Prática de medicina baseada em evidências em um centro de tratamento intensivo pediátrico / The practice of evidence-based medicine in a pediatric intensive care unit
São Paulo; s.n; 2003. [216] p. tab.
Thesis
in Pt
| LILACS
| ID: lil-609337
Responsible library:
BR66.1
Localization: BR66.1; W4.DB8, O46p, FM-2
RESUMO
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%).ABSTRACT
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%).
Full text:
1
Index:
LILACS
Main subject:
Peptic Ulcer
/
Quality Assurance, Health Care
/
Intensive Care Units, Pediatric
/
Dopamine
/
Erythrocyte Transfusion
/
Evidence-Based Medicine
/
Albumins
/
Analgesia
/
Medical Audit
Type of study:
Guideline
/
Observational_studies
Language:
Pt
Year:
2003
Type:
Thesis