Enfermeria intensiva最新文献

{"title":"Associations between ICU nursing care and functional outcomes in survivors of critical COVID-19: Longitudinal study","authors":"Raví P. Pereira RN, MSN ,&nbsp;Vanessa F. Bonatto RN, MSN ,&nbsp;Luísa B. Santana RN ,&nbsp;Isis M. Severo RN, PhD ,&nbsp;Michele D. Santarem RN, PhD ,&nbsp;Augusto Savi PT, PhD ,&nbsp;Cassiano Teixeira MD, PhD ,&nbsp;Karina de O. Azzolin RN, PhD","doi":"10.1016/j.enfie.2025.500579","DOIUrl":"10.1016/j.enfie.2025.500579","url":null,"abstract":"<div><h3>Introduction</h3><div>The evaluation of long-term functional disabilities and factors associated with decline following COVID-19-related critical illness in low- and middle-income countries remains underexplored in current literature. Addressing this gap is essential for healthcare professionals, particularly nurses, to develop targeted interventions aimed at reducing the risk of functional decline after critical illness during pandemics.</div></div><div><h3>Objectives</h3><div>To analyze ICU nursing care factors associated with functional outcomes in survivors of critical illness due to COVID-19, six months after ICU discharge.</div></div><div><h3>Methods</h3><div>A prospective longitudinal study was conducted. Adults (≥18 years) discharged from the ICU after viral pneumonia, confirmed by RT-PCR for SARS-CoV-2, with a minimum ICU stay of 72 h, were included. Follow-up was conducted via telephone interviews at one, three, and six months to collect sociodemographic data and assess functional status using the Barthel Index. Data were analyzed using Generalized Estimating Equations.</div></div><div><h3>Results</h3><div>The study included 400 participants (mean age: 52.41 ± 13.680 years; median ICU stay: 15.0 days, IQR: 8.0–26.0). Functional decline was observed in 43% of patients at one month, 28.4% at three months, and 20.4% at six months. Delirium and skin ulcers during ICU stay were modifiable factors associated with post-critical care functional disability.</div></div><div><h3>Conclusions</h3><div>Exploring targeted nursing interventions, such as delirium and pressure ulcer prevention, is essential to promote recovery and prevent long-term disability after critical illness.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 1","pages":"Article 500579"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977938","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":"Relationship between perceived stress, perceived social support, and family satisfaction among relatives of adult critical patients","authors":"Valentina Nilo-González RN, MSN,&nbsp;Noelia Rojas-Silva RN, MSN,&nbsp;Cristóbal Padilla-Fortunatti RN, MSN, PhD","doi":"10.1016/j.enfie.2025.500573","DOIUrl":"10.1016/j.enfie.2025.500573","url":null,"abstract":"<div><h3>Introduction</h3><div>In intensive care units (ICU), stress experienced by family members can negatively impact their family satisfaction. The literature describes social support as a stress neutralizer. However, evidence regarding the influence of stress and social support on family satisfaction in ICU is limited.</div></div><div><h3>Objective</h3><div>To explore the relationship between perceived stress, social support, and family satisfaction in family members of ICU patients.</div></div><div><h3>Methods</h3><div>Descriptive correlational study conducted in an ICU of a private hospital in Santiago, Chile. Family members of patients with a stay of ≥48 hours were included. Family participants completed three questionnaires to assess perceived stress, perceived social support, and family satisfaction. Sociodemographic and clinical data were also collected from the patients. The association between perceived stress, perceived social support, and family satisfaction was explored using Spearman's rho correlations.</div></div><div><h3>Results</h3><div>Fifty family members were included, 70 % of whom were women. Perceived stress was negatively associated with family satisfaction (<em>r</em> = −0.41, p &lt; 0.05), satisfaction with patient and family care (<em>r</em> = −0.39, p &lt; 0.01), and satisfaction with communication (<em>r</em> = −0.34, p = 0.02), while with satisfaction with decision making, the association was not significant (<em>p</em> &gt; 0.05). No significant association was observed between social support and family satisfaction (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>Findings of this study add to the evidence on the negative impact of stress on family satisfaction and its dimensions in family members of ICU patients. Further studies are needed to explore the role of social support in family members of ICU patients and its possible influence on family satisfaction.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 1","pages":"Article 500573"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145738859","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 mobility at ICU discharge on mortality and length of post-ICU stay: A retrospective analysis","authors":"Roberto Mendes MSN ,&nbsp;André Novo PhD ,&nbsp;Manuel Nunes PhD ,&nbsp;Miguel Castelo-Branco PhD","doi":"10.1016/j.enfie.2025.500572","DOIUrl":"10.1016/j.enfie.2025.500572","url":null,"abstract":"<div><h3>Background</h3><div>Admission to intensive care can be accompanied by significant adverse effects for patients, which last beyond their stay in the unit. Early mobilisation is part of a set of a bundle to minimize these effects and is now unanimously considered to be safe and beneficial. It is therefore important to understand how it is being implemented in practice and what its real benefits are.</div></div><div><h3>Aim/Objective</h3><div>To characterise mobility in the ICU and correlate the level of mobility at discharge from the ICU with the results of post-intensive care, namely: length of stay after intensive care and hospital mortality.</div></div><div><h3>Methods</h3><div>This was an observational, retrospective study carried out in the Intensive Care Department of a Local Health Unit located in the portuguese countryside. A quantitative research methodology was used.</div></div><div><h3>Results</h3><div>Of the 244 patients included in the sample, 54.5% achieved orthostatism during the ICU stay and 36.5% achieved deambulation. The average length of stay between leaving the ICU and hospital discharge was 8.0 ± 7.5 days. Patients who remained at bed rest at discharge had longer hospital stays than patients who were ambulating (<em>p</em> = 0.014); and patients who performed activities in bed also had longer hospital stays than those who were orthostatic or ambulating (<em>p</em> = 0.026 and 0.002 respectively). Post-ICU mortality was 5.7%, and there was a strong correlation with mobility on discharge from the ICU (<em>p</em> &lt; 0.001), with less mobile patients having a higher mortality rate than expected (Odds ratio = 5.13).</div></div><div><h3>Conclusions</h3><div>The mobility levels founded in this study are in line with international reality. Patients who achieve higher levels of mobility during their stay in intensive care have shorter hospital stays and lower mortality.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 1","pages":"Article 500572"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977937","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 factors associated with therapeutic effort limitation in critically ill patients: A descriptive study","authors":"Juan Carlos Muñoz-Camargo RN, MSc, PhD,&nbsp;Sandra Martínez-Rodríguez RN, MSc,&nbsp;Alberto José Cerrillo-Urbina RN, MSc, PhD,&nbsp;Raúl Expósito-González RN, MSc, PhD,&nbsp;Alberto Bermejo-Cantarero RN, MSc, PhD,&nbsp;Julián Rodríguez-Almagro RN, MSc, PhD","doi":"10.1016/j.enfie.2026.500576","DOIUrl":"10.1016/j.enfie.2026.500576","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the decisions regarding the limitation of therapeutic effort (LTE) adopted in an adult intensive care unit (ICU)</div></div><div><h3>Material and methods</h3><div>Observational, descriptive, and cross-sectional study conducted in the adult ICU of a university hospital, equipped with 21 beds and an average of 1,000 annual medical and surgical admissions. All TEL decisions documented during the study period were included; patients diagnosed with brain death were excluded. Clinical, functional, and prognostic variables were collected using validated scales such as APACHE II, Charlson, Karnofsky, Barthel, PAEEC, MPM II, and ODIN.</div></div><div><h3>Results</h3><div>A total of 1,012 admissions were analyzed, with an intra-ICU mortality rate of 12.9%. Fifty-four cases of TEL were identified (5.3% of all admissions and 42.8% of deaths). The main reason was clinical irreversibility (71%), followed by therapeutic futility (29%). Seventy-two percent of patients were male, with a mean age of 70.5 ± 10.9 years. The median Charlson comorbidity index was 6. Altered baseline quality of life was observed in 68.5% of patients, with moderate to severe impairment in 24.1%. The mean APACHE II score at admission was 22.6 ± 8.6, with an estimated mortality probability of 44.7%.</div></div><div><h3>Conclusions</h3><div>TEL is a common practice in elderly patients with significant comorbidities and prior functional decline, highlighting the need to establish clear clinical criteria and standardized protocols for its implementation in adult ICUs.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 1","pages":"Article 500576"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147273766","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":"Risk factors and preventive measures for corneal injury in the intensive care unit: Scoping review","authors":"Felicialle Pereira-da-Silva RN, PhD ,&nbsp;Joana Estefanny de França-Oliveira RN ,&nbsp;Raphael Alves da-Silva RN ,&nbsp;Emanuela Batista Ferreira-e-Pereira RN, PhD ,&nbsp;Maria Eduarda Ximenes-do-Rego RN ,&nbsp;Yure Rodrigues-Silva RN ,&nbsp;Beatriz Mendonça Morais-Alves RN ,&nbsp;Camilla Ribeiro Lima-de-Farias RN, PhD ,&nbsp;Isabel Cristina Ramos Vieira-Santos RN, PhD","doi":"10.1016/j.enfie.2025.500580","DOIUrl":"10.1016/j.enfie.2025.500580","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the risk factors and the main preventive measures in scientific literature related to the development of corneal injury in critically ill patients.</div></div><div><h3>Methods</h3><div>This is a scoping review, with a protocol previously registered on the Open Science Framework platform. The study was guided by the methodological guidelines of the Joanna Briggs Institute and followed the PRISMA-ScR framework. The research question was developed based on the PCC strategy. The search was conducted in the LILACS, PubMed, and SciELO databases, and in the grey literature via the CAPES Periodicals portal, with no language or time restrictions. The following descriptors were used: Corneal Injuries, Patient Care, Nursing, and Intensive Care Units. Two independent reviewers, with a third reviewer involved in case of disagreements, performed Screening and selection of studies. The steps followed the methodological recommendations for scoping reviews, aiming to map evidence on risk factors and preventive measures for corneal injuries in patients hospitalized in intensive care units.</div></div><div><h3>Results</h3><div>The studies analyzed indicate that the main risk factors for the development of ophthalmological injuries are higher among critically ill patients on mechanical ventilation, those under sedation and those with a decreased level of consciousness. Simple, effective nursing interventions are essential to the prevention of corneal injuries, contributing to the maintenance of ocular integrity of the patient.</div></div><div><h3>Conclusion</h3><div>Increasing the knowledge and training of nurses concerning ophthalmological care can contribute to greater awareness of the relevance of corneal injuries in critically ill patients, which is a crucial aspect of nursing care.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 1","pages":"Article 500580"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145791724","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":"Experience of care of caregivers and children between 12 and 17 years of age provided by health personnel during hospitalization in pediatric intensive care","authors":"Herly Ruth Alvarado-Romero RN, MSc ,&nbsp;Carlos Yecid Bernal-Cárdenas RN, PhD ,&nbsp;Diana Norella Córdoba-Rojas RN, MSc ,&nbsp;Alba Deyanira Quiñonez-López MD ,&nbsp;Camila Yesenia Ruiz-Matore RN ,&nbsp;Paola Torres-Giraldo RN, MSN","doi":"10.1016/j.enfie.2026.500582","DOIUrl":"10.1016/j.enfie.2026.500582","url":null,"abstract":"<div><h3>Introduction</h3><div>Caring for children hospitalised in Pediatric Intensive Care Units is a complex and multidimensional process. This process includes specialised care, as well as emotional and psychological support for both patients and their caregivers. These caregivers play an essential role in the hospitalisation experience, facing a range of emotions due to the severity of the children’s illness and the connotations of being hospitalised.</div></div><div><h3>Objective</h3><div>Describe the caregiving experience of caregivers and children between the ages of 12 and 17 provided by healthcare personnel during hospitalisation in the unit at an institution in Bogotá in 2023.</div></div><div><h3>Methodology</h3><div>Qualitative study with a phenomenological design, using in-depth semi-structured interviews with caregivers and children hospitalised in an Intensive Care Unit in Bogotá in 2023.</div></div><div><h3>Results</h3><div>Twenty-seven interviews were conducted to achieve data saturation. Most of the caregivers were women. The predominant socioeconomic status was 3 and the educational level was high school. Four categories and thirteen subcategories were identified: Environment and dynamics, interaction with healthcare personnel, recognition of healthcare personnel, and feelings and experience upon admission to the unit.</div></div><div><h3>Conclusion</h3><div>Nurses working in Pediatric Intensive Care Units play a fundamental role, as they are in constant contact with children and their caregivers, who often experience high levels of anxiety and fear due to the seriousness of the environment. To provide comprehensive and humanised care, it is essential that these professionals have specific scientific knowledge about children’s health, as well as disciplinary skills to guide their interventions. In this way, they contribute to the child's recovery and the creation of a more humane care environment, even in a highly technical context.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 1","pages":"Article 500582"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077942","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":"Management of the environment and patient care using extracorporeal membrane oxygenation: A scoping review","authors":"Camila Medeiros-dos-Santos-de-Cerqueira MsC ,&nbsp;Christiany Moçali-Gonzalez MsC ,&nbsp;Marluci Andrade-Conceição-Stipp PhD ,&nbsp;Aurean Deca-Junior PhD ,&nbsp;Graciele Oroski-Paes PhD","doi":"10.1016/j.enfie.2026.500581","DOIUrl":"10.1016/j.enfie.2026.500581","url":null,"abstract":"<div><h3>Introduction</h3><div>The use of strategies planned for the environment and care of adult patients undergoing Extracorporeal Membrane Oxygenation allows for better assistance from the multidisciplinary team to this individual in the Intensive Care Unit</div></div><div><h3>Objective</h3><div>The objective is to map strategies for planning the environment and care of adult patients in extracorporeal membrane oxygenation in intensive care.</div></div><div><h3>Methodology</h3><div>This scoping review follows the Joanna Briggs Institute methodology and adheres to the extension PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). Eligible studies included those that answered the guiding question: \"what are the strategies for planning the environment and care of adult patients undergoing extracorporeal membrane oxygenation in intensive care?\", no time or language restriction. The search and selection were carried out by two double-blind researchers between February and April 2024, using Rayyan software for data extraction and analysis. The collection took place in ten databases, with selection of articles and gray literature.</div></div><div><h3>Results</h3><div>Six thousand nine hundred ninety-six sources of evidence were identified, of which 39 composed the final sample. The strategies cited by the publications were: management of the environment (family preparation; team preparation; ethical issues; human and material resources); and care management (monitoring; systematization of nursing care; nutritional management; early mobilization).</div></div><div><h3>Conclusions</h3><div>The complexity of ECMO management was highlighted, reinforcing the need for adequate infrastructure, a multidisciplinary team and more robust studies, especially in underdeveloped countries, to improve practical application and clinical outcomes.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 1","pages":"Article 500581"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286722","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":"Can we reduce medication errors in emergency departments? An interprofessional look at safe practice","authors":"Mariam Hijazi-Vega BPharm ,&nbsp;Juan Luque-Galán MD, MsC ,&nbsp;Rocío Vázquez-Sánchez BPharm, PhD ,&nbsp;Javier Sánchez Rubio-Ferrández BPharm, PhD ,&nbsp;Ana Isabel Sacristán-Vaquerizo RN ,&nbsp;Francisco José Salas-Álvarez del Valle MD, MsC ,&nbsp;Teresa Molina-García BPharm","doi":"10.1016/j.enfie.2026.500594","DOIUrl":"10.1016/j.enfie.2026.500594","url":null,"abstract":"","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 1","pages":"Article 500594"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358262","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":"Exploring patients’ experiences in intensive care units (ICU): A cross-sectional study in Pakistan","authors":"Tawseef Ahmad MS, Pharm-D ,&nbsp;Sirima Sitaruno Pharm-D, BCPS ,&nbsp;Sutthiporn Pattharachayakul Pharm-D, BCPS ,&nbsp;Faiz Ullah Khan Pharm-D, PhD ,&nbsp;Muhammad Kiddeer Pharm-D, M. Phil. ,&nbsp;Shujaat Ali Khan Pharm-D, PhD","doi":"10.1016/j.enfie.2025.500578","DOIUrl":"10.1016/j.enfie.2025.500578","url":null,"abstract":"<div><h3>Background</h3><div>Intensive Care Unit (ICU) stays are often traumatic, impacting patients psychologically, physically, and emotionally. However, patient experiences in ICU settings remain underexplored, particularly in developing countries like Pakistan.</div></div><div><h3>Objective</h3><div>This study aimed to assess the experiences of ICU patients in a tertiary care hospital in Pakistan, with a focus on psychological distress, emotional responses, and perceived quality of care.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional study was conducted at Ayub Teaching Hospital, Abbottabad. A total of 102 post-ICU patients meeting the inclusion criteria were interviewed within 72 h of transfer to medical wards. Data were collected using the validated Intensive Care Experience Questionnaire (ICEQ), and analyzed to evaluate patient perceptions and associated factors.</div></div><div><h3>Results</h3><div>Of the participants, 93.13% expressed relief upon discharge from the ICU, while 42.15% reported experiencing blurred memories during their stay. Despite this, 77.45% expressed satisfaction with the care received. Notably, only 23.52% of patients felt involved in decision-making processes regarding their care, indicating a communication gap. Statistical analysis revealed a significant negative correlation between patient age and satisfaction with care (<em>r</em> = −0.199, <em>p</em> &lt; 0.05), suggesting older patients experienced reduced satisfaction. Gender also negatively correlated with memory of experience (<em>r</em> = −0.236, <em>p</em> &lt; 0.05) and satisfaction with care (<em>r</em> = −0.208, <em>p</em> &lt; 0.05), with women reporting more negative experiences. Length of ICU stay was significantly associated with reduced environmental awareness (<em>r</em> = −0.230, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The findings highlight significant psychological and emotional challenges faced by ICU patients in Pakistan. Enhanced patient-centered communication, psychological support, and greater involvement in care decisions are critical to improving ICU experiences. Nursing staff play a pivotal role in creating a supportive and therapeutic ICU environment that fosters trust and improves patient outcomes.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 1","pages":"Article 500578"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146032282","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":"Prevalence, characteristics, and associated factors of dyskalemia in Moroccan intensive care units over a 28-month period: A cross-sectional correlational study","authors":"Kamal Takhdat RAN, PhD ,&nbsp;Salma El Hamdou REN, BSN ,&nbsp;Houda El Bannaoui REN, BSN ,&nbsp;Ahmed Rhassane El Adib MD","doi":"10.1016/j.enfie.2025.500570","DOIUrl":"10.1016/j.enfie.2025.500570","url":null,"abstract":"<div><h3>Introduction</h3><div>Dyskalemia disturbs electrophysiological homeostasis and even cause several life-threatening conditions. Improved understanding of dyskalemia risk factors is clinically relevant for prompt and effective dyskalemia treatment. This study aims to analyze dyskalemia prevalence and risk factors in two adult medical and surgical intensive care units (ICUs) in a Moroccan university hospital.</div></div><div><h3>Methods</h3><div>A retrospective cross-sectional study was conducted from January 1st 2022 to April 30, 2024. A total of 1274 patients’ medical records were examined, yielding for 549 dyskalemic patients. Single-factor and multi-factor logistic regression analyses were conducted to investigate associations between dyskalemia and the risk factors related to patients’ characteristics, comorbidities, and therapeutic agents.</div></div><div><h3>Results</h3><div>The prevalence of dyskalemia was found at 43%, with a dyskalemic patients’ mean age of 48,3 (±18,6). Over 62% of them developed dyskalemia during ICU stay. Multivariable analyses showed that the risk of hypokalemia was associated to female gender, diabetic ketoacidosis, anticancer drugs, heparin (LMWH), and insulin. However, the risk of hyperkalemia was associated with male gender, chronic kidney failure, metabolic acidosis, burns, blood transfusion, and propofol as a sedative agent.</div></div><div><h3>Conclusion</h3><div>Several associated factors of the risk of dyskalemia were identified. Critical care nurses should pay particular attention to high-risk patients of dyskalemia and be proactive in identifying early signs of dyskalemia in order to achieve targeted risk assessment, improve early diagnosis, and management of the patients’ conditions.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 1","pages":"Article 500570"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020576","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}