AUGUSTO SCALABRINI NETO
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Clínica Médica, Faculdade de Medicina - Docente
LIM/51 - Laboratório de Emergências Clínicas, Hospital das Clínicas, Faculdade de Medicina
LIM/51 - Laboratório de Emergências Clínicas, Hospital das Clínicas, Faculdade de Medicina
24 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 24
- Team emergency assessment measure (TEAM) of non-technical skills: The Brazilian Portuguese version of the TEAM tool(2022) GIUGNI, Fernando Rabioglio; DIAS, Roger Daglius; RODRIGUES, Caio Godoy; PINESI, Henrique Trombini; SCALABRINI-NETO, AugustoObjectives: The aim of this study was to conduct the translation and cross-cultural adaptation of the original Team Emergency Assessment Measure (TEAM) tool into the Brazilian Portuguese language and investigate the internal consistency, inter-rater reliability, and concurrent validity of this new version (bp-TEAM). Methods: Independent medical translators performed forward and backward translations of the TEAM tool between English and Portuguese, creating the bp-TEAM. The authors selected 23 videos from final-year medical students during in-situ emergency simulations. Three independent raters assessed all the videos using the bp TEAM and provided a score for each of the 12 items of the tool. The authors assessed the internal consistency and the inter-rater reliability of the tool. Results: Raters assessed all 23 videos. Internal consistency was assessed among the 11 items of the bp-TEAM from one rater, yielding a Cronbach's alpha of 0.89. inter-item correlation analysis yielded a mean correlation coeffi-cient rho of 0.46. Inter-rater reliability analysis among the three raters yielded an intraclass correlation coefficient of 0.86 (95% CI 0.83???0.89), p < 0.001. Conclusion: The Brazilian Portuguese version of the TEAM tool presented acceptable psychometric properties, similar to the original English version.
bookPart Introdução à sexta edição(2020) OLIVEIRA, Andréa Remigio de; MENDES, Pedro Vitale; PARK, Marcelo; ZIGAIB, Rogério; SCALABRINI NETO, Augusto; VELASCO, Irineu TadeubookPart Manejo das arritmias cardíacas(2023) DIAS, Roger Daglius; GIUGNI, Fernando Rabioglio; SCALABRINI NETO, Augusto- Acute stress in residents playing different roles during emergency simulations: a preliminary study(2017) DIAS, Roger Daglius; SCALABRINI-NETO, AugustoObjectives: To investigate acute stress response in residents playing nurse and physician roles during emergency simulations. Methods: Sixteen second-year internal medicine residents participated in teams of four (two playing physician roles and two playing nurse roles). Stress markers were assessed in 24 simulations at baseline (T1) and immediately after the scenario (T2), using heart rate, systolic and diastolic blood pressure, salivary a-amylase, salivary cortisol and salivary interleukin-1 beta. The State-Trait Anxiety Inventory was applied at T2. Continuous data were summarized for the median (1st-3rd interquartile ranges), and the MannWhitney U Test was used to compare the groups. Results: The percent variations of the stress markers in the physician and nurse roles, respectively, were the following: heart rate: 70.5% (46.0-136.5) versus 53.0% (29.5-117.0), U=89.00, p=0.35; systolic blood pressure: 3.0% (0.0-10.0) versus 2.0% (-2.0-9.0), U=59.50, p=0.46; diastolic blood pressure: 5.5% (0.0-13.5) versus 0.0% (0.0-11.5), U=91.50, p=0.27; a-amylase: -5.35% (-62.70-73.90) versus 42.3% (12.4-133.8), U=23.00, p=0.08; cortisol: 35.3% (22.2-83.5) versus 42.3% (12.4-133.8), U=64.00, p=0.08); and interleukin-1 beta: 54.4% (21.9-109.3) versus 112.55% (29.7-263.3), U=24.00, p=0.277. For the physician and nurse roles, respectively, the average heart rate was 101.5 (92.0-104.0) versus 91.0 (83.0-99.5) beats per minute, U=96.50, p=0.160; and the state anxiety inventory score was 44.0 (40.0-50.0) versus 42.0 (37.50-48.0) points, U=89.50, p=0.319. Conclusions: Different roles during emergency simulations evoked similar participants' engagement, as indicated by acute stress levels. Role-play strategies can provide high psychological fidelity for simulation-based training, and these results reinforce the potential of role-play methodologies in medical education.
bookPart 0 Citação(ões) na Scopus Expert's corner: Challenges for simulation in Latin America(2014) SCALABRINI-NETO, A.- Acute stress in residents during emergency care: a study of personal and situational factors(2017) DIAS, Roger Daglius; SCALABRINI NETO, AugustoProviding care for simulated emergency patients may induce considerable acute stress in physicians. However, the acute stress provoked in a real-life emergency room (ER) is not well known. Our aim was to assess acute stress responses in residents during real emergency care and investigate the related personal and situational factors. A cross-sectional observational study was carried out at an emergency department of a tertiary teaching hospital. All second-year internal medicine residents were invited to voluntarily participate in this study. Acute stress markers were assessed at baseline (T1), before residents started their ER shift, and immediately after an emergency situation (T2), using heart rate, systolic, and diastolic blood pressure, salivary -amylase activity, salivary interleukin-1 , and the State-Trait Anxiety Inventory (STAI-s and STAI-t). Twenty-four residents were assessed during 40 emergency situations. All stress markers presented a statistically significant increase between T1 and T2. IL-1 presented the highest percent increase (141.0%, p<.001), followed by AA (99.0%, p=.002), HR (81.0%, p<.001), DBP (8.0%, p<.001), and SBP (3.0%, p<.001). In the multivariable analysis, time of residency had a negative correlation with HR during the emergency (adjusted R-square=.168; F=8.69; p=.006), SBP response (adjusted R-square=.210; F=6.19; p=.005) and DBP response (adjusted R-square=.293; F=9.09; p=.001). Trait anxiety (STAI-t) was positively correlated with STAI-s (adjusted R-square=.326; F=19.9; p<.001), and number of procedures performed during emergency care had a positive association with HR response (adjusted R-square=.241; F=5.02; p=.005). In the present study, emergency care provoked substantial acute stress in residents. Resident experience, trait anxiety, and number of emergency procedures were independently associated with acute stress response.
bookPart Insuficiência Cardíaca Crônica(2015) SCALABRINI NETO, Augusto; MAZON, Francisco José Nigro; DIAS, Roger Daglius- Assessment scores in H1N1 infection(2011) BRANDAO-NETO, Rodrigo Antonio; GOULART, Alessandra Carvalho; SANTANA, Alfredo Nicodemos Cruz; SCALABRINI-NETO, Augusto; VELASCO, Irineu Tadeu
bookPart Treinamento de habilidades na prática médica(2023) DIAS, Roger Daglius; RODRIGUES, Katharina Reichmann; SCALABRINI NETO, Augusto- Stress levels during emergency care: A comparison between reality and simulated scenarios(2016) DIAS, Roger Daglius; NETO, Augusto ScalabriniPurpose: Medical simulation is fast becoming a standard of health care training throughout undergraduate, postgraduate and continuing medical education. Our aim was to evaluate if simulated scenarios have a high psychological fidelity and induce stress levels similarly to real emergency medical situations. Materials and Methods: Medical residents had their stress levels measured during emergency care (real-life and simulation) in baseline (T1) and immediately post-emergencies (T2). Parameters measuring acute stress were: heart rate, systolic and diastolic blood pressure, salivary alpha-amylase, salivary interleukin-1 beta, and State-Trait Anxiety Inventory score. Results: Twenty-eight internal medicine residents participated in 32 emergency situations (16 real-life and 16 simulated emergencies). In the real-life group, all parameters increased significantly (P < .05) between T1 and T2. In the simulation group, only heart rate and interleukin-1 beta increased significantly after emergencies. The comparison between groups demonstrates that acute stress response (T2 - T1) and State-Trait Anxiety Inventory score (in T2) did not differ between groups. Conclusions: Acute stress response did not differ between both groups. Our results indicate that emergency medicine simulation may create a high psychological fidelity environment similarly to what is observed in a real emergency room.
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