Objective: To characterize patients with insulin-dependent Diabetes Mellitus (DM) accompanied by a PF service in a teaching hospital, as well as to identify the occurrence of hospital readmissions and associated factors. Methods: This is a cross-sectional study carried out in a general teaching hospital, being included patients above 18 years old, of both genders, with type 1 or 2 DM diagnosis were admitted from April 2015 to April 2016, accompanied by the Pharmaceutical Follow-up Service of the hospital, who used insulin during hospitalization and received indication for using this drug in the hospital discharge prescription. Data were collected through consultation in electronic medical records and telephone contact after the hospital discharge. Data were recorded in a Microsoft Excel spreadsheet, with the patients subdivided into groups with and without readmission, followed by univariate analysis of associated factors by means of proportion comparison and logistic model with penalized likelihood. Results: Patients who were re-admitted had higher blood sugar values, fewer pharmaceutical interventions regarding insulin use, and longer average hospitalization time. The analysis of the association between variables and readmission did not present statistical significance. Conclusions: The study points out to weaknesses related to the offer of care to the patients under study, such as weaknesses in the coverage for offering actions related to health education in the periods before and after hospital discharge, difficulty in accessing the specialist physician and non-achievement of blood sugar measurement by some patients. There was no association between any of the analyzed variables and hospital readmission.

Introduction: Identification of predictors for successful extubation in an Intensive Care Unity and use of Brain Natriuretic Peptides (BNP) in predicting mechanical ventilation weaning and extubation outcome.Aims: Evaluation of the effect of variables such as patient´s age, severity score, use of sedation, use of vasoactive drugs, hydric balance, blood gas data, days under mechanical ventilation, the occurrence of adverse events and plasma BNP levels on the success of extubation.Method: A prospective cohort study of adult patients admitted to a 12- bed-general ICU, from April 1st 2016 to August 10th 2017, under mechanical ventilation for > 24 h, accompanied until discharge or death. Clinical variables were analyzed and BNP was assessed before initiation of Spontaneous Breathing Trial (SBT) and then again before extubation. Statistical Analysis: a descriptive and comparative data analysis, univariate and logistic regressionanalysis for verification of variables independently related to successful extubation (p < 0.05).Results: Study of 105 patients, mean age of 53.9 ± 19.8 years, 81% of success in extubation; the overall mortality rate of 11.4%; variables associated to successful extubation: age, APACHE II, SAPS II, days of hospitalization before ICU admittance, days under mechanical ventilation, days of stay in ICU and occurrence of nosocomial infection (p < 0.05); BNP levels were lower in patients with successful extubation although not statistically significant;multivariate analysis showed that patient’s age and days of hospitalization before ICU admittance were each independently linked to extubation failure; APACHE II score and days of hospitalization before ICU admittance were each independently associated to risk of death.Conclusion: Despite being older and with higher severity scores, patients had a higher success rate in extubation than found in similar studies. However, the mortality rate in cases of failed extubation was higher. Data obtained was in agreement to studies that suggested that patient´s age, severity score, days of hospitalization before ICU admittance, days of stay in ICU, days under MV and infection occurrence were all variables associated as much extubation failure as to risk of death. A direct association between BNP levels and successful extubation and the usefulness of assessing BNP in the conduction of WMV was not confirmed.

Prediction of central venous catheter-related bloodstream infections (CRBSIs) in patients with hematologic malignancies using a modified Infection Probability Score (mIPS).