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Repositório do Hospital Prof. Doutor Fernando Fonseca (3.582 recursos)

The Hospital Prof. Dr. Fernando Fonseca E.P.E. (HFF) institutional repository collects, preserves and disseminates the intellectual output of its professionals in digital format. Its aims are to increase the HFF’s investigation visibility and citation impact, to foster scientific communication and to preserve the HFF’s intellectual memory.

UCI - Artigos

Mostrando recursos 1 - 9 de 9

  1. “Saúde para todos”: cooperação em saúde com São Tomé e Príncipe

    Freitas, P
    O Instituto Marquês de Valle Flor (IMVF) é uma Organização Não Governamental (ONG) fundada em 1951, que actua em São Tomé e Príncipe desde 1988. Está presente em todos os países da Comunidade dos Países de Língua Portuguesa (CPLP) e gere mais de quarenta projectos de cooperação na área da saúde, segurança alimentar, infra-estruturas e educação

  2. Is Manchester (MTS) more than a triage system? A study of its association with mortality and admission to a large Portuguese hospital.

    Martins, H; Cunha, L; Freitas, P
    BACKGROUND: The Manchester Triage System (MTS) is a 5-point triage scale used to triage patients presenting to the emergency department. It was introduced in the UK in 1996 and is now widespread, especially in Europe, and has been in use in our hospital since 2000 via a computerised protocol. A study was undertaken to determine whether the subgroups created by the application of MTS have different propensities for indirect triage outcomes such as death in the A&E department or being admitted to hospital. METHODS: A database of 321 539 patients triaged during a 30-month period (from January 2005 to June 2007)...

  3. Outcome of mechanically ventilated patients who require a tracheostomy

    Frutos-Vivar, F; Esteban, A; Apezteguía, C; Anzueto, A; Nightingale, P; González, M; Soto, L; Rodrigo, C; Raad, J; David, C; Matamis, D; D'Empaire, G; Freitas, P; International Mechanical Ventilation Study Group
    OBJECTIVE: To estimate the prevalence of, the risk factors associated with, and the outcome of tracheostomy in a heterogeneous population of mechanically ventilated patients. DESIGN: Prospective, observational cohort study. SETTING: A total of 361 intensive care units from 12 countries. PATIENTS: A cohort of 5,081 patients mechanically ventilated for >12 hrs. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: A total of 546 patients (10.7%) had a tracheostomy during their stay in the intensive care unit. Tracheostomy was performed at a median time of 12 days (interquartile range, 7-17) from the beginning of mechanical ventilation. Variables associated with the performance of tracheostomy were duration of mechanical ventilation,...

  4. Prognosis factors and outcome of community-acquired pneumonia needing mechanical ventilation.

    Tejerina, E; Frutos-Vivar, F; Restrepo, M; Anzueto, A; Palizas, F; Gonzaléz, M; Aspesteguía, C; Abroug, F; Matanis, D; Bugedo, G; Esteban, A; Freitas, P; International Mechanical Ventilation Study Group
    PURPOSE: To evaluate the variables associated with mortality of patients with community-acquired pneumonia who require mechanical ventilation and to determine the attributable morbidity and intensive care unit (ICU) mortality of community-acquired pneumonia. MATERIAL AND METHODS: Retrospective cohort study carried out in 361 ICUs from 20 countries including 124 patients who required mechanical ventilation on the first day of admission to the hospital due to acute respiratory failure secondary to severe community-acquired pneumonia. To assess the factors associated with outcome, a forward stepwise logistic regression analysis was performed, and to determine the attributable mortality of community-acquired pneumonia, a matched study design was...

  5. Use of sedatives and neuromuscular blockers in a cohort of patients receiving mechanical ventilation.

    Arroliga, A; Frutos-Vivar, F; Hall, J; Esteban, A; Apezteguía, C; Soto, L; Anzueto, A; Freitas, P; International Mechanical Ventilation Study Group.
    OBJECTIVE: To describe the use of sedatives and neuromuscular blocking agents (NMBs) and their impact in outcome in an international cohort of patients receiving mechanical ventilation. METHODS: We analyzed the database of a prospective, multicenter cohort of 5,183 adult patients who received mechanical ventilation for > 12 h. We considered that a patient received a given agent when it was administered for at least 3 h in a 24-h period. RESULTS: A total of 3,540 patients (68%; 95% confidence interval [CI], 67 to 69%) received a sedative at any time while receiving mechanical ventilation. The median number of days of use was...

  6. Endocardite das válvulas das cavidades direitas: a importância da ecocardiografia na identificação da(s) estrutura(s) afectada(s)

    Ricardo, J; Garcia, A; Leite, A; Serra, I; Revés, L; Miranda, C; Freitas, A; Freitas, P
    A endocardite das válvulas das cavidades direitas do coração é rara. Ocorre geralmente em doentes com toxicofilia endovenosa, portadores de pacemaker (PMD), portadores de próteses valvulares ou cateter venoso central e ainda em doentes com cardiopatias congénitas. A Ecocardiografia constitui o gold standard na identificação da(s) estrutura(s) afetada (s) e permite a orientação terapêutica. Apesar de ser rara, a endocardite das cavidades direitas deve ser tida em conta durante a realização de ecocardiografia transtorácica e/ou transesofágica que vise o diagnóstico de endocardite. A profilaxia antibiótica deve ser sempre aplicada antes da realização de qualquer procedimento invasivo de acordo com as recomendações publicadas. Acentua-se a necessidade de...

  7. Granulomatose de Wegener

    João, C; Santos, E; Leite, A; Miranda, C; Serra, I; Revés, L; Brandão, T; Martins, F; Freitas, P; Dutschmann, L
    A granulomatose de Wegener corresponde a uma vasculite sistémica com atingimento das artérias de pequeno e médio calibre, em particular das vias aéreas superiores e inferiores e do rim, incluindo-se no diagnóstico diferencial das síndromas pulmão-rim. Os AA apresentam o caso clínico de uma senhora de 59 anos, internada na Unidade de Cuidados Intensivos Polivalente (UCIP) do Hospital Fernando da Fonseca com um quadro de insuficiência respiratória, hemoptises e insuficiência renal. Descreve-se o estudo etiológico desta situação, concluindo tratar-se de um caso de granulomatose de Wegener. A propósito deste caso são discutidos aspectos relevantes do diagnóstico, terapêutica e seguimento destes doentes.

  8. Triagem de Enfermagem na Urgência Geral de Adultos: uma realidade no Hospital Amadora-Sintra

    Vieira, J
    O acolhimento e a triagem de doentes é um processo importante e único para cada doente, realizado por uma equipa multidisciplinar, sendo a principal preocupação a de acolher, encaminhar e estabelecer a prioridade de forma humanizada e individualizada, garantindo um atendimento rápido, pelo pessoal apropriado ná àrea clínica correcta.

  9. Mycoplasma pneumoniae causing nervous system lesion and SIADH in the absence of pneumonia

    Coelho, M; Leite, A; Revés, A; Miranda, C; Serra, I; Brandão, T; Albuquerque, L; Freitas, P
    A patient was admitted for fever and acute respiratory failure (ARF), rapidly progressive tetraparesis, delirium, behavioral abnormalities, and diplopia. Leukocytosis and a rise in C-reactive protein were present. A syndrome of inappropriate anti-diuretic hormone secretion (SIADH) was also diagnosed. Lumbar puncture yielded colorless CFS with mononuclear pleocytosis and protein rise. Electrodiagnosis revealed demyelinating polyneuropathy and axonal degeneration. Serum IgG and IgM for mycoplasma pneumoniae (MP) was consistent with acute infection, and erythromycin was started with rapid resolution of symptoms. Contrarily to most reports, an associated respiratory disease was not present and SIADH in association with MP has been reported only once, in...

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