Repository logo

Browsing by Author "Gouveia, João"

Now showing 1 - 2 of 2
  • Obesity, acute kidney injury and mortality in patients with sepsis: a cohort analysis
    Publication . Gameiro, Joana; Gonçalves, Miguel; Pereira, Marta; Rodrigues, Natacha; Godinho, Iolanda; Neves, Marta; Gouveia, João; Silva, Zélia Costa e; Jorge, Sofia; Lopes, José António
    Although the prognostic effect of obesity has been studied in critically ill patients its impact on outcomes of septic patients and its role as a risk factor for acute kidney injury (AKI) is not consensual. We aimed to analyze the impact of obesity on the occurrence of AKI and on in-hospital mortality in a cohort of critically ill septic patients. This study is retrospective including 456 adult patients with sepsis admitted to the Division of Intensive Medicine of the Centro Hospitalar Lisboa Norte (Lisbon, Portugal) between January 2008 and December 2014. Obesity was defined as a body mass index of 30 kg/m2 or higher. The Kidney Disease Improving Global Outcomes classification was used to diagnose and classify patients developing AKI. AKI occurred in 87.5% of patients (19.5% with stage 1, 22.6% with stage 2 and 45.4% with stage 3). Obese patients developed AKI more frequently than non-obese patients (92.8% versus 85.5%, p = .035; unadjusted OR 2.2 (95% CI: 1.04-4.6), p = .039; adjusted OR 2.31 (95% CI: 1.07-5.02), p = .034). The percentage of obese patients, however, did not differ between AKI stages (stage 1, 25.1%; stage 2, 28.6%; stage 3, 15.4%; p = .145). There was no association between obesity and mortality (p = .739). Of note, when comparing AKI patients with or without obesity in terms of in-hospital mortality there were also no significant differences between those groups (38.4% versus 38.4%, p = .998). Obesity was associated with the occurrence of AKI in critically ill patients with sepsis; however, it was not associated with in-hospital mortality.
    2018Journal article Open access Show more
  • A participação do Exército Português nos compromissos internacionais
    Publication . Gouveia, João
    Este trabalho tem como principal objectivo identificar quais os compromissos internacionais assumidos pelo Estado Português em que o Exército participa, analisá-los e relacioná-los, de modo a verificar de que modo e em que áreas se traduzem numa maior afirmação do Estado Português na Europa e no Mundo. Esta participação tem vindo a tornar-se cada vez maior, pelo que a presença portuguesa, fazendo sentir-se cada vez mais, projectará certamente uma imagem de um Portugal mais actual, cooperante, desenvolvido e determinado a cumprir os compromissos internacionais que politicamente assume. Abstract: The main goal of this work is that of identifying which international commitments involving the participation of the Army are undertaken by the Portuguese State, analysing and relating said commitments so as to examine to what extent, and in which areas, these contribute to a greater affirmation of the Portuguese State in Europe and the World in general. The participation of the Portuguese Army has become increasingly greater, and this Portuguese presence which is felt with growing intensity, will certainly project an image of a more modern, co-operative and developed Portugal determined to comply with the international commitments it undertakes at a political level.
    2003Other Open access Show more