WAGNER DE AGUIAR JUNIOR
Índice h a partir de 2011
3
Projetos de Pesquisa
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SCCECIR-62, Hospital Universitário
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bookPart Assistência do enfermeiro nas situações de via aérea difícil(2013) AGUIAR JUNIOR, Wagner de; MEIRA, Catharina Ferreira Corrêa de; COELHO, Filipe Utuari de Andrade; FRERIA, Zelia Fernanda da- Definition and application of neuropsychological test battery to evaluate postoperative cognitive dysfunction(2015) VALENTIN, Lívia Stocco Sanches; PIETROBON, Ricardo; AGUIAR JUNIOR, Wagner de; RIOS, Ruth Pinto Camarão; STAHLBERG, Mariane Galzerano; MENEZES, Iolanda Valois Galvão de; OSTERNACK-PINTO, Kátia; CARMONA, Maria José CarvalhoObjective To investigate the adequacy of the neuropsychological test battery proposed by the International Study of Postoperative Cognitive Dysfunction to evaluate this disorder in Brazilian elderly patients undergoing surgery under general anesthesia. Methods A neuropsychological assessment was made in patients undergoing non-cardiac surgery under general anesthesia, aged over 65 years, literate, with no history of psychiatric or neurological problems and score on the Mini Mental State Examination at or above the cutoff point for the Brazilian population (>18 or >23) according to the schooling level of the subject. Eighty patients were evaluated by a trained team of neuropsychologists up to 24 hours before elective surgery. Results Among the patients evaluated, one was excluded due to score below the cutoff point in the Mini Mental State Examination and two did not complete the test battery, thus remaining 77 patients in the study. The mean age was 69±7.5 years, and 62.34% of the subjects had ±4 years of study. The subjects had significantly lower averages than expected (p<0.001) for normative tables on neuropsychological tests. Conclusion The study demonstrated the applicability of the instruments in the Brazilian elderly and low schooling level population, but suggested the need to determine cutoff points appropriate for these individuals, ensuring the correct interpretation of results. This battery is relevant to postoperative follow-up evaluations, favoring the diagnosis of postoperative cognitive dysfunction in patients undergoing different types of surgery and anesthetic techniques.
- The association between burn and trauma severity and in-hospital complications(2020) LOPES, Maria Carolina Barbosa Teixeira; AGUIAR JUNIOR, Wagner de; WHITAKER, Iveth YamaguchiObjective: The aim of this study was to analyze the association between in-hospital complications and burn and trauma severity, inhalation injury, length of intensive care unit and hospital stay, and mortality in burned patients. Method: This observational and retrospective study included 68 burn patients hospitalized in a university hospital located in Sao Paulo, Brazil. The severity of the burn injury and trauma were measured by means of Abbreviated Injury Scale and the Injury Severity Score, respectively. Thecomplications were considered as a dependent variable. The statistical analysis for continuous variables was performed using the Student's t or the Mann-Whitney test and for categorical variables the Chi-square test, Fisher's Exact or Verisimilitude Ratio test, considering a significance level of 5%. Results: The majority (60.3%) of patients had complications, and among them, those with infections were the most frequent (70.7%). Burned patients with complications had higher burn injury severity, were hospitalized for longer and their mortality was higher. Cardiovascular complications were associated with severe burns and mortality; infectious ones with a larger length of hospitalization. Conclusion: Complications are frequent in patients with severe burns and inhalation injuries, increasing length of hospital stay and mortality. Burn studies measuring severity of thermal and inhalation injuries and other associated traumas allow to expand the analysis of burned patients.