Acta Colombiana de Cuidado Intensivo最新文献

{"title":"Índice de choque y capacidad para predecir el uso de transfusión masiva en una población con trauma grave en región toracoabdominal","authors":"Daniel Escobar Macías ,&nbsp;Wesley Cardona Castro ,&nbsp;Juan D. Jimenez ,&nbsp;Samuel Correa ,&nbsp;Carlos E. Vallejo","doi":"10.1016/j.acci.2025.01.002","DOIUrl":"10.1016/j.acci.2025.01.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Bleeding is one of the main causes of death associated with trauma. Massive transfusion (MT) is one of the mainstays of treatment, with decreased mortality demonstrated with early initiation of administration. There are multiple tools to activate MT protocols, among which is the shock index (CI), however, the cut-off point to define its activation is not clear. The objective of this study was to determine the diagnostic performance of IC to determine the need for MT in patients with severe trauma to the chest and/or abdomen.</div></div><div><h3>Methodology</h3><div>Cross sectional study. Patients with severe trauma were evaluated between the years 2017 to 2022. The incidence of MT was estimated and the CI of each patient with the first medical contact was calculated. Discrimination was assessed using AUC-ROC for receiving a MT.</div></div><div><h3>Results</h3><div>The cumulative MT incidence was 30.79% (n<!--> <!-->=<!--> <!-->97); In patients who required MT the median CI was 1.2 (IQR: 0.6-1.8), while in patients who did not require MT it was 1 (IQR: 0.5-1.5). The cut-off point of 1.1 in the CI presented the best performance with an AUC-ROC 0.63 to predict the need for MT.</div></div><div><h3>Conclusion</h3><div>In the sample analyzed, the CI has a poor performance in predicting the need for MT, although it was observed that a higher CI is related to greater administration of MT, with an optimal cut-off point of 1.1 for our population.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 2","pages":"Pages 261-269"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254958","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":"Comunicar malas noticias en cuidados intensivos: Algoritmo CRISIS 123","authors":"Liliana Correa-Pérez ,&nbsp;John Camilo García Uribe","doi":"10.1016/j.acci.2025.01.001","DOIUrl":"10.1016/j.acci.2025.01.001","url":null,"abstract":"<div><div>In intensive care, it is common to have to provide unfavorable information to patients and families in poor recovery scenarios. The empathic and appropriate delivery of bad news provides confidence, acceptance and grief for the patient and family, while inappropriate communication can generate negative emotional reactions. Through a literature review of current concepts for delivering bad news in serious or critical conditions, a novel proposal is generated: the CRISIS 123 algorithm: a mnemonic for delivering bad news, consisting of three domains: the first promotes techniques for delivering CRISIS 1 information: Communication, Summary/Reasons, Information, Event, Unexpected, Simulation. The CRISIS 2 domain includes key aspects of the news itself: Content, Risks, Impact, Serenity, Introduce and Silence. CRISIS 3 domain explains the emotions that can be experienced by both the giver and the receiver of the news: Compassion/Empathy and Respect, Sensitivity, Irreparable and Sense. An educational and methodical strategy that allows to give greater depth to the values and emotions involved in the communication of bad news in intensive care, and in other settings such as the obstetric ICU, emergency services and palliative care.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 2","pages":"Pages 325-335"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254019","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":"Recomendaciones de consenso para el abordaje integral y manejo del sangrado en escenarios críticos","authors":"Manuel Garay-Fernández ,&nbsp;Fredy Ariza ,&nbsp;Diego Zuluaga ,&nbsp;Sandra Olaya ,&nbsp;Liliana Correa ,&nbsp;Arturo Cardona ,&nbsp;Gloria Ramos ,&nbsp;Hans García ,&nbsp;Isabel Cristina Arias ,&nbsp;Aura Milena Reina ,&nbsp;Manuel Quintana Diaz","doi":"10.1016/j.acci.2024.11.003","DOIUrl":"10.1016/j.acci.2024.11.003","url":null,"abstract":"<div><div>Hemostatic alterations in massive bleeding manifest in various ways, significantly increasing the risk of complications and mortality. The management of critical bleeding requires multidisciplinary teams and standardized approaches to enable rapid assessment, identification of root causes, precise interventions, and ongoing decision-making. Situations such as major surgery, trauma, and childbirth often involve multiple factors that contribute to hemorrhagic shock, characterized by tissue ischemia and endothelial dysfunction, hypofibrinogenemia and dysfibrinolysis. Acute reductions in erythrocyte mass couple with persistent hypotension further compromise hemostasis and oxygen delivery. This consensus document provides evidence-based recommendations the assessment and management of critical bleeding in three key areas: postpartum hemorrhage, trauma, and cardiovascular surgery. The primary objective is to deliver accessible guidance that prioritizes effective bleeding management in critical scenarios, wheter or not coagulopathy is present. This document also serves as a practical tool to support the implementation and optimization of «Patient Blood Management,» a framework endorsed by the World Health Organization to enhance patient outcomes through evidence-based clinical care.</div><div>The GRADE-based recommendations for managing critical bleeding are organized into four key areas: 1.<!--> <em>Evaluation of coagulation in critical bleeding.</em> Early and sequential assessment of hemostasis is recommended, incorporating viscoelastic or conventional tests. Special enphasis is placed on fibrinogen quantification and platelet function, with the integration of these tests into institutional protocols. 2.<!--> <em>Management of postpartum bleeding.</em> Recommendations highlight the importance of early bleeding identification, the use of uterotonics, tranexamic acid, fibrinogen replacement, comprehensive monitoring, and mechanical bleeding control. 3.<!--> <em>Traumatic bleeding</em> key mesures include administering tranexamic acid and implementing transfusion therapy tailored to individual needs. Massive transfusion protocols, is emphasized, alongside early coagulation assessment using conventional or viscoelastic tests to guide treatment. 4.<!--> <em>Cardiovascular surgery.</em> Recommendations focus on preoperative identification and correction of anemia and risk factors. The use of tranexamic acid, along with perioperative coagulation assessment guided by viscoelastic test-based algorithms, is adviced to minimize transfusions. Strategies also enphasize restrictive transfusion thresholds and targeted bleeding management during prolonged bypass procedures.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 2","pages":"Pages 395-419"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144255090","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":"Índice de choque como predictor de mortalidad y desenlaces adversos en pacientes admitidos al servicio de urgencias","authors":"Ángel García-Peña ,&nbsp;Oscar Sanabria ,&nbsp;Jesús Jaimes ,&nbsp;Williams Cervera ,&nbsp;Jesús Beltrán","doi":"10.1016/j.acci.2025.01.006","DOIUrl":"10.1016/j.acci.2025.01.006","url":null,"abstract":"<div><h3>Introduction</h3><div>The shock index is the ratio between heart rate and systolic blood pressure, it is a useful tool for the early detection of shock in critically ill patients. These values are associated with adverse outcomes. However, the predictive ability in the Triaje scenario is not known.</div></div><div><h3>Objectives</h3><div>To determine the predictive capacity of the shock index at the time of admission of patients to the emergency room in Triaje, for adverse clinical outcomes (hospital admission, prolonged stay and death).</div></div><div><h3>Methods</h3><div>Based on a retrospective cohort study, the predictive capacity of the shock index for the development of adverse events was evaluated: hospital admission, prolonged stay, and mortality, by calculating Area Under the Receiver Operating Characteristic curve (AUROC).</div></div><div><h3>Results</h3><div>A total of 6438 patients were included for the analysis, with a total of 600 adverse events during the follow-up period. 56.5% were women, the average age was 39 years. 1078 (16.7%) patients were hospitalized, of which 396 (6.1%) had a prolonged hospital stay (greater than 5 days) and 78 (1.2%) died. The discrimination capacity of the shock index for: hospital admission, prolonged stay and mortality in the multivariate analysis were: AUROC 0,84, 0,90 and 0,94, respectively.</div></div><div><h3>Conclusions</h3><div>The shock index at emergency department admission helps distinguish relevant clinical outcomes, supporting its use as a complementary tool for risk stratification in initial triage.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 2","pages":"Pages 277-282"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254013","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":"Actualización en rehabilitación cardiaca en el paciente crítico cardiovascular: una revisión de tema","authors":"Juan Santiago Serna-Trejos ,&nbsp;Carlos Andrés Castro-Galvis ,&nbsp;Stefanya Geraldine Bermúdez-Moyano ,&nbsp;Laura Catalina Rodríguez-Fonseca ,&nbsp;Álvaro Andrés Montenegro-Apraez ,&nbsp;Jorge Fernando Miño-Bernal ,&nbsp;Lina María Salazar-Rodríguez ,&nbsp;Valentina Bravo-Echeverry","doi":"10.1016/j.acci.2025.01.004","DOIUrl":"10.1016/j.acci.2025.01.004","url":null,"abstract":"<div><div>Cardiac rehabilitation is a comprehensive, multidisciplinary strategy that has demonstrated significant benefits in critically ill cardiovascular patients, particularly those with ischemic disease, heart failure, and post-surgical interventions. This article reviews recent literature on the impact of cardiac rehabilitation in critically ill patients, highlighting its ability to improve functional capacity, quality of life, and reduce mortality and hospitalizations. Programs include tailored interventions encompassing supervised exercise, risk factor education, and psychosocial support. Important barriers are identified, such as low participation in rehabilitation programs, especially in vulnerable populations, due to economic limitations, geographic access and lack of knowledge on the part of both patients and health professionals. Emerging strategies, such as telemedicine-based rehabilitation and home-based programs, which seek to improve adherence and accessibility, are also discussed. Although the data are promising, more robust evidence is needed to assess efficacy in specific subgroups of critically ill patients and in resource-limited settings.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 2","pages":"Pages 350-360"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254074","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":"Esteroides, sepsis y shock séptico: de la plausibilidad biológica a la evidencia actual. Revisión narrativa","authors":"Jorge Luis Vélez-Páez ,&nbsp;Daniel Torres-Carpio ,&nbsp;Manuel Luis Avellanas-Chavala","doi":"10.1016/j.acci.2025.01.007","DOIUrl":"10.1016/j.acci.2025.01.007","url":null,"abstract":"<div><div>The discovery of steroids marked a medical milestone, both physiologically, by understanding adrenal function; and therapeutically, by finding an anti-inflammatory and immunosuppressive hormone that changed the natural history of autoimmune diseases.</div><div>Sepsis is systemic inflammation secondary to an infection, therefore, the use of steroids is biologically plausible. However, history provides negative data on their use at high doses (immunosuppression). Low doses activate non-genomic mechanisms with immunomodulatory and neuroendocrine responses that restore adrenergic sensitivity and improve the hemodynamic context in patients with septic shock and have opened a path towards a reasonable and supported therapeutic indication.</div><div>The objective of this review is to trace the historical path of steroids from their discovery to their current indication in septic shock.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 2","pages":"Pages 361-370"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254075","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":"Validación facial y de contenido del instrumento «Awareness, Attitudes, Prevention and Perceptions of COVID-19 Outbreak among Nurses»","authors":"Diana Isabel Cáceres Rivera ,&nbsp;Moisés Alfonso Bravo Gómez ,&nbsp;Raquel Rivera Carvajal ,&nbsp;Claudia Consuelo Torres Contreras","doi":"10.1016/j.acci.2024.11.002","DOIUrl":"10.1016/j.acci.2024.11.002","url":null,"abstract":"<div><h3>Introduction</h3><div>The care of patients with COVID-19 has generated the need to identify levels of awareness, prevention, attitudes and perception of nursing professionals in intensive care units. The objective of this work was to perform the face and content validation of an instrument of knowledge, attitudes and practices regarding COVID-19.</div></div><div><h3>Methodology</h3><div>Facial validation study of the instrument «Awareness, Attitudes, prevention and perceptions of COVID-19 Outbreak among Nurses» which has 62 questions in four dimensions: knowledge, prevention, attitude and opinion. The Fehring model was used and evaluated taking into account the content validity index (CVI).</div></div><div><h3>Results</h3><div>Eleven experts with postgraduate training and more than 10<!--> <!-->years of clinical experience participated. The CVI (&lt;<!--> <!-->0.80) and the experts’ comments made it possible to identify 8 items that required revision and 4 were deleted. The validated instrument was made up of 58 items, with 36 in knowledge, 13 in prevention, 5 in attitude and 4 in opinion, and with 4 items requiring reversal for the analysis of the instrument.</div></div><div><h3>Conclusions</h3><div>The instrument showed adequate face and content validity so it can be used for the identification of knowledge, attitudes and practices regarding COVID-19.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 2","pages":"Pages 243-251"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254078","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":"Recomendaciones de «No hacer» en el tratamiento de los pacientes críticos de los Comités Científicos de la Sociedad Colombiana de Medicina Crítica y Cuidados Intensivos (AMCI)","authors":"Victor Hugo Nieto Estrada ,&nbsp;Bladimir Alejandro Gil Valencia ,&nbsp;Manuel Garay-Fernandez ,&nbsp;Francisco José Molina Saldarriaga ,&nbsp;Rubén Dario Camargo Rubio ,&nbsp;Carmelo Dueñas Castell ,&nbsp;Camilo Pizarro Gómez ,&nbsp;Fernando José Pereira Paternina ,&nbsp;Peter Vergara Ramírez ,&nbsp;Jorge Armando Carrizosa González ,&nbsp;Daniel Leonardo Molano Franco ,&nbsp;Ever Leonardo Rojas Díaz ,&nbsp;Diana Patricia Borre Naranjo ,&nbsp;Liliana Paola Correa Pérez ,&nbsp;Carmen Lorena Gómez Vanegas ,&nbsp;Martha Liliana Sánchez Lozano ,&nbsp;Camilo Andrés Bello Muñoz ,&nbsp;Erick Alexander Borja Large ,&nbsp;Sandra Ximena Olaya Garay ,&nbsp;Juan David Uribe Molano ,&nbsp;Angelica Lizarazo","doi":"10.1016/j.acci.2024.12.001","DOIUrl":"10.1016/j.acci.2024.12.001","url":null,"abstract":"<div><div>The Colombian Association of Critical Medicine and Intensive Care (AMCI) has initiated a project to identify and reduce unnecessary interventions in Intensive Care Units (ICU) to optimize resource use, minimize patient risks, and improve clinical outcomes. Led by AMCI, scientific committee leaders reviewed updated scientific evidence and best clinical practices to develop a series of “Do Not Do” recommendations. These recommendations were based on formal consensus using the Delphi technique to avoid routine procedures and behaviors that provide no value or could harm critically ill patients. The recommendations were developed with specific PICO questions by each committee and underwent a systematic literature review. A digital questionnaire was created, allowing anonymous voting, and a consensus of over 75% was achieved for all recommendations. The five most voted recommendations from the Patient Safety, Sepsis, MEGAN, Interdisciplinary Rehabilitation and Mental Health, and Critical Pneumology committees were selected to be part of the national Choosing Wisely strategy, aiming to promote resource optimization and improve the quality of care in Colombian ICUs. These recommendations are key to reducing unnecessary interventions and improving ICU care standards.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 2","pages":"Pages 420-450"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144255091","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":"TEP de alto riesgo: abordaje intervencionista que salva vidas. Reporte de caso y revisión de literatura","authors":"Hernan Yair Florez de Moya ,&nbsp;Luis Alfonso Bustamante-Cristancho ,&nbsp;Adalberto de Jesus Caro","doi":"10.1016/j.acci.2025.02.002","DOIUrl":"10.1016/j.acci.2025.02.002","url":null,"abstract":"<div><div>We report the case of a young patient admitted to our institution after suffering cardiac arrest (asystole) and being resuscitated for 15<!--> <!-->minutes, under invasive mechanical ventilation, with hemodynamic lability and atrial fibrillation rhythm with rapid ventricular response upon admission. Among the potential causes of cardiac arrest, pulmonary thromboembolism and drug abuse were suspected (due to not knowing the exact history of the referral site), POCUS was performed with evidence of significant right ventricular involvement and negative CUS at that time for DVT, so cardiac involvement was confirmed with formal transthoracic echocardiogram and urgent chest angiotomography, which showed bilateral involvement of lobar and segmental branches. In this context, massive PTE is considered with indication for thrombolytic management according to current management guidelines, however, given the availability in the institution of invasive procedure, partial thrombectomy is performed by aspiration reducing the thrombotic load and intra-arterial infusion thrombolysis is left (Seattle Protocol), through a catheter in the trunk of the pulmonary artery, in addition to infusion of unfractionated heparin. The clinical evolution of the patient was favorable, with initial stay in ICU for 3<!--> <!-->days and subsequent discharge to general hospitalization where oral anticoagulation with DOAC was defined in view of the negative profile for SAF. In this way we demonstrate a form of intensive management of an increasingly frequent and potentially fatal pathology, mitigating the risks associated with systemic thrombolysis such as intracerebral bleeding, which can occur in up to 10% of cases.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 2","pages":"Pages 371-377"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254076","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":"Prevalencia e impacto del síndrome de burnout en trabajadores sanitarios de España y Latinoamérica","authors":"Lennin Jose Tolentino Hinojosa ,&nbsp;Laura Pardo ,&nbsp;Guillermo Suarez-Santamaría Silván ,&nbsp;Alberto Rubio López ,&nbsp;Amílcar Tinoco Solorzano ,&nbsp;Rosario Espinoza Flores ,&nbsp;Jose M. Gómez García ,&nbsp;Pablo Cardinal-Fernández","doi":"10.1016/j.acci.2025.02.004","DOIUrl":"10.1016/j.acci.2025.02.004","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to estimate the prevalence of burnout syndrome (BS) in healthcare workers from Spain and Latin America, as well as to assess its impact on their perception of work.</div></div><div><h3>Design</h3><div>Observational, international, multicenter study conducted between February 1st and April 30th, 2023.</div></div><div><h3>Participants</h3><div>Participants were healthcare workers over 18<!--> <!-->years of age who completed an online survey and had maintained the same job position for at least two years prior to completing the questionnaire. Additionally, they had to reside in Spain or Latin America and understand the Spanish language.</div></div><div><h3>Main measurements</h3><div>BS was diagnosed using the Maslach Burnout Inventory (MBI). Demographic and work-related data were also collected, and the perception of work was analyzed through dichotomous questions related to regret about working in healthcare, the desire to leave the profession, and the intention to change job positions.</div></div><div><h3>Results</h3><div>A total of 646 participants were included, with a mean age of 43<!--> <!-->years (IQR 35-51). Of the participants, 367 (57%) were women, and the professions included 515 (80%) doctors, 58 (9%) nurses, 53 (8%) physiotherapists, and 20 (3%) from other professions. No significant differences were observed in BS prevalence between Spain (21%) and Latin America (24%). BS was diagnosed in 153 (24%) participants, who were younger and had fewer years of work experience compared to the rest. No differences were found based on the healthcare worker's job position.</div><div>BS showed a significant impact on the perception of work, with a higher proportion of participants regretting working in healthcare, considering leaving the profession, or wanting to change job positions, particularly in Latin America.</div></div><div><h3>Conclusions</h3><div>The prevalence of SB is high and does not depend on the geographical location where the healthcare worker practices their profession. The impact on the perception of work is considerable, highlighting the importance of implementing strategies to prevent and mitigate this syndrome, thereby improving the quality of care.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 2","pages":"Pages 295-300"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254015","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}