MARIA DO CARMO SITTA
Índice h a partir de 2011
4
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
16 resultados
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bookPart Osteoporose(2023) SITTA, Maria do Carmo; Sé, Tabatha Loureiro de Proença- Predicting delirium after hip fracture with a 2-min cognitive screen: prospective cohort study(2016) FORTES-FILHO, Sileno Queiroz; APOLINARIO, Daniel; MELO, Juliana Araujo; SUZUKI, Itiro; SITTA, Maria Do Carmo; LEME, Luiz Eugenio GarcezBackground: although the importance of identifying hip fracture patients with high risk for delirium has been well established, considerable controversy exists over the choice of the screening tool. The most commonly used cognitive screeners take an excessive amount of time and include drawing tasks that can be troublesome for individuals with hip fracture who are invariably lying in bed. Objective: to evaluate the properties of the 10-point Cognitive Screener (10-CS), a 2-min bedside tool, for predicting delirium in older adults with hip fracture. Design: prospective cohort study. Setting: a tertiary referral hospital in Sao Paulo, Brazil. Subjects: non-delirious older adults with hip fracture (n = 147). Methods: the 10-CS was administered as a baseline predictor. The test is composed of three-item temporal orientation (date, month, year), category fluency (animals in 1 min) and three-word recall. Incident delirium has been diagnosed according to the Confusion Assessment Method (CAM) that was administered daily from admission to discharge. Results: during hospitalisation, 61 (41.5%) patients developed delirium. The 10-CS presented excellent accuracy for predicting delirium, with an area under ROC curve of 0.83 (95% CI 0.76-0.89). After adjusting for demographic and clinical variables, participants with probable cognitive impairment (score <= 5) were more likely to develop delirium (HR = 7.48; 95% CI 2.2-25.4) compared with participants with a normal score. Lower scores on the 10-CS were also independently associated with a longer length of stay. Conclusions: the 10-CS is an easy-to-use bedside tool with adequate properties to stratify the risk of delirium in older adults with hip fracture.
bookPart Avaliação pré-operatória(2019) SITTA, Maria do Carmo; FORTES FILHO, Sileno de Queiroz; TEIXEIRA, Joseanne Maria Rodrigues- A 2-Minute Cognitive Screener for Predicting 1-Year Functional Recovery and Survival in Older Adults After Hip Fracture Repair(2022) FORTES-FILHO, Sileno De Queiroz; ALIBERTI, Marlon Juliano Romero; MELO, Juliana de Araujo; APOLINARIO, Daniel; SITTA, Maria do Carmo; SUZUKI, Itiro; GARCEZ-LEME, Luiz EugenioBackground: Implementing cognitive assessment in older people admitted to hospital with hip fracture-lying in bed, experiencing pain-is challenging. We investigated the value of a quick and easy-to-administer 10-point Cognitive Screener (10-CS) in predicting 1-year functional recovery and survival after hip surgery. Methods: Prospective cohort study comprising 304 older patients (mean age = 80.3 +/- 9.1 years; women = 72%) with hip fracture consecutively admitted to a specialized academic medical center that supports secondary hospitals in Sao Paulo Metropolitan Area, Brazil. The 10-CS, a 2-minute bedside tool including temporal orientation, verbal fluency, and three-word recall, classified patients as having normal cognition, possible cognitive impairment, or probable cognitive impairment on admission. Outcomes were time-torecovery activities of daily living (ADLs; Katz index) and mobility (New Mobility Score), and survival during 1-year after hip surgery. Hazard models, considering death as a competing risk, were used to associate the 10-CS categories with outcomes after adjusting for sociodemographic and clinical measures. Results: On admission, 144 (47%) patients had probable cognitive impairment. Compared to those cognitively normal, patients with probable cognitive impairment presented less postsurgical recovery of ADLs (77% vs 40%; adjusted sub-hazard ratio [HR] = 0.44; 95% confidence interval (CI] = 0.32-0.62) and mobility (50% vs 30%; adjusted sub-HR = 0.52; 95% CI = 0.34-0.79), and higher risk of death (15% vs 40%; adjusted HR = 2.08; 95% CI = 1.03-4.20) over 1-year follow-up. Conclusions: The 10-CS is a strong predictor of functional recovery and survival after hip fracture repair. Cognitive assessment using quick and easy-to-administer screening tools like 10-CS can help clinicians make better decisions and offer tailored care for older patients admitted with hip fracture.
- Age-Related Effects on Right Femoral Bone of Male Wistar Rats: A Morphometric and Biomechanical Study(2022) PUELKER, Sheila Martins; CASTRO, Sonia Regina Ribeiro de; SOUZA, Romeu Rodrigues de; MAIFRINO, Laura Beatriz Mesiano; NUCCI, Ricardo Aparecido Baptista; SITTA, Maria do CarmoIntroduction Study of the variations of bone characteristics with age in different animal models is important to design musculoskeletal studies. Thus, this study aimed to evaluate the bone mass, dimensions, and biomechanical parameters of the femur in young, middle-aged, and aged Wistar rats. Materials and Methods Thirty male rats ( Rattus norvegicus ) were divided in three groups ( n = 10 per group)-3-month-old young rats, 12-month-old middle-aged rats, and 18-months-old aged rats. The right femurs were subjected sequentially to morphometric study (bone weight, cortical thickness) and biomechanical tests (maximum resistance strength and bone stiffness). Results We observed a significant increase in femur histological (cortical thickness) and biomechanical (maximum strength and bone stiffness) parameters with aging when compared with young animals. Conclusions With the advancing age, the right femoral bone of middle-aged and old animals had greater variations when compared with young animals. However, further studies with the aid of a comparison between right and left femur and other long bones in both male and female rats are needed to corroborate with our findings.
bookPart Incontinência Urinária(2012) SITTA, Maria do Carmo; AMARAL, José Renato G.bookPart Doença de Parkinson no idoso(2023) LIMONGI, João Carlos Papaterra; SITTA, Maria do Carmo; PALOCCI, HelenabookPart Avaliação pré-operatória da fragilidade do paciente cirúrgico(2018) SITTA, Maria do Carmo- Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery As a Rare Cause of Left Ventricular Dysfunction(2019) TREVIZAN, Ligia Lopes Balsalobre; NUSSBACHER, Amit; SILVA, Maria Carolina Bueno da; ISHIKAWA, Walther Yoshiharu; OLIVEIRA, Sergio Almeida de; SITTA, Maria do Carmo; SZARF, GilbertoSupplemental Digital Content is available in the text.
bookPart Doença de Parkinson(2020) LIMONGI, João Carlos Papaterra; SITTA, Maria do Carmo