Resuscitation fluid practices in Brazilian intensive care units: a secondary analysis of Fluid-TRIPS.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Freitas Flavio Geraldo Rezende de, Hammond Naomi, Li Yang, Azevedo Luciano Cesar Pontes de, Cavalcanti Alexandre Biasi, Taniguchi Leandro, Gobatto André, Japiassú André Miguel, Bafi Antonio Tonete, Mazza Bruno Franco, Noritomi Danilo Teixeira, Dal-Pizzol Felipe, Bozza Fernando, Salluh Jorge Ibrahin Figueira, Westphal Glauco Adrieno, Soares Márcio, Assunção Murillo Santucci César de, Lisboa Thiago, Lobo Suzana Margarete Ajeje, Barbosa Achilles Rohlfs, Ventura Adriana Fonseca, Souza Ailson Faria de, Silva Alexandre Francisco, Toledo Alexandre, Reis Aline, Cembranel Allan, Rea Neto Alvaro, Gut Ana Lúcia, Justo Ana Patricia Pierre, Santos Ana Paula, Albuquerque André Campos D de, Scazufka André, Rodrigues Antonio Babo, Fernandino Bruno Bonaccorsi, Silva Bruno Goncalves, Vidal Bruno Sarno, Pinheiro Bruno Valle, Pinto Bruno Vilela Costa, Feijo Carlos Augusto Ramos, Abreu Filho Carlos de, Bosso Carlos Eduardo da Costa Nunes, Moreira Carlos Eduardo Nassif, Ramos Carlos Henrique Ferreira, Tavares Carmen, Arantes Cidamaiá, Grion Cintia, Mendes Ciro Leite, Kmohan Claudio, Piras Claudio, Castro Cristine Pilati Pileggi, Lins Cyntia, Beraldo Daniel, Fontes Daniel, Boni Daniela, Castiglioni Débora, Paisani Denise de Moraes, Pedroso Durval Ferreira Fonseca, Mattos Ederson Roberto, Brito Sobrinho Edgar de, Troncoso Edgar M V, Rodrigues Filho Edison Moraes, Nogueira Eduardo Enrico Ferrari, Ferreira Eduardo Leme, Pacheco Eduardo Souza, Jodar Euzebio, Ferreira Evandro L A, Araujo Fabiana Fernandes de, Trevisol Fabiana Schuelter, Amorim Fábio Ferreira, Giannini Fabio Poianas, Santos Fabrício Primitivo Matos, Buarque Fátima, Lima Felipe Gallego, Costa Fernando Antonio Alvares da, Sad Fernando Cesar Dos Anjos, Aranha Fernando G, Ganem Fernando, Callil Flavio, Costa Filho Francisco Flávio, Dall Arto Frederico Toledo Campo, Moreno Geovani, Friedman Gilberto, Moralez Giulliana Martines, Silva Guilherme Abdalla da, Costa Guilherme, Cavalcanti Guilherme Silva, Cavalcanti Guilherme Silva, Betônico Gustavo Navarro, Betônico Gustavo Navarro, Reis Hélder, Araujo Helia Beatriz N, Hortiz Júnior Helio Anjos, Guimaraes Helio Penna, Urbano Hugo, Maia Israel, Santiago Filho Ivan Lopes, Farhat Júnior Jamil, Alvarez Janu Rangel, Passos Joel Tavares, Paranhos Jorge Eduardo da Rocha, Marques José Aurelio, Moreira Filho José Gonçalves, Andrade Jose Neto, Sobrinho José Onofre de C, Bezerra Jose Terceiro de Paiva, Alves Juliana Apolônio, Ferreira Juliana, Gomes Jussara, Sato Karina Midori, Gerent Karine, Teixeira Kathia Margarida Costa, Conde Katia Aparecida Pessoa, Martins Laércia Ferreira, Figueirêdo Lanese, Rezegue Leila, Tcherniacovsk Leonardo, Ferraz Leone Oliveira, Cavalcante Liane, Rabelo Ligia, Miilher Lilian, Garcia Lisiane, Tannous Luana, Hajjar Ludhmila Abrahão, Paciência Luís Eduardo Miranda, Cruz Neto Luiz Monteiro da, Bley Macia Valeria, Sousa Marcelo Ferreira, Puga Marcelo Lourencini, Romano Marcelo Luz Pereira, Nobrega Marciano, Arbex Marcio, Rodrigues Márcio Leite, Guerreiro Márcio Osório, Rocha Marcone, Alves Maria Angela Pangoni, Alves Maria Angela Pangoni, Rosa Maria Doroti, Dias Mariza D'Agostino, Martins Miquéias, Oliveira Mirella de, Moretti Miriane Melo Silveira, Matsui Mirna, Messender Octavio, Santarém Orlando Luís de Andrade, Silveira Patricio Júnior Henrique da, Vassallo Paula Frizera, Antoniazzi Paulo, Gottardo Paulo César, Correia Paulo, Ferreira Paulo, Torres Paulo, Silva Pedro Gabrile M de Barros E, Foernges Rafael, Gomes Rafael, Moraes Rafael, Nonato Filho Raimundo, Borba Renato Luis, Gomes Renato V, Cordioli Ricardo, Lima Ricardo, López Ricardo Pérez, Gargioni Ricardo Rath de Oliveira, Rosenblat Richard, Souza Roberta Machado de, Almeida Roberto, Narciso Roberto Camargo, Marco Roberto, Waltrick Roberto, Biondi Rodrigo, Figueiredo Rodrigo, Dutra Rodrigo Santana, Batista Roseane, Felipe Rouge, Franco Rubens Sergio da Silva, Houly Sandra, Faria Sara Socorro, Pinto Sergio Felix, Luzzi Sergio, Sant'ana Sergio, Fernandes Sergio Sonego, Yamada Sérgio, Zajac Sérgio, Vaz Sidiner Mesquita, Bezerra Silvia Aparecida Bezerra, Farhat Tatiana Bueno Tardivo, Santos Thiago Martins, Smith Tiago, Silva Ulysses V A, Damasceno Valnei Bento, Nobre Vandack, Dantas Vicente Cés de Souza, Irineu Vivian Menezes, Bogado Viviane, Nedel Wagner, Campos Filho Walther, Dantas Weidson, Viana William, Oliveira Filho Wilson de, Delgadinho Wilson Martins, Finfer Simon, Machado Flavia Ribeiro
Аннотация
METHODS: This was a prospective, international, cross-sectional, observational study in a convenience sample of intensive care units in 27 countries (including Brazil) using the Fluid-TRIPS database compiled in 2014. We described the patterns of fluid resuscitation use in Brazil compared with those in other countries and identified the factors associated with fluid choice.
RESULTS: On the study day, 3,214 patients in Brazil and 3,493 patients in other countries were included, of whom 16.1% and 26.8% (p < 0.001) received fluids, respectively. The main indication for fluid resuscitation was impaired perfusion and/or low cardiac output (Brazil: 71.7% versus other countries: 56.4%, p < 0.001). In Brazil, the percentage of patients receiving crystalloid solutions was higher (97.7% versus 76.8%, p < 0.001), and 0.9% sodium chloride was the most commonly used crystalloid (62.5% versus 27.1%, p < 0.001). The multivariable analysis suggested that the albumin levels were associated with the use of both crystalloids and colloids, whereas the type of fluid prescriber was associated with crystalloid use only.
CONCLUSION: Our results suggest that crystalloids are more frequently used than colloids for fluid resuscitation in Brazil, and this discrepancy in frequencies is higher than that in other countries. Sodium chloride (0.9%) was the crystalloid most commonly prescribed. Serum albumin levels and the type of fluid prescriber were the factors associated with the choice of crystalloids or colloids for fluid resuscitation.