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Doctoral Thesis
DOI
10.11606/T.5.2003.tde-13082005-173825
Document
Author
Full name
Carlos Augusto Cardim de Oliveira
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2003
Supervisor
Committee
Troster, Eduardo Juan (President)
Avezum Junior, Alvaro
Ceccon, Maria Esther Jurfest Rivero
Rodrigues, Joaquim Carlos
Schvartsman, Claudio
Title in Portuguese
"Prática de medicina baseada em evidências em um centro de tratamento intensivo pediátrico"
Keywords in Portuguese
ALBUMINAS/administração & dosagem
ANALGESIA/ administração & dosagem
AUDITORIA MÉDICA/ utilização
AUDITORIA MÉDICA/métodos
DOPAMINA/administração & dosagem
ESTUDOS RETROSPECTIVOS
GARANTIA DE QUALIDADE
MEDICINA BASEADA EM EVIDÊNCIAS/tendências
TRANSFUSÃO DE ERITRÓCITOS/utilização
ÚLCERA PÉPTICA/prevenção & controle
UNIDADES DE TERAPIA INTENSIVA PEDIÁTRICA/estatística & dados numéricos
Abstract in Portuguese
Objetivos: Estimar a concordância entre as práticas e as evidências disponíveis em uma unidade de terapia intensiva pediátrica. Métodos: Estudo retrospectivo de todos os pacientes internados durante 2001. As práticas foram classificadas em adequadas ou não-adequadas de acordo com recomendações. Esperava-se para as práticas recomendadas 90% de concordância, para as contra-indicadas, discordância de até 10% e para aquelas onde havia incertezas, 50%. Resultados: Foram selecionadas 114 publicações e avaliadas 253/275 internações (92%). O uso foi considerado apropriado para albumina em 47,6% (IC 95% 39% – 55%); dopamina <3mg/kg/min 87,9% (83% – 92%); sedação e analgesia 88,6% (87% – 90%); transfusões de concentrado de hemácias 95,2% (92% – 97%); profiliaxia de úlcera de estresse 89,7% (88% – 91%).
Title in English
The practice of evidence-based medicine in a pediatric intensive care unit
Keywords in English
ALBUMINS/administration & dosage
ANALGESIA/administration & dosage
DOPAMINE/administration & dosage
ERYTHROCYTE TRANSFUSION/utilization
EVIDENCE-BASED MEDICINE/trends
INTENSIVE CARE UNITS PEDIATRIC/statistics & numerical data
MEDICAL AUDIT/methods
MEDICAL AUDIT/utilization
PEPTIC ULCER/prevention & control
QUALITY ASSURANCE
RETROSPECTIVE STUDIES
Abstract in English
Objectives: Estimate the concordance between the practices and the evidence available in a pediatric intensive care unit. Methods: Retrospective study of all admitted patients during 2001. The practices were classified as adequate or non-adequate according to recommendations. It was expected 90% concordance for the recommended practices, while for non-adequate practices, discordance until 10% and for those where there was doubt, 50%. Results: 114 publications were selected and 253/275 admissions (92%) were evaluated. Use was considered appropriate for albumin in 47.6% (IC 95% 39% – 55%); dopamine <3mg/kg/min 87.9% (83% – 92%); sedation and analgesia 88.6% (87% – 90%); red blood cell transfusions 95.2% (92% – 97%); stress ulcer prophylaxis 89.7% (88% – 91%).
 
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Cardim-FichCatal.pdf (9.21 Kbytes)
CardimAnexo2.pdf (11.02 Kbytes)
CardimCapaPagInic.pdf (21.62 Kbytes)
CardimCasuistica.pdf (21.89 Kbytes)
CardimDiscussao.pdf (82.97 Kbytes)
CardimIntroducao.pdf (45.30 Kbytes)
CardimReferencias.pdf (75.88 Kbytes)
CardimResultados.pdf (40.33 Kbytes)
CardimTab33.pdf (21.04 Kbytes)
CardimTab34.pdf (14.47 Kbytes)
CardimTAb35.pdf (19.10 Kbytes)
CardimTab36.pdf (18.12 Kbytes)
CardimTAb37.pdf (51.48 Kbytes)
Publishing Date
2006-02-14
 
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