RICARDO TAVARES DE CARVALHO
Projetos de Pesquisa
Unidades Organizacionais
PAHC, Hospital das Clínicas, Faculdade de Medicina - Médico
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
38 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 38
- Criterion validity and inter-rater reliability o a palliative care screening tool for patients admitted to an emergency department intensive care unit(2018) RIBEIRO, Sabrina Correa da Costa; CARVALHO, Ricardo Tavares de; ROCHA, Juraci Aparecida; DIAS, Roger DagliusObjective. The use of palliative care (PC) screening criteria to trigger PC consultations may optimize the utilization of PC services, improve patient comfort, and reduce invasive and futile end-of-life care. The aim of the present study was to assess the criterion validity and inter-rater reliability of a PC screening tool for patients admitted to an emergency department intensive care unit (ED-ICU). Method. Observational retrospective study evaluating PC screening criteria based on the presence of advanced diagnosis and the use of two ""surprise questions"" (traditional and modified). Patients were classified at ED-ICU admission in four categories according to the proposed algorithm. Result. A total of 510 patients were included in the analysis. From these, 337 (66.1%) were category 1, 0 (0.0%) category 2, 63 (12.4%) category 3, and 110 (21.6%) category 4. Severity of illness (Simplified Acute Physiology Score III score and mechanical ventilation), mortality (ED-ICU and intrahospital), and PC-related measures (order for a PC consultation, time between admission and PC consultation, and transfer to a PC bed) were significantly different across groups, more evidently between categories 4 and 1. Category 3 patients presented similar outcomes to patients in category 1 for severity of illness and mortality. However, category 3 patients had a PC consultation ordered more frequently than did category 1 patients. The screening criteria were assessed by two independent raters (n = 100), and a substantial interrater reliability was found, with 80% of agreement and a kappa coefficient of 0.75 (95% confidence interval = 0.62, 0.88). Significance of results. This study is the first step toward the implementation of a PC screening tool in the ED-ICU. The tool was able to discriminate three groups of patients within a spectrum of increasing severity of illness, risk of death, and PC needs, presenting substantial inter-rater reliability. Future research should investigate the implementation of these screening criteria into routine practice of an ED-ICU.
bookPart Atuação emergencial da unidade de cuidados paliativos do HC-FMUSP na pandemia Covid-19(2022) CARVALHO, Ricardo Tavares de; ROCHA, Juraci Aparecida- Morphine use in the treatment of dyspnea in terminally ill patients(2021) STANZANI, Licia Zanol Lorencini; MARQUES, Mariana; MARTINS, Matheus; VIEIRA, Wilton; AMORIM, Fabio; CARVALHO, Ricardo
bookPart Prefácio(2019) CARVALHO, Ricardo Tavares de; ROCHA, Juraci Aparecida; FRANCK, Ednalda MariabookPart Apresentação: a teoria aplicada à pandemia Covid-19(2021) CARVALHO, Ricardo Tavares debookPart A terminalidade da vida: psiquiatria e cuidados paliativos(2015) RIBEIRO, Henrique Gonçalves; JúNIOR, Renério Fráguas; CARVALHO, Ricardo Tavares de- Palliative Care in the state of Rio de Janeiro (Brazil): characteristics of the services(2023) SILVA, C. N. G. da; POUSA, F. de Sousa; CORREA, T. L.; CARVALHO, R. T. deThis research explores the status of Palliative Care (PC) services in the state of Rio de Janeiro (RJ), Brazil, by iden-tifying the number of services and their respective characteristics. Through an observational, cross-sectional, de-scriptive, and quantitative approach, this study examines a textual and numerical database about professionals who provide palliative care assistance in Rio de Janeiro. Out of the existing palliative care services analyzed, fourteen were evaluated, twelve of which were located in the RJ metropolitan region. The majority of professionals worked with private funding within hospitals. The PC teams were most commonly composed of physicians, with only 17.1% of the professionals having formal PC training. Palliative Care services in Rio de Janeiro seem to follow a similar pattern to Brazil and Latin America. However, the characteristics of this pattern may not adequately address the significant needs of middle-income countries.
- Palliative care for patients with dementia and COVID-19: Analyses from a major referral hospital in South America(2021) CORREA, Tulio; SOBREIRA, Joyce; SIMAO, Aurea; YARSHELL, Flavia; ANBAR, Fernanda; CARVALHO, Ricardo Tavares De
bookPart Cuidados paliativos - conceitos e princípios(2022) CARVALHO, Ricardo Tavares de; CASIS, Alessandra Teixeira- Validity and reliability of the Brazilian version of the Patient Dignity Inventory (PDI - Br)(2021) DONATO, Suzana Cristina Teixeira; CHIBA, Toshio; CARVALHO, Ricardo Tavares de; SALVETTI, Marina de GoesObjective: to perform the psychometric validation of the Brazilian version of the Patient Dignity Inventory (PDI - Br) in patients with advanced diseases in palliative care. Method: a methodological study to verify the psychometric properties of the Patient Dignity Inventory (PDI - Br) instrument, through validity and reliability tests. Results: the exploratory factor analysis showed a factorial solution with three factors, responsible for 40.9% of the explained variance, with adequate internal consistency for the Presence of Symptoms (a=0.859), Dependence (a=0.871), and Existential Suffering (a=0.759) domains. The test-retest was performed and indicated moderate to strong correlations. Convergent validity demonstrated a positive correlation between the Presence of Symptoms and the sadness (r=0.443) and anxiety (r=0.464) variables. Weak negative correlations were observed between the PDI - Br domains and functionality, spiritual well-being and quality of life. Conclusion: composed of three domains and 25 items, the PDI - Br instrument presented satisfactory psychometric properties for its use in our environment, through the evidence of validity and reliability.