M. Voos

Universidade Federal de Ciências da Saúde de Porto Alegre

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Fátima Aparecida Caromano

Instituto Butantan

Francis Meire Fávero

Universidade Federal de São Paulo

Michele Emy Hukuda

Universidade de São Paulo

U.C. Reed

Hospital Universitário da Universidade de São Paulo

Elena de la Cruz

Universidade Federal de Ciências da Saúde de Porto Alegre

Acary Souza Bullé Oliveira

Universidade Federal de São Paulo

Andréa Regner

Universidade Luterana do Brasil

Edmar Zanoteli

Universidade de São Paulo

Cristina dos Santos Cardoso de Sá

Escola Superior de Saúde do Alcoitão

Artur Boeck Trommer

Universidade Federal de Ciências da Saúde de Porto Alegre

Cooperative Institutions

Universidade de São Paulo

Universidade Federal de Ciências da Saúde de Porto Alegre

Universidade Federal de São Paulo

Hospital Universitário da Universidade de São Paulo

Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

Fundação de Apoio à Universidade Federal de São Paulo

Universidade Federal do Rio Grande do Sul

Union des Industries Ferroviaires Européennes

Universidade Estadual Paulista (Unesp)

Universidade Brasil

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REGISTRIES AND CARE OF NEUROMUSCULAR DISORDERS

Neuromuscular Disorders (2018)

M. Voos Diego Henrique de Almeida Adrielly Gomes da Silva Pedro José dos Santos Neto U.C. Reed

Independence

Brazilian Portuguese

10.1016/j.nmd.2018.06.331

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Citations (0)

DUCHENNE MUSCULAR DYSTROPHY - PHYSIOTHERAPY

Neuromuscular Disorders (2018)

Mariana Cunha Artilheiro Elisabete Maria de Oliveira Nelson Carvas Francis Meire Fávero Fátima Aparecida Caromano

Elbow flexion

10.1016/j.nmd.2018.06.369

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Dissociation between motor and cognitive skills in patients with Duchenne muscular dystrophy

Neuromuscular Disorders (2015)

M. Voos Francis Meire Fávero Karin Ziliotto Dias M. Artiheiro Anamaria Siriani de Oliveira

Verbal fluency test

10.1016/j.nmd.2015.06.427

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Citations (9)

Comparison of Sepsis-1, 2 and 3 for Predicting Mortality in Septic Patients of a Middle-Income Country: A Retrospective Observational Cohort Study

Journal of Intensive Care Medicine (2023)

Carem Luana Machado Lessa Gisele Branchini Isabela Delfino M. Voos Cassiano Teixeira

Introduction The diagnosis of sepsis is based on expert consensus and does not yet have a “gold standard.” With the aim of improving and standardizing diagnostic methods, there have already been three major consensuses on the subject. However, there are still few studies in middle-income countries comparing the methods. This study describes the characteristics of patients diagnosed with sepsis and evaluates and compares the performance of Sepsis-1, 2, and 3 criteria in predicting 28 days, and in-hospital mortality. Patients and Methods A retrospective observational cohort study was conducted in the intensive care unit of a tertiary hospital. All admissions between January 1, 2018, and December 31, 2019, were reviewed. Patients diagnosed with sepsis were included. Results During the study period, 653 patients diagnosed with sepsis (by any of the studied criteria) were included in the study. The 28 days mortality rate was 45.8%, and the in-hospital mortality rate was 59.7%. We observed that 72.1% of patients met the minimum criteria for diagnosing sepsis according to the three protocols, and this group also had the highest mortality rate. Age and comorbidities such as cancer and liver cirrhosis were significantly associated with in-hospital mortality. The most common microorganisms were Escherichia coli, Klebsiella spp., and Staphylococcus spp. Conclusions The study found that most patients met the diagnostic criteria for sepsis using the three methods. Sepsis-2 showed greater sensitivity to predict mortality, while Sequential Organ Failure Assessment showed low accuracy, but was the only significant one. Furthermore, quick Sequential Organ Failure Assessment (qSOFA) had the highest specificity for mortality. Overall, these findings suggest that, although all three methods contribute to the diagnosis and prognosis of sepsis, Sepsis-2 is particularly sensitive in predicting mortality. Sepsis-3 shows some accuracy but requires improvement, and qSOFA exhibits the highest specificity. More research is needed to improve predictive capabilities and patient outcomes.

Gold standard (test)

10.1177/08850666231208368

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Citations (3)

Responsiveness of the Functional Evaluation Scale for patients with Duchenne muscular dystrophy – domain 2: Gait

Neuromuscular Disorders (2015)

Esdras Façanha de Carvalho Michele Emy Hukuda M. Voos Fátima Aparecida Caromano

Clinical Practice

Neuromuscular disease

10.1016/j.nmd.2015.06.168

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Citations (2)

DUCHENNE MUSCULAR DYSTROPHY – CLINICAL

Neuromuscular Disorders (2018)

Merce Miranda A. Yaeko Cristina dos Santos Cardoso de Sá Luís Fernando Grossklauss Francis Meire Fávero

Verbal fluency test

10.1016/j.nmd.2018.06.049

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Citations (2)

Observational Study of Words Used by Emergency Callers and Their Impact on the Recognition of an Out-Of-Hospital Cardiopulmonary Arrest by the Medical Dispatcher

Arquivos Brasileiros de Cardiologia (2024)

M. Voos Caroline Manami Okamoto Artur Boeck Trommer A. Silva Elena de la Cruz

Abstract Background Survival of victims of out-of-hospital cardiopulmonary arrest (CA) is related to the time and quality of cardiopulmonary resuscitation (CPR).1 Considering that most CAs occur outside the hospital setting, it is evident that the early recognition of this condition is the cornerstone of the chain of survival. Current literature on the theme is still scarce. Objectives To analyze categories and subcategories of words and expressions spontaneously used by laypeople during emergency calls for CA and their relationship with the recognition of this event by the medical dispatcher. Methods This was a cross-sectional study, with analysis of calls made by laypeople due to suspected CA to emergency medical services in Brazil. The expressions used were classified into six categories and 31 subcategories. Univariate and multivariate models were used to assess the strength of the association of categories and subcategories of words and expressions with the presumption of CA. The level of significance was set at 5%. Results: A total of 284 calls were included, and after applying the inclusion criteria, 101 calls were analyzed. The categories “cardiovascular/perfusion status” (p=0.019) and “general status” (p=0.011) were identified as confounding factors for the recognition of CA, and the subcategories “breathing difficulty” (p=0.023), “verbal unresponsiveness” (p=0.034), “facial coloration” (p=0.068) and “feeling unwell” (p=0.013) were also considered as confounders. On the other hand, the subcategories “not breathing” (p=0.010); “spatial position” (p=0.016), and “cardiovascular emergencies” (p=0.045) were identified as facilitating factors for the recognition of CA. Conclusion Categories and subcategories of expressions used by emergency callers for CA can influence the timely recognition of this condition by the medical dispatcher.

10.36660/abc.20230343i

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Citations (2)

Estudo Observacional de Expressões Ditas por Solicitantes de Atendimento Emergencial para uma Parada Cardiorrespiratória e o Impacto no Reconhecimento pelo Médico Regulador

Arquivos Brasileiros de Cardiologia (2024)

M. Voos Caroline Manami Okamoto Artur Boeck Trommer Amanda Berlinck da Silva Elena de la Cruz

Survival of victims of out-of-hospital cardiopulmonary arrest (CA) is related to the time and quality of cardiopulmonary resuscitation (CPR).1 Considering that most CAs occur outside the hospital setting, it is evident that the early recognition of this condition is the cornerstone of the chain of survival. Current literature on the theme is still scarce.

10.36660/abc.20230343

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Citations (1)

Responsiveness of the Functional Evaluation Scale for patients with Duchenne muscular dystrophy – domain 1: Sitting and rising from the chair

Neuromuscular Disorders (2015)

M. Voos Michele Emy Hukuda Edilson de Carvalho Fátima Aparecida Caromano

Sitting

10.1016/j.nmd.2015.06.166

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Citations (0)

Is functional dependence of Duchenne muscular dystrophy patients determinant of the quality of life and burden of their caregivers?

Neuromuscular Disorders (2015)

M. Soares de Moura H. Wutski M. Voos M. Resende Umbertina Conti Reed

Caregiver Burden

10.1016/j.nmd.2015.06.068

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Citations (10)