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Nutritional status and body composition after 6 months of patients switching fr...
Garcia-Lopes,M.G.; Agliussi,R.G.; Avesani,C.M.; Manfredi,S.R.; Bazanelli,A.P.; Kamimura,M.A.; Draibe,S.A.; Cuppari,L.Our objective was to determine if automated peritoneal dialysis (APD) leads to changes in nutritional parameters of patients treated by continuous ambulatory peritoneal dialysis (CAPD). Twenty-six patients (15 males; 50.5 ± 14.3 years) were evaluated during CAPD while training for APD and after 3 and 6 months of APD. Body fat was assessed by the sum of skinfold thickness and the other body compartments were ass...
Rational distribution of resources in intensive medicine. Analysis of admission...
Carneiro, A V; Cadeira de Medicina III-A, Faculdade de Medicina de Lisboa, Hospital Universitário de Santa Maria.; Lopes, M G; De Pádua, FCost-containment in health care has become a major issue in today's practice of medicine. With its needs in advanced technologies and skilled personnel, intensive care is among the most expensive of all hospital activities. This fact makes the analysis of indications for intensive care unit admission, as well as early discharge, of paramount importance: patients who are not likely to benefit from intensive care...
Risk stratification and prognosis in critical surgical patients using the Acute...
Carneiro, A V; UCIM do Serviço de Medicina 4 e Serviço de Patologia Cirúrgica, Hospital Universitário de Santa Maria, Lisboa.; Leitão, M P; Lopes, M GOutcome prediction in critical surgical patients admitted to intensive care units (ICU) has been established using several scoring systems. To evaluate the predictive performance of the Acute Physiology, Age and Chronic Health Evaluation (APACHE III) scoring system in these patients, we studied a population admitted to a surgical ICU in our University Hospital.We collected prospective data on 220 consecutive pa...
Prognostic systems in intensive care: general principles, development, and clin...
Carneiro, A V; Cadeira de Medicina III-A e Serviço de Medicina IV, Hospital de Santa Maria, Lisboa.; Ivo, M; Girão, J; De Pádua, F; Lopes, M GIn this review article, we present the need for prognostic scoring in clinical medicine, specially in Intensive Care Medicine (ICM). The general principles of prognostication in ICM are discussed, and three general scoring systems are presented: ACUTE PHYSIOLOGY AND CHRONIC HEALTH EVALUATION (APACHE) in its 3 versions, SIMPLIFIED ACUTE PHYSIOLOGY SCORE (SAPS) and MORTALITY PREDICTION MODEL (MPM). The use of the...
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