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Browsing by Author "Machado, Paulo Alexandre Puga"

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  • Analyses of pressure ulcer incidence in inpatient setting in a Portuguese hospital
    Publication . Sardo, Pedro Miguel Garcez; Simões, Cláudia Sofia Oliveira; Alvarelhão, José Joaquim Marques; Simões, João Filipe Fernandes Lindo; Machado, Paulo Alexandre Puga; Amado, Francisco Manuel Lemos; Amaro, António José Monteiro; Melo, Elsa Maria Oliveira Pinheiro de
    Aim: To gain more insight into the magnitude of the problem of pressure ulcer incidence in general wards of a Portuguese hospital. Material and methods: Retrospective cohort analysis of electronic health record database from 7132 adult patients admitted to medical and surgical wards of Aveiro Hospital during 2012. The development of (at least) one pressure ulcer during the length of stay was associated with age, gender, type of admission, specialty units, first Braden Scale score, length of stay, patient discharge outcome and ICD-9 diagnosis. Results: An incidence of 3.4% participants with pressure ulcer category I-IV in inpatient setting during 2012. During the length of stay, 320 new pressure ulcers were developed, most of them category/stage II. The sacrum/coccyx and the trochanters were the most problematic areas. Conclusions: The major risk factor for the development of a new pressure ulcer during the length of stay was the presence of (at least) one pressure ulcer at the first skin assessment. The length of stay itself, age and lower Braden Scale scores of our participants also played an important role in the odds of developing a pressure ulcer. Infectious diseases, traumatism and fractures and respiratory diseases were the ICD-9 diagnoses with higher frequency of participants that developed (at least) one pressure ulcer during the length of stay. It's important to standardize procedures and documentation in all care settings. The documentation of nursing interventions is vital to evaluate the impact of evidence-based nursing.
    2016Journal article Restricted access Show more
  • Supervisão clínica de alunos de enfermagem
    Publication . Pires, Regina; Sardo, Dolores; Morais, Ernesto; Reis Santos, Margarida; Koch, Maria Cândida; Machado, Paulo Alexandre Puga
    2004Journal article Open access Show more
  • Trabalho Livre nº 18 - Úlceras por Pressão: a evidência nas nossas mãos
    Publication . Sardo, Pedro Miguel Garcez; Machado, Paulo Alexandre Puga; Melo, Elsa Maria de Oliveira Pinheiro de
    As úlceras por pressão (UPP) são um desafio e representam um importante indicador de qualidade em saúde. As diretrizes nacionais e internacionais emanam importantes recomendações para a prática e para a pesquisa clínica. No entanto é necessário conhecer a nossa realidade para fomentar a prática baseada na evidência.
    2017-03-03Other Open access Show more