Enfermeria intensiva最新文献

{"title":"Safety of intermittent versus continuous enteral nutrition in critically ill patients. Randomized clinical trial","authors":"María Dolores Saiz-Vinuesa RN, MSc, PhD candidate ,&nbsp;Eloina Rodriguez-Moreno RN ,&nbsp;Francisca Calero-Yánez RN, MSc, PhD candidate ,&nbsp;Ana María Piqueras-Carrión TCAE ,&nbsp;Carmen Carrilero-López RN ,&nbsp;Isabel Murcia-Sáez MD, PhD ,&nbsp;María Pilar Córcoles-Jimenez RN, MSc, PhD ,&nbsp;Milagros Molina-Alarcón Psy, PhD","doi":"10.1016/j.enfie.2025.500561","DOIUrl":"10.1016/j.enfie.2025.500561","url":null,"abstract":"<div><h3>Introduction</h3><div>Enteral nutrition (EN) is a common nutritional support in intensive care units (ICU). The administration method can be continuous (CEN)or intermittent (IEN), but there are controversies and a lack of evidence on which method is more effective in achieving good nutritional status while minimizing complications.</div></div><div><h3>Objectives</h3><div>To evaluate the safety (no increase in complications) NEI versus NEC during administration of EN with a gastric feeding tube (GFT) in ICU patients.</div></div><div><h3>Methods</h3><div>Randomized,open clinical trial.Registered in Clinical Trials. Population: Adults &gt;18 years admitted to ICU,with GFT, indication of EN, signed consent. Exclusion: insulin-dependent diabetic. Intervention: Control (CEN): continuous administration via infusion pump; Experimental (IEN): the total amount divided into 4 doses, administered q6 h via infusion pump,for 1 h each dose. Outcome variables: complications (gastrointestinal,respiratory,metabolic), achievement of caloric goal (CG) Others: demographic data, nutritional status, severity (APACHE), EN type, mechanical ventilation (MV), duration of EN, causes of interruption. Statistical analysis: SPSS. Intention-to-treat analysis. Measures of central tendency and dispersión (standard deviation or interquartile range: IQR), absolute and relative frequencies. Bivariate analysis: Chi2, t-Student, and U-Mann–Whitney. Ethical aspects: CEIm approval.</div></div><div><h3>Results</h3><div>40 patients (18CEN/22IEN), 70% (28) men, age 62.65 DE:13.27 years (95% CI 58.40−66.90), BMI: 27.93 (IQR:4.6), APACHE II: 18.85 DE: 5.83 (95% CI 16.98−20.72), MV:11.5days (IQR:13).17.5% (7) diabetic. The CEN and IEN groups were homogeneous for all variables except APACHE (CEN 21.22 vs IEN 16.91; p = 0.018). CG was achieved by 82.5% (33) (88.9% CEN vs77.3% IEN, p = 0.33), time to achieve it (36 h CEN vs 34 h IEN; p = 0.28). Complications: vomiting:20% (8) patients (4 per group, p = 0.75). Diarrhea: (16.7%CEN vs 22.7% IEN, p = 0.63). Bronchial aspiration and GRV &gt;500cc 1 case in IEN. Median interruptions (2.5 (IQR: 2) CEN vs 1 (IQR: 2) IEN; p = 0.005).</div></div><div><h3>Discussion</h3><div>The results are similar to other studies. CG was achieved in a high percentage, with no differences between groups. The use of INE shows feweer interruptions, which may lead to better compliance with caloric guidelines without increasing complications, maintaining physiological guidelines.</div></div><div><h3>Conclusion</h3><div>IEN in ICU patients shows no differences in terms of complications, compared to CEN, nor less effectiveness in achieving the CG. A larger sample is needed to identify the advantages and complications of each method.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 4","pages":"Article 500561"},"PeriodicalIF":0.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144861324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perception of needs of relatives of patients at pediatric intensive care units","authors":"Mónica Padilla-Lamadrid RN, MSN ,&nbsp;Ana Pardo-Fernández RN, MSN ,&nbsp;Raquel Torres-Luna RN, MSc ,&nbsp;Alberto García-Gómez RN, MSN ,&nbsp;Julia de Villarreal-Arracò RN, MSN ,&nbsp;Elena García-González RN, MSN ,&nbsp;Laura Frade-Pardo RN, MSN ,&nbsp;Pedro Piqueras-Rodríguez RN, MSN ,&nbsp;Eva del Ara Muñoz-Granda RN","doi":"10.1016/j.enfie.2025.500557","DOIUrl":"10.1016/j.enfie.2025.500557","url":null,"abstract":"<div><h3>Background</h3><div>Pediatric Critical Care has undergone important changes in the last decades. In order to adapt pediatric care to the patient-family binomial and guarantee its quality, the evaluation of the needs perceived by family members during hospital stay is becoming increasingly relevant.</div></div><div><h3>Objective</h3><div>To determine the perception of the needs of the relatives of patients admitted to the Pediatric Critical Care Units (PCCU) in a tertiary level hospital.</div></div><div><h3>Methods</h3><div>Cross-sectional descriptive observational quantitative study was run through the distribution of the modified version of the Critical Care Family Needs Inventory (CCFNI). <em>Population:</em> Parents or legal caregivers of patients admitted to two CCUs with &gt;48 h stay between September 2023 and January 2024. Descriptive analysis, Mann–Whitney U and Kruskal–Wallis tests were performed.</div></div><div><h3>Results</h3><div>Eighty-four questionnaires were completed. The median total score on the questionnaire was 15.00, corresponding to a high perception of fulfillment of needs. The subscale with the highest degree of compliance of the needs was “Patient care” (3.00), followed by “Information and communication” (3.00) and “Family care” (4.50); the subscale “Possible perceived improvements” (4.50) was the one with the worst results.</div><div>Statistically significant differences were found when comparing the total score between units (p = 0.046) and according to the type of room (p = 0.016) and the educational level of the relatives (p = 0.049). No significant differences were found during the analysis of the remaining variables.</div></div><div><h3>Conclusions</h3><div>The findings suggest that the hospital environment, specifically type of room, have a significant impact on the perception of family members’ needs fulfillment. It is considered essential to adapt pediatric critical care units in order to suit today’s family-centered care approach.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 4","pages":"Article 500557"},"PeriodicalIF":0.0,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144852226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of COVID-19 vaccination on hospital costs in critically ill patients in an intensive care unit during the pandemic","authors":"Alejandro González-Castro MD, pHD ,&nbsp;David Iglesias MD ,&nbsp;Yhivian Peñasco MD, pHD ,&nbsp;Carmen Huertas Marín MD ,&nbsp;Elena Cuenca-Fito MD ,&nbsp;Trinidad Dierssen-Soto MD, pHD ,&nbsp;Reinhard Wallmann MD ,&nbsp;Raquel Ferrero-Franco RN ,&nbsp;Camilo González MD ,&nbsp;Juan Carlos Rodríguez-Borregán MD","doi":"10.1016/j.enfie.2025.500551","DOIUrl":"10.1016/j.enfie.2025.500551","url":null,"abstract":"<div><h3>Background and objective</h3><div>COVID-19 vaccination may alter the course of severe disease and influence hospital discharge costs. This study compares hospital discharge costs among ICU-admitted COVID-19 patients based on vaccination status, adjusted for All Patient Refined Diagnosis Related Groups (APR-DRG) and severity.</div></div><div><h3>Patients and methods</h3><div>A retrospective study (March 2020–March 2022) was conducted in an ICU, categorizing patients into three groups: unvaccinated, fully vaccinated, and partially vaccinated. Full vaccination included all required doses and boosters per the vaccination schedule. Disease severity was classified as mild, moderate, severe, and critical. Direct hospital costs, including ICU stay, medical procedures, medications, and life support, were analysed using data from Order SAN/35/2017, adjusted for inflation. Chi-square and Kruskal-Wallis tests with Bonferroni correction were used for comparisons.</div></div><div><h3>Results</h3><div>A total of 456 patients were included: 262 (57%) unvaccinated, 32 (7%) partially vaccinated, and 162 (35%) fully vaccinated. Median costs were:</div><div>Unvaccinated: €10,653 (IQR: €6160–€18,274)</div><div>Partially vaccinated: €17,360 (IQR: €5061–€26,085)</div><div>Fully vaccinated: €10,653 (IQR: €6160–€26,085)</div><div>Cost differences were not statistically significant (<em>p</em> = 0.28). Critical severity patients had the highest costs, while mild cases had the lowest (<em>p</em> &lt; 0.05). No significant cost differences were found within each severity level or in APR-DRG relative weight (<em>p</em> = 0.38).</div></div><div><h3>Conclusions</h3><div>No significant differences in hospital discharge costs by APR-DRG were found based on vaccination status. However, vaccination may reduce disease severity and the need for intensive resources, with potential economic and clinical implications for future research.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500551"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144860593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a music therapy intervention on the mood of the critically ill patient","authors":"M. del Mar Vega Castosa MSN,&nbsp;M. del Carmen Jover Sancho MSN, PhD,&nbsp;Joan Trujols Albet PhD","doi":"10.1016/j.enfie.2025.500549","DOIUrl":"10.1016/j.enfie.2025.500549","url":null,"abstract":"<div><h3>Introduction</h3><div>The critically ill patient is in a state of fragility, helplessness, and vulnerability that hinders the communication of their emotions and feelings. Music therapy could be a valid tool to improve mood. The main objective was to evaluate the effect on mood of an individualised music therapy intervention compared to standard care and analyze the impact on pain and hemodynamic variables.</div></div><div><h3>Methodology</h3><div>randomised, parallel, and open clinical trial. Patients were randomised into the experimental group, receiving combined music therapy and standard care, or the control group, receiving standard care only. The study population consisted of patients admitted to the Intensive Care Unit with a Glasgow 15−11 T score, excluding those with confusion, agitation, and significant cognitive deficits. The primary variable was mood, assessed using the Profile of Mood States questionnaire. Secondary variables included pain, heart rate, blood pressure, respiratory rate, and oxygen saturation.</div></div><div><h3>Results</h3><div>A total of 151 patients were included, randomly distributed into the EG (n = 75) and CG (n = 76). Mood improvement was significant in all 6 subscales of the POMS, in the time effect between pre- and post-intervention assessment, and in the time effect by group interaction for Anger (p = 0.020), Fatigue (p = 0.002), Vigor (p = 0.029), and Tension (p = 0.042), indicating that the improvement was related to the music therapy intervention in the EG. Following the music therapy intervention, a decrease in pain (p = 0.024) and heart rate (p = 0.017) was observed in the time effect, and an increase in systolic blood pressure (p = 0.004) was related to the music therapy intervention.</div></div><div><h3>Discussion</h3><div>This clinical trial demonstrates that music therapy, with a personalised music intervention, has a positive effect on the mood of critically ill patients. Further lines of research are needed to continue advancing scientific knowledge and develop news forms of assistance to improve mood.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500549"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144549399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recovery and severity of acute kidney injury in critically ill clinical and surgical patients","authors":"Raquel Teles-Mesquita Graduated ,&nbsp;Natália Vieira-Araújo-Cunha MSN ,&nbsp;Marcia Cristina-da-Silva-Magro PhD ,&nbsp;Kamilla Grasielle-Nunes-da-Silva MSN","doi":"10.1016/j.enfie.2025.500545","DOIUrl":"10.1016/j.enfie.2025.500545","url":null,"abstract":"<div><h3>Introduction</h3><div>The identification of patients at risk has implications on the management of clinical and surgical patients. The severity of acute kidney injury (AKI) has a negative impact on the patient's prognosis and effects on kidney function recovery.</div></div><div><h3>Objective</h3><div>To determine the cases of renal recovery and level of severity of AKI in clinical and surgical patients admitted to the intensive care unit. (ICU).</div></div><div><h3>Method</h3><div>Prospective, observational, longitudinal, and quantitative analytical study. It was carried out in an ICU of a teaching hospital. The sample was non-probabilistic, consisting of 59 surgical and clinical patients. A structured questionnaire consisting of 38 questions subdivided into sections was used for data collection such as hospitalization data; surgery data; history of current hospitalization; hemodynamic and laboratory parameters; AKI severity. Variable analysis was based on non-parametric tests. Two-sided <em>p</em> values<!--> <!-->&lt;<!--> <!-->0.05 were considered statistically significant.</div></div><div><h3>Results</h3><div>The most severe AKI according to the classification KDIGO (Kidney Disease: Improving Global Outcomes) was 3 and mainly affected clinical patients (34.5%). Surgical patients predominantly developed AKI – KDIGO 2 and 3 (23.3%). The length of hospital stay (<em>p</em> <!-->=<!--> <!-->0.04), and ICU stay (<em>p</em> <!-->=<!--> <!-->0.001) was significant in patients who developed AKI. Renal recovery occurred predominantly in surgical patients (20.3%).</div></div><div><h3>Conclusions</h3><div>Clinical patients admitted to the ICU are more affected by more severe AKI (KDIGO 3). Renal recovery was observed in approximately two out of every five patients, being more significant in surgical patients.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500545"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Central venous catheter-related bacteremia in critically ill patients: Epidemiology and risk factor’s","authors":"Esther Mancheño-Maciá PhD ,&nbsp;Beatriz Muñoz-Sánchez RN ,&nbsp;Inés González-Sánchez PhD ,&nbsp;Marina Leal-Clavel RN, MsN ,&nbsp;Vanesa Escudero-Ortiz PhD","doi":"10.1016/j.enfie.2025.500538","DOIUrl":"10.1016/j.enfie.2025.500538","url":null,"abstract":"<div><h3>Introduction</h3><div>Central venous catheter-related bacteremia is a common nosocomial infection in intensive care units (ICU), the prevalence is worrying. In recent years, due to Covid-19, the number of central venous catether’s patients, treated with immunosuppressive drugs, has been increased. Our objective was to determine the prevalence of central catheter bacteremia in ICU, during 2022, as well as to determine associated risk factors.</div></div><div><h3>Methods</h3><div>Descriptive cross-sectional study in ICU of hospita (HGU Dr. Balmis Hospital Alicante, Spain). Were included 466 patients admitted to ICU in 2022. Sociodemographic, clinical, catheter-related data and APACHE-II and q-SOFA scale scores were collected.</div></div><div><h3>Results</h3><div>The prevalence of bacteriemia was 3,65%. Significant factors associated with bacteriemia were the number of catheters inserted in each patient (p-value &lt; 0,001) and the use of immunosuppressive drugs (p-value = 0,002). Patients who had a peripherally inserted catheter (PICC) had a lower probability of develop bacteriemia and patients with conventional catheter and PICC had a higher probability. The rest of the variables, including Covid-19, without significant differences</div></div><div><h3>Discussion and conclusions</h3><div>In line with other authors, we can affirm that the administration of immunosuppressive drugs is a risk factor of central venous catheter-related bacteremia; A correct risk-benefit assessment is recommended when prescribing this drugs, in Covid’s patients the biological drug tocilizumab could be the recommended one. An increase by one unit in the number of catheters inserted causes a 5-fold increase in probability of developing bacteremia (Odds ratio: 4,984, 95% confidence interval 2,984−9,136). Covid-19, sex, age, comorbidities and q-SOFA and APACHE-II scores do not seem to show a relationship whith bacteremia and PICCs devices do seem to be safer versus conventional CVCs.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500538"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144694650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Teamwork training methodology: Five editions of the TeamSTEPPS® course","authors":"Marta Raurell-Torredà (MA) ,&nbsp;Ignacio Zaragoza-García ,&nbsp;Francisco Javier Sánchez Chillón ,&nbsp;Anna Maria Aliberch Raurell ,&nbsp;Ana Carolina Amaya Arias ,&nbsp;Andrés Rojo Rojo ,&nbsp;Oscar Arrogante","doi":"10.1016/j.enfie.2025.500563","DOIUrl":"10.1016/j.enfie.2025.500563","url":null,"abstract":"","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500563"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical skills in therapeutic plasmapheresis in intensive care: A scoping review","authors":"Pedro Ramos-Figueiras MSc ,&nbsp;Maria Pinto-Marques PhD ,&nbsp;Margarida Palma-Goes PhD ,&nbsp;Henrique Oliveira PhD","doi":"10.1016/j.enfie.2025.500556","DOIUrl":"10.1016/j.enfie.2025.500556","url":null,"abstract":"<div><h3>Background</h3><div>Therapeutic plasmapheresis is a procedure primarily focused on modulating the immune system by removing specific antibodies and albumin-bound toxins implicated in the development of serious pathologies, and it is being used more frequently in intensive care units. In this therapeutic intervention, nursing teams mostly use the knowledge and skills acquired through experience with continuous dialysis techniques. However, the procedure is complex and advanced, requiring the development of specific skills.</div></div><div><h3>Aim</h3><div>To map the nursing interventions that facilitate the development of specific clinical skills for therapeutic plasmapheresis.</div></div><div><h3>Methodology</h3><div>The methodology adopted was based on a scoping review. The Population, Concept, Context methodology was used to formulate the review question and to select the articles. The search was carried out in the scientific databases CINAHL, MEDLINE, COCHRANE, Virtual Health Library and international journals specializing in apheresis techniques knowledge, with the inclusion criteria “nursing care”, “peer-reviewed articles” and the exclusion criteria “no full text” and “date less than 2017” applied. In addition, the most recent international guidelines on therapeutic plasmapheresis were included.</div></div><div><h3>Results</h3><div>A total of 11 articles were identified, of which 7 are textual evidence articles, based on expert opinions and database searches, and 4 are quantitative studies; in addition to 5 guidelines related to the subject under analysis. These reflect the importance of developing skills in therapeutic plasmapheresis, categorized into general, technical, management and communication domains. Nursing interventions are based on the principle of clinical reasoning, promoting evidence-based practice. The relevance of certifying these skills through training is also highlighted, emphasizing the need for structured programs for an adequate approach to highly complex therapeutic interventions.</div></div><div><h3>Conclusion</h3><div>Therapeutic plasmapheresis plays an essential role in intensive care settings, covering various clinical scenarios, which requires an individualized approach and careful consideration of the person's specific clinical condition.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500556"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and sensitivity to change of the Clinical Frailty Scale-Spain in patients admitted to intensive care","authors":"Susana Arias-Rivera RN, MSN, PhDc ,&nbsp;Marta Raurell-Torredà RN, PhD ,&nbsp;María Nieves Moro-Tejedor RN, PhD ,&nbsp;Israel John Thuissard-Vasallo PhD ,&nbsp;Cristina Andreu-Vázquez MVD, MsC, PhD ,&nbsp;Fernando Frutos-Vivar MD ,&nbsp;CFS-Es-ICU Group","doi":"10.1016/j.enfie.2025.500558","DOIUrl":"10.1016/j.enfie.2025.500558","url":null,"abstract":"<div><h3>Introduction</h3><div>Frailty scales, developed to assess elderly patients, are being implemented in critically ill patients. One of the most widely used is Clinical Frailty Scale, wrecently adapted to Spanish(CFS-España).</div></div><div><h3>Objective</h3><div>To evaluate the validity and sensitivity to change of the CFS-España in a cohort of critically ill patients aged ≥18 years.</div></div><div><h3>Methodology</h3><div>A prospective, multicenter, observational, metric-based study was conducted between January-2020 and July-2024. Adult patients with ICU stays &gt;48 h were included. Follow-up was performed during the stay and up to one year after discharge. Variables: frailty, sociodemographic characteristics, quality of life, comorbidities, severity(SAPS3), ICU outcome variables, length of stay, and discharge destination. Statistical analysis: exploratory, bivariate regression to assess the relationship between frailty and the recorded variables; multivariate regression of significant variables in bivariate. Spearman correlation of CFS-España with quantitative variables. Comparison of means with Student's t-test for sensitivity to change.</div></div><div><h3>Results</h3><div>A total of 493 patients were included, 17.4% of whom were frail(CFS-Spain = 5−9). Age, being female, and being dependent increased the risk of frailty, as did previous hospitalizations, comorbidities, poorer physical quality of life, low academic level, and low annual income. Frailty predicts muscle weakness, hypoglycemia, the need for extrarenal blood pressure, invasive mechanical ventilation, vasoactive drugs, cardiopulmonary resuscitation, or limitation of life-sustaining treatment, and is associated with mortality. Frailty was not associated with mental quality of life, SAPS3, SOFA or ICU/hospital stay. The greatest change observed was between admission and 3 months after discharge. The effect size for changes in CFS-Es between admission, midpoints, and discharge was high (d = 0.832).</div></div><div><h3>Conclusions</h3><div>The CFS-España shows good convergent validity with age, women, dependency, poorer physical quality of life, days of previous hospitalization, academic level and low annual income. Good predictive validity for the level of vital support in ICU, mortality and destination at hospital discharge.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500558"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144860502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Monitoring of night-time nursing interventions in Spanish paediatric critical care units","authors":"Alicia Gomez-Merino RN, MSc ,&nbsp;Patricia Luna-Castaño PhD, RN, MSc ,&nbsp;Marta Martín-Velasco RN ,&nbsp;Natalia González-Martínez RN, MSc ,&nbsp;Pedro Piqueras-Rodríguez RN, MSc ,&nbsp;Irina Marcos-Blázquez RN, MSc ,&nbsp;Sara Álvarez-Blanco RN ,&nbsp;Lucía Gutiérrez-Horrillo RN, MSc ,&nbsp;Elia Mas-Company RN ,&nbsp;Enara Otero-Arbella RN ,&nbsp;Elena Martín-Camacho RN, MSc ,&nbsp;María Teresa Arias-Latorre RN, MSc ,&nbsp;Sara Rodríguez-Flórez RN, MSc ,&nbsp;María de los Ángeles Morán-Barrio RN ,&nbsp;María Teresa Moreno-Casbas RN, PhD, FEAN, FAAN","doi":"10.1016/j.enfie.2025.500555","DOIUrl":"10.1016/j.enfie.2025.500555","url":null,"abstract":"<div><h3>Introduction</h3><div>The hostile environment in Paediatric Intensive Care Units (PICU) favours sleep-wake biorhythm dysregulation. Sleep disorders have detrimental impact on the immune, neurological and cardiovascular systems, in addition to increasing morbidity and mortality rates. Sleep plays a crucial role in brain development, rendering paediatric patients particularly vulnerable to the adverse effects of sleep disorders due to their ongoing neurological growth. The factors that affect rest include, among others, noise, lighting, treatment, and nocturnal nursing interventions, although the evidence for the latter is still scarce.</div></div><div><h3>Objective</h3><div>To identify the nocturnal nursing interventions, following the NIC Taxonomy, carried out in PICUs.</div></div><div><h3>Method</h3><div>A Multicentre, cross-sectional, descriptive study was performed using an <em>ad hoc</em> survey to identify nocturnal nursing interventions in the PICU. The collected variables were characteristics of the participating PICU and those derived from the nursing interventions. During the analysis, mean and standard deviation of quantitative variables, and frequency tables and percentages were generated for qualitative variables. The variables were operationalized and Student's <em>t</em>-test and ANOVA were calculated for comparison between variables.</div></div><div><h3>Results</h3><div>100 records were obtained, encompassing 5017 interventions, with the most repeated intervention being “Vital signs monitoring”. The mean number of different interventions identified was 23 ± 7.66 and the mean frequency of these was 50.17 ± 19.28. There were significant differences between the hospital variable and the number and frequency of interventions performed (<em>P</em> &lt; .001).</div></div><div><h3>Discussion</h3><div>We agreed with other studies in identifying “Vital signs monitoring” as the most frequent intervention. “Improving sleep” was one of the most frequently reported, in contrast to other studies where interventions related to rest were not documented.</div></div><div><h3>Conclusions</h3><div>The most frequently performed interventions in the PICU were identified. In most of the registers some intervention on improving rest was identified, which could indicate the latent concern of the health care professionals for the sleep of the critical child.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500555"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144852378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}