Enfermeria Intensiva最新文献

{"title":"Impacto de la vacunación frente al COVID-19 en los costos hospitalarios en los enfermos ingresados en una unidad de cuidados intensivos durante la cuarta, quinta y sexta oleada de la pandemia","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.enfi.2025.500551","DOIUrl":"10.1016/j.enfi.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 analyzed 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:<ul><li><span>•</span><span><div>Unvaccinated: €10,653 (IQR: €6,160-€18,274)</div></span></li><li><span>•</span><span><div>Partially vaccinated: €17,360 (IQR: €5,061-€26,085)</div></span></li><li><span>•</span><span><div>Fully vaccinated: €10,653 (IQR: €6,160-€26,085)</div></span></li></ul></div><div>Cost differences were not statistically significant (<em>P</em>=.28). Critical severity patients had the highest costs, while mild cases had the lowest (<em>P</em>&lt;.05). No significant cost differences were found within each severity level or in APR-DRG relative weight (<em>P</em>=.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":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500551"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144105769","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":"Validez y sensibilidad al cambio de la Clinical Frailty Scale-España en pacientes ingresados en cuidados intensivos","authors":"Susana Arias-Rivera RN, MSN ,&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, PhD ,&nbsp;grupo CFS-Es-UCI","doi":"10.1016/j.enfi.2025.500558","DOIUrl":"10.1016/j.enfi.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-Spain).</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<!--> <!-->hours 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-Spain 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 (<em>d</em> <!-->=<!--> <!-->0.832).</div></div><div><h3>Conclusions</h3><div>The CFS-Spain 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":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500558"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330788","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":"Monitorización de intervenciones enfermeras nocturnas en las unidades de cuidados críticos pediátricos españolas","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.enfi.2025.500555","DOIUrl":"10.1016/j.enfi.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 PICU.</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 t-test and ANOVA were calculated for comparison between variables.</div></div><div><h3>Results</h3><div>One hundred 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 (p<!--> <!-->&lt;<!--> <!-->0.001).</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":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500555"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254741","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":"Estudio descriptivo sobre el afrontamiento de las enfermeras ante la muerte de un paciente pediátrico","authors":"Leire Legorburu-Brezmes RN","doi":"10.1016/j.enfi.2025.500547","DOIUrl":"10.1016/j.enfi.2025.500547","url":null,"abstract":"<div><h3>Introduction</h3><div>According to several studies, nurses feel that they are not prepared to face the death of a patient, especially when the patient is pediatric.</div></div><div><h3>Objective</h3><div>To describe the level of coping of nurses in various departments of a pediatric monographic hospital when faced with the death of a patient.</div></div><div><h3>Method</h3><div>A quantitative, descriptive, cross-sectional, observational, case series study was carried out from February to April 2024 with nurses from the Pediatric Palliative Care, the Pediatric Intensive Care Unit and the Pediatric Oncohematology Unit of a monographic pediatric hospital in the Community of Madrid. Several sociodemographic variables were determined and the Bugen Death Coping Scale was used as the main instrument, followed by a descriptive analysis of the data.</div></div><div><h3>Results</h3><div>In the present study, 69% had neutral coping with death, 19% had optimal coping and 11,9% had inadequate coping. It has been observed that nurses who work in Pediatric Palliative Care, have a fixed shift, have suffered the death of a family member in the last 3 years and have previous training, have a better coping with death. Likewise, it could be seen that older age and greater work experience, male sex and having children may be factors that favor optimal coping in the face of death.</div></div><div><h3>Conclusions</h3><div>Knowing these data helps to establish strategies for improvement, since it has been seen that greater preparation of professionals decreases anxiety in the face of death and improves patient care.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500547"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747648","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":"Efecto de una intervención de musicoterapia en el estado de ánimo del enfermo crítico","authors":"M. del Mar Vega Castosa MSN,&nbsp;M. del Carmen Jover Sancho MSN, PhD,&nbsp;Joan Trujols Albet PhD","doi":"10.1016/j.enfi.2025.500549","DOIUrl":"10.1016/j.enfi.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 individualized music therapy intervention compared to standard care and analyze the impact on pain and hemodynamic variables.</div></div><div><h3>Methodology</h3><div>Randomized, parallel, and open clinical trial. Patients were randomized 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 experimental group (n<!--> <!-->=<!--> <!-->75) and the control group (n<!--> <!-->=<!--> <!-->76). Mood improvement was significant in all 6 subscales of the Profile of Mood States questionnaire, 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 experimental group. 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 personalized 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":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500549"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838503","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 use of continuous glucose monitoring: A scoping review of accuracy, feasibility and nursing workload reduction in intensive care setting","authors":"Marc Pañero-Moreno RN, MSc ,&nbsp;Meritxell Muxella-Roson RN ,&nbsp;Gemma Dubè-Llobet RN ,&nbsp;Marta Cabrerizo-Jimenez RN ,&nbsp;Eva Maria Guix-Comellas RN, MSN, PhD ,&nbsp;Alberto Villamor-Ordozgoiti RN, MSN, PhD ,&nbsp;Natalia Marsà-Perez RN","doi":"10.1016/j.enfi.2025.500534","DOIUrl":"10.1016/j.enfi.2025.500534","url":null,"abstract":"<div><h3>Background</h3><div>Hyperglycemia is prevalent in intensive care units (ICUs), associated with increased mortality. Management involves frequent point-of-care glucose (POC-G), but continuous glucose monitoring (CGM) shows promise in improving glycemic control.</div></div><div><h3>Aims</h3><div>To explore the knowledge in the literature about the impact and accuracy of CGM in ICUs.</div></div><div><h3>Design</h3><div>A scoping review was conducted; PubMed, Web of Science, CINAHL, Scopus databases and Gray Literature covering the period from September 2018 to September 2024.</div></div><div><h3>Methods</h3><div>Data abstraction, quality appraisal, and narrative synthesis were carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines.</div></div><div><h3>Results</h3><div>Of the 952 titles reviewed, 20 articles were included. Clinical outcomes were mean absolute relative difference (MARD), ranged from 9.3% to 20.6%. Additionally, there was a 30–71% reduction of POC-G measurements. Time in range (TIR) varied from 46.1% to 100%. Clarke Error Grid (CEG) analysis demonstrated that over 98% of the glucose values fell within zones A and B.</div></div><div><h3>Conclusions</h3><div>CGM in the ICU reduces nursing workload, enhances patient safety, and facilitates early intervention for abnormal glucose levels, demonstrating its feasibility, accuracy and effectiveness in critical care settings. Additional clinical trials are needed to validate these findings and establish optimal usage parameters.</div></div><div><h3>Relevance to clinical practice</h3><div>CGM came to stay in ICU. Therefore, it is crucial to start training critical care nurses in the use of CGM. This will enable us to maximize their benefits in terms of reducing nursing workload and enhancing patient safety.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500534"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843718","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":"A commentary on “Development of burnout and moral distress in intensive care nurses: An integrative literature review” (Salas-Bergüés et al., 2024)","authors":"Paula Samanta-Pereira RN ,&nbsp;Ana Carolina-Monteiro MSc ,&nbsp;Matilde Fernandes MSc","doi":"10.1016/j.enfi.2025.500559","DOIUrl":"10.1016/j.enfi.2025.500559","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500559"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144536221","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":"Incidencia de complicaciones en pacientes sometidos a terapia de reemplazo renal continuo anticoagulada con citrato sódico","authors":"Juan Carlos Muñoz-Camargo RN, MSc, PhD,&nbsp;Inmaculada Vázquez-Rodríguez-Barbero RN,&nbsp;Alicia Muñoz-Torrero-Peña RN,&nbsp;Amadeo Puebla-Martín RN","doi":"10.1016/j.enfi.2025.500544","DOIUrl":"10.1016/j.enfi.2025.500544","url":null,"abstract":"<div><h3>Introduction</h3><div>Acute kidney injury (AKI) is a frequent complication in Intensive Care Unit (ICU) patients with high morbidity and mortality.</div></div><div><h3>Objective</h3><div>To analyze the incidence of mechanical and metabolic adverse events associated with continuous renal replacement therapy using sodium citrate as a regional anticoagulant.</div></div><div><h3>Material and methods</h3><div>Observational, descriptive and prospective study performed in a polyvalent ICU during three years. Patients with AKI treated with renal replacement therapy and sodium citrate (Prismocitrate 18/0 mmol/L [0.5%]) were included. Patients with liver failure, active bleeding, severe thrombocytopenia, ICU stay of less than 24<!--> <!-->hours or treated with other anticoagulants were excluded. Demographic variables, severity index (APACHE II), vasoactive drug use, adverse events, and catheter characteristics were recorded. Anticoagulation efficacy was assessed with filter duration. Statistical analysis was performed with SPSS v.28.0, with p&lt;<!--> <!-->0.05 as the significance level. The study was approved by the ethics committee and informed consent was obtained from the patients or their relatives.</div></div><div><h3>Results</h3><div>We studied 100 patients, 62% men, with a mean age of 63<!--> <!-->±<!--> <!-->14.5 years. The main causes of AKI were septic shock, hemorrhagic shock and Covid-19. The median ICU stay was 16 days (RIC 8-43), with intra-ICU mortality of 48%. Therapy lasted a median of 60.5<!--> <!-->hours (RIC 38-107). Only one patient presented bleeding, and in 26% the filter coagulated. There were no cases of citrate toxicity. Electrolyte complications included hypocalcemia (45%), hypokalemia (41%), hyponatremia (36%) and metabolic acidosis (30%).</div></div><div><h3>Conclusions</h3><div>Mechanical and metabolic complications are common in continuous renal replacement therapies with sodium citrate. It is essential for ICU staff to be aware of their high prevalence in order to optimize clinical management.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500544"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848323","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.enfi.2025.500545","DOIUrl":"10.1016/j.enfi.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":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500545"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143681322","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":"Análisis de disponibilidad, formación y uso de ecografía por enfermeras en urgencias intra y extrahospitalarias. Una encuesta nacional","authors":"Sergio Yago-Rios RN. MsC ,&nbsp;Raimunda Montejano-Lozoya RN, MsC, PhD ,&nbsp;Llucia Valentín-Martín RN, MsC ,&nbsp;Carmen Casal-Angulo RN, MsC, PhD ,&nbsp;Brais Quintairos-Manso ,&nbsp;Ángeles Rodríguez-Herrera RN, MsC, PhD ,&nbsp;Vicente Isidro Manrique-Ortiz RN ,&nbsp;Jorge Prieto-González RN. MsC ,&nbsp;Juan Carlos Miranda-Domínguez RN. MsC ,&nbsp;Àngela Soler-Sanchís RN, MsC ,&nbsp;Pablo Sánchez-Ballesteros RN, MsC ,&nbsp;Álvaro Solaz-García RN, MsC, PhD","doi":"10.1016/j.enfi.2025.500552","DOIUrl":"10.1016/j.enfi.2025.500552","url":null,"abstract":"<div><h3>Introduction</h3><div>The use of ultrasound devices in emergency services has grown significantly, particularly point-of-care ultrasound (POCUS), which has enhanced patient management and treatment, reduced costs, and minimized radiation exposure. In nursing, POCUS has become an essential tool, especially for vascular access procedures. However, disparities in training and access to ultrasound equipment exist across emergency services in different regions of Spain. This study aims to explore these differences and their impact on clinical practice.</div></div><div><h3>Methodology</h3><div>A cross-sectional, descriptive, observational study was conducted, involving nurses from emergency services throughout Spain. Data were collected via an online survey validated through the Delphi method. The study received approval from the Ethics Committee.</div></div><div><h3>Results</h3><div>A total of 424 professionals from all regions except the Balearic Islands participated, representing 123 hospital emergency services, 15 prehospital services, and 20 primary care centers. Overall, 79% had access to ultrasound devices, with significant differences across service types (<em>P</em>&lt;.01). Only 36% reported having access to a full range of probes. Notably, 63% of participants lacked formal ultrasound training. Variability in equipment availability and training differed significantly between regions (<em>P</em>&lt;.05).</div></div><div><h3>Discussion</h3><div>The findings highlight substantial disparities in the availability of ultrasound devices and probes across different services and regions. Additionally, most nursing professionals lack ultrasound training. Compared to other European countries, availability in Spain is lower. The lack of training may stem from the absence of nationally accredited programs, leaving individual resources as the primary means of acquiring skills.</div></div><div><h3>Conclusion</h3><div>Significant inequalities exist in access to ultrasound equipment and training among emergency services and regions in Spain. Professional training in this field varies depending on the region studied.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500552"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184511","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}