in relation to the prescribed time (25%), although there was no interruption in medications. The initial diagnosis was Chagas disease (33.3%). The studied comorbidities were systemic arterial hypertension (SAH), diabetes mellitus (DM), dyslipidemia (DLP) and chronic renal failure (CRF). Conclusion Assessment using the BAASIS showed medication non-adherence in 46.7% of heart transplant patients. The VAS according to patients’ self-report and nurse’s assessment showed high values (93.3% vs 83.3%). The BAASIS tends to address the difficulties reported by patients, when there is a change in doses, delays or anticipations of time and dose.

RESUMEN Objetivo Medir la falta de adherencia a la medicación en pacientes después de un trasplante de corazón utilizando la Basel Assessment of Adherence to Immunosuppressive Medications Scale (BAASIS) y la Escala Visual Analógica (EVA); comparar los resultados de las biopsias realizadas con las comorbilidades prevalentes y la supervivencia. Método Cohorte histórica con un enfoque cuantitativo. La población consistió en pacientes trasplantados de 2009 a 2016. Resultados Participación de 60 pacientes. La medición utilizando la BAASIS fue del 46,7% para no adherencia y del 53,3% para la adherencia de los pacientes. El grupo con la mayor dificultad en la no adherencia fue de aquellos con un retraso de hasta 2 horas en la ingesta de medicamentos desde el tiempo prescrito (25%), aunque sin interrupción en los medicamentos. El diagnóstico inicial fue enfermedad de Chagas (33,3%). Las comorbilidades estudiadas fueron hipertensión arterial sistémica, diabetes mellitus, dislipidemia e insuficiencia renal crónica. Conclusión La evaluación con BAASIS mostró la no adherencia a la medicación en el 46,7% de los pacientes con trasplante de corazón. La EVA según el autoinforme de los pacientes y la evaluación de los enfermeros mostró valores altos (93,3% frente a 83,3%). La BAASIS tiende a abordar las dificultades reportadas por los pacientes, cuando hay un cambio en las dosis, retrasos o anticipaciones de tiempo y dosis.

https://doi.org/10.1590/s1980-220x2019009203644 871 downloads

Não adesão medicamentosa nos pacientes transplantados cardíacos
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Poltronieri, Nadja Van Geen

; Moreira, Rita Simone Lopes

; Schirmer, Janine

; Roza, Bartira de Aguiar

Revista da Escola de Enfermagem da USP

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2020, Volume 54 elocation e03644

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

https://doi.org/10.1590/s1980-220x2019009203644 101 downloads

Avaliação da qualidade de vida após infarto agudo do miocárdio
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Fiorin, Bruno Henrique

; Moreira, Rita Simone Lopes

; Lopes, Andressa Bolsoni

; Sipolatti, Walckiria Garcia Romero

; Furieri, Lorena Barros

; Fioresi, Mirian

; Luna Filho, Bráulio

Rev Rene

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2020, Volume 21 elocation e44265

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT Objective to evaluate the quality of life after acute myocardial infarction, highlighting the differences by sex. Methods analytical, observational study with 273 patients. For collection, a multidimensional assessment instrument was used for heart attacks. Data collected in a cardiology referral hospital, in which the t Student test was applied for analysis. Results the majority were male (67.0%), with a mean age of 63.6 years, with a family history of heart attack (64.5%). The average quality of life score was 0.45, with 1.00 being the worst score. Dependence (0.82) and physical activity (0.50) were the worst assessed domains; and side effects (0.27) and diet (0.36), the best. The female gender had the worst averages (0.52, p<0.05), with emphasis on physical activity (0.58), emotion (0.49) and insecurity (0.44). Conclusion impairments in quality of life were found after myocardial infarction, in which the dependency domain was the most compromised. The female sex had worse scores.

RESUMO Objetivo avaliar a qualidade de vida após infarto agudo do miocárdio, destacando as diferenças por sexo. Métodos estudo analítico, observacional, com 273 pacientes. Para coleta, utilizou-se de instrumento de avaliação multidimensional para infartados. Dados coletados em hospital de referência em cardiologia, nos quais se aplicaram o teste t Student para análises. Resultados maioria do sexo masculino (67,0%), média de 63,6 anos de idade, possuindo histórico familiar de infarto (64,5%). O escore médio de qualidade de vida foi 0,45, sendo 1,00 o pior escore. Dependência (0,82) e atividade física (0,50) foram os piores domínios avaliados; e efeitos colaterais (0,27) e dieta (0,36), os melhores. O sexo feminino apresentou piores médias (0,52, p<0,05), com destaque para atividade física (0,58), emoção (0,49) e insegurança (0,44). Conclusão constataram-se prejuízos na qualidade de vida, após infarto do miocárdio, em que o domínio dependência foi o mais comprometido. O sexo feminino apresentou piores escores.

https://doi.org/10.15253/2175-6783.20202144265 98 downloads

10.

A Dedicated Stitch to Allow Early Safe Mobilization Avoiding Drain-Induced Heart Injury
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Gomes, Walter J.

; Rocco, Isadora S.

; Bublitz, Caroline

; Begot, Isis

; Viceconte, Marcela

; Pimentel, Walace de Souza

; Hossne Jr., Nelson

; Carvalho, Alexandre R.

; Chamlian, Eduardo Gregório

; Moreira, Rita Simone L.

; Arena, Ross

; Guizilini, Solange

Brazilian Journal of Cardiovascular Surgery

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aug 2019, Volume 34 N. 4 Pages 484 - 487

Abstract: En | Text: En | PDF: En

Abstract Placement of a mediastinal drain is a routine procedure following heart surgery. Postoperative bed rest is often imposed due to the fear of potential risk of drain displacement and cardiac injury. We developed an encapsulating stitch as a feasible, effective and low-cost technique, which does not require advanced surgical skills for placement. This simple, novel approach compartmentalizes the drain allowing for safe early mobilization following cardiac surgery.

https://doi.org/10.21470/1678-9741-2019-0289 495 downloads

11.

Adaptação transcultural do Myocardial Infarction Dimensional Assessment Scale (MIDAS) para a língua portuguesa brasileira
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Fiorin, Bruno Henrique

; Oliveira, Elizabete Regina Araújo de

; Moreira, Rita Simone Lopes

; Luna Filho, Bráulio

Ciência & Saúde Coletiva

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mar 2018, Volume 23 N. 3 Pages 785 - 793

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo A partir da avaliação dos fatores que incidem na qualidade de vida (QV) é possível planejar as intervenções que proporcionam melhoria do bem-estar dos pacientes. Realizar a adaptação transcultural do questionário Miocardial Infarction Dimensional Assessment Scale (MIDAS) para língua portuguesa, buscando as equivalências semântica, idiomática, conceitual e cultural. Foi utilizado o referencial teórico de Guillemin, Bombardier e Beaton, cumprindo as seguintes etapas: tradução, retrotradução, avaliação dos autores, banca de juízes e pré-teste. Após todas as avaliações, foram alcançadas as equivalências semântica, conceitual, idiomática e cultural. A escala mostrou-se de fácil aplicação e importância clínica. O MIDAS encontra-se validado no que se refere às equivalências semânticas, idiomáticas, conceituais e culturais. Posteriormente, será avaliada a equivalência de mensuração, para verificar as propriedades psicométricas.

Abstract From the evaluation of the factors that affect quality of life (QOL) it is possible to plan interventions that lead to the improved well-being of patients. The scope of this study was to conduct the cross-cultural adaptation of the Myocardial Infarction Dimensional Assessment Scale (MIDAS) questionnaire to the Portuguese language, seeking the necessary semantic, idiomatic, conceptual and cultural equivalence. The theoretical framework of Guillemin, Bombardier and Beaton was used, fulfilling the following steps: translation, back translation, evaluation of the authors, peer review and pre-testing. After all the tests, the semantic, idiomatic, conceptual and cultural equivalence was achieved. The scale proved to be easy to use and was clinically important. MIDAS was validated in terms of its semantic, idiomatic, conceptual and cultural equivalences. Subsequently, the measurement equivalence will be evaluated to verify the psychometric properties.

https://doi.org/10.1590/1413-81232018233.08332017 1252 downloads

12.

Adaptação transcultural do Myocardial Infarction Dimensional Assessment Scale (MIDAS) para a língua portuguesa brasileira
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Fiorin, Bruno Henrique

; Oliveira, Elizabete Regina Araújo de

; Moreira, Rita Simone Lopes

; Luna Filho, Bráulio

Ciência & Saúde Coletiva

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mar 2018, Volume 23 N. 3 Pages 785 - 793

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-81232018233.08332017 61 downloads

13.

Perfil epidemiológico dos pacientes em lista de espera para o transplante renal
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Batista, Camilla Maria Mesquita

; Moreira, Rita Simone Lopes

; Pessoa, João Luís Erbs

; Ferraz, Agenor Spallini

; Roza, Bartira de Aguiar

Acta Paulista de Enfermagem

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may 2017, Volume 30 N. 3 Pages 280 - 286

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Objetivo Identificar e descrever o perfil dos pacientes inscritos em lista única de espera para a realização do transplante renal no estado de São Paulo. Métodos Estudo epidemiológico transversal com abordagem quantitativa para identificar e descrever o perfil dos pacientes inscritos em fila única de espera para o transplante renal. Realizou-se levantamento nas bases de dados da Central de Notificação, Captação e Distribuição de Órgãos do Cadastro Técnico Único, estabelecendo-se como variáveis as características clínicas, demográficas e relativas ao desfecho de convocação no período de período de 2009 a 2015. A amostra foi composta por 12.415 pacientes que realizavam hemodiálise e paralelo ao tratamento encontravam-se inscritos para a realização do transplante renal. Para análise estatística descritiva, utilizou-se os testes Qui-Quadrado, t de Student e para significância Kaplan-Meier. Resultados Foram incluídos 12.415 pacientes, identificou-se média de idade de 50 anos, sexo masculino (59,6%), cor branca (63,1%), tipo sanguíneo O (48,9%), região metropolitana de São Paulo (73,82%), diagnóstico não especificado (34,5%), não realizaram transplante (77,2%) e sem condições clínicas de realizar o transplante (99,8%). Conclusão Conhecer o perfil dos pacientes com doença renal crônica que aguardam em lista única nos permite traçar novas estratégias de cuidados em saúde para redução principalmente das taxas de morbidade e mortalidade. Nota-se carência de atendimento da demanda e altos índices de recusa.

Abstract Objective To identify and describe the profile of patients placed on a single waiting list for renal transplantation in the state of São Paulo. Methods Cross-sectional epidemiological study of quantitative approach to identify and describe the profile of patients placed on a single waiting list for renal transplantation. In the period from 2009 to 2015, a survey was conducted in the databases of the Notification, Collection and Distribution Center of Organs of the Single Technical Registry, and the following characteristics were established as variables: clinical, demographic and information related to the convocation result. The sample included 12,415 patients undergoing hemodialysis who were simultaneously registered for renal transplantation. The Chi-Square and Student’s t-test were used for descriptive statistical analysis and the Kaplan-Meier estimate was used for significance. Results A total of 12,415 patients were included, mean age was 50 years, male gender (59.6%), white color (63.1%), blood type O (48.9%), metropolitan region of São Paulo (73.82%), unspecified diagnosis (34.5%), did not undergo transplantation (77.2%), and without clinical conditions to perform the transplant (99.8%). Conclusion Knowing the profile of patients with chronic kidney disease on the single waiting list allows the development of new health care strategies for reducing mainly morbidity and mortality rates. There is lack in meeting the care demands and high rates of refusal.

https://doi.org/10.1590/1982-0194201700042 5310 downloads

14.

Perfil epidemiológico dos pacientes em lista de espera para o transplante renal
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Batista, Camilla Maria Mesquita

; Moreira, Rita Simone Lopes

; Pessoa, João Luís Erbs

; Ferraz, Agenor Spallini

; Roza, Bartira de Aguiar

Acta Paulista de Enfermagem

Journal Metrics
- Sobre o periódico
- SciELO Analytics

may 2017, Volume 30 N. 3 Pages 280 - 286

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

https://doi.org/10.1590/1982-0194201700042 52 downloads

15.

Nursing care protocol for patients with a ventricular assist device
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Machado, Regimar Carla

; Gironés, Purificación

; Souza, Andressa Rodrigues de

; Moreira, Rita Simone Lopes

; Jakitsch, Camila Bomfim von

; Branco, João Nelson Rodrigues

Revista Brasileira de Enfermagem

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apr 2017, Volume 70 N. 2 Pages 335 - 341

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

ABSTRACT Objective: to develop and validate a nursing care protocol for patients with a ventricular assist device (VAD). Method: descriptive study, with a quantitative approach, for an instrument's methodological validation. Three stages were conducted: development of the instrument; protocol content validation according to the Delphi technique, and agreement among experts and the scientific literature. Results: based on the content validation, a care protocol for patients with a VAD was created and assessed by Spanish experts. Of the 15 items evaluated by means of the content validity index (CVI), 10 presented solid evidence of validation, with Kappa ranging between 0.87 and 1. Conclusion: the method enabled the validation of interventions that will contribute to qualified and standardized care for patients with a VAD.

RESUMEN Objetivo: elaborar y validar un protocolo de atención de enfermería a pacientes con dispositivo de asistencia ventricular (DAV). Método: estudio descriptivo, con abordaje cuantitativo, de validación metodológica de instrumento. Se siguieron tres etapas: elaboración del instrumento; validación del contenido del protocolo según técnica de Delphi y concordancia entre expertos y la literatura científica. Resultados: en base a la validación del contenido, se elaboró un protocolo referido a la atención de pacientes en uso de DAV, evaluado por expertos/jueces españoles. De los 15 ítems evaluados, mediante el índice de Validez de Contenido (IVC), 10 de ellos presentaron fuerte evidencia de validación con Kappa, variando entre 0,87 y 1. Conclusión: el método permitió validar intervenciones que contribuirán a una atención calificada y uniforme a pacientes en uso de DAV.

RESUMO Objetivo: elaborar e validar um protocolo de cuidados de enfermagem a pacientes com dispositivo de assistência ventricular (DAV). Método: estudo descritivo, com abordagem quantitativa de validação metodológica de instrumento. Seguiram-se três etapas: elaboração do instrumento; validação do conteúdo do protocolo segundo a técnica de Delphi e concordância entre peritos e a literatura científica. Resultados: com base na validação do conteúdo, elaborou-se um protocolo referente aos cuidados a paciente em uso de DAV avaliado por peritos/juízes espanhóis. Dos 15 itens avaliados, por meio do Índice de Validade de Conteúdo (IVC), 10 deles apresentaram forte evidência de validação com Kappa que variaram de 0,87 a 1. Conclusão: o método permitiu validar intervenções que contribuirão para um cuidado qualificado e uniformizado a pacientes em uso de DAV.

https://doi.org/10.1590/0034-7167-2016-0363 2 downloads

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