Clinical-epidemiological profile of patients hospitalized in an intensive care unit of a school hospital

Authors

DOI: https://doi.org/10.6018/eglobal.589401
Keywords: Critical Care, Health Profile, Intensive Care Units

Abstract

Objective: To characterize the clinical-epidemiological profile of patients admitted to the adult intensive care unit of a teaching hospital.
Method: Descriptive epidemiological study, with a quantitative approach, cross-sectional and retrospective nature. The research was carried out at the teaching hospital, in an adult intensive care unit between January and December 2021.
Results: 153 people were hospitalized. There was a predominance of males (68.6%). The average age was 53 years (standard deviation=20). Regarding the municipality of residence, Maringá predominated (39.9%). The average length of stay was 17 days (median=11; standard deviation=18). Regarding the primary cause of admission, it was noted that the most frequent causes were trauma (14.4%). Regarding the outcome of hospitalization, although the majority of participants were discharged from the sector (58.8%), there was an important proportion who died (37.3%).
Conclusion: Predominance of males, with an average age of 53 years, from the city of Maringá, hospitalized for around 17 days due to trauma and/or fractures, which required intubation and without vasoactive drugs and hemodialysis, with a more rise in the sector is frequent, although the mortality rate was 37%, raising a warning for managers.

Downloads

Download data is not yet available.

Author Biographies

Grazielly Peraro Corrêa, State University of Maringá

Bachelor of Nursing from the State University of Maringá (UEM)

Lucas Benedito Fogaça Rabito, State University of Maringá

Nurse. Master's student in Nursing from the Postgraduate Program in Nursing at the State University of Maringá (PSE/UEM)

Julia Rosa Matias Ciccheto, State University of Maringá

Nurse. Master's student in Nursing from the Postgraduate Program in Nursing at the State University of Maringá (PSE/UEM).

Maria Aparecida Salci, State University of Maringá

Nurse. PhD in Nursing from the Federal University of Santa Catarina (UFSC). Coordinator of the Postgraduate Nursing Program at the State University of Maringá (PSE/UEM) and assistant professor in the Nursing Department at the State University of Maringá (DEN/UEM).

Débora Regina de Oliveira Moura, State University of Maringá

Nurse. Post-doctorate in Nursing from the Polytechnic Institute of Leiria/Portugal. Professor of the Postgraduate Program in Nursing at the State University of Maringá (PSE/UEM) and the Department of Nursing at the State University of Maringá (DEN/UEM).

Rafaely de Cassia Nogueira Sanches, State University of Maringá

Nurse. PhD in Nursing from the Postgraduate Program in Nursing at the State University of Maringá (PSE/UEM). Professor of the Postgraduate Program in Nursing at the State University of Maringá (PSE/UEM) and the Department of Nursing at the State University of Maringá (DEN/UEM).

References

Pauletti M, Otaviano MLP de O, Moraes A dos ST de, Schneider D da S. Perfil epidemiológico dos pacientes internados em um Centro de Terapia Intensiva. Aletheia. 2017; 50(1-2):38–46.

Marshall JC, Bosco L, Adhikari NK, Connolly B, Diaz JV, Dorman T, et al. What is an intensive care unit? A report of the task force of the World Federation of Societies of Intensive and Critical Care Medicine. Journal of critical care. 2017; 37:270–6.

Cotrim Junior DF, Cabral LM da S. Crescimento dos leitos de UTI no país durante a pandemia de Covid-19: desigualdades entre o público x privado e iniquidades regionais. Physis. 2020; 30(3):e300317.

Noronha KVM de S, Guedes GR, Turra CM, Andrade MV, Botega L, Nogueira D, et al. Pandemia por COVID-19 no Brasil: análise da demanda e da oferta de leitos hospitalares e equipamentos de ventilação assistida segundo diferentes cenários. Cad Saúde Pública [Internet]. 2020;36(6):e00115320.

Berlin A. Goals of Care and End of Life in the ICU. Surgical Clinics of North America. 2017; 97(6):1275–90.

Castro MLM de, Almeida F das A de C, Amorim EH, Carvalh AILC de, Costa CC da, Cruz RA de O, et al. Perfil de pacientes de uma unidade de terapia intensiva de adultos de um município paraibano. Enfermería Actual de Costa Rica. 2021; (40).

Severina IC, Moreira VR, Lima LR de, Stival MM. Perfil epidemiológico e de morbimortalidade da unidade de terapia intensiva de um hospital público. Revista de Divulgação Científica Sena Aires. 2021; 10(2):446–58.

Costa S, Silva J, Santos M, Cerqueira J, Silva J, Silva E. Perfil dos pacientes de terapia intensiva em um hospital de emergência. Revista de Enfermagem UFPE on line. 2019; 13(0).

Silva HFP, Cavalleiro GST, Fernandes LMB, Pereira LP, Almeida MS, Pereira LP, et al. Estudo epidemiológico na unidade de terapia intensiva do hospital escola Luiz Gioseffi Jannuzzi – Valença – RJ. Brazilian Journal of Surgery and Clinical Research. 2018, v. 24, n. 2, p. 26-32.

Kruger AR, Vier C da V, Saute AABQ, Kreutz DNM, Kunst L, Miltersteiner D da R, Marrone LCP, Martins MIM. Perfil epidemiológico de pacientes com COVID-19 na UTI de um Hospital de Referência no Sul do Brasil: idade como fator de risco para pior evolução. Research, Society and Development. 2022; 11(2):e57611225672.

Elm EV, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. BMJ. 2007;335(7624):8

Fontelles M, Simões M, Farias S, Garcia R, Fontelles S. Metodologia da pesquisa científica: diretrizes para a elaboração de um protocolo de pesquisa. Revista Paraense de Medicina. 2009.

França C, Albuquerque P, Santos AC. Perfil epidemiológico da unidade de terapia intensiva de um Hospital Universitário. interscientia. 13dez. 2016; 1(2).

Cecconello L, Winkelmann E, Morais E, Krug R, Moreira P. Perfil clínico-epidemiológico dos doentes renais crônicos em tratamento hemodialítico: um estudo da região noroeste do estado do Rio Grande do Sul. Temas em Saúde. João Pessoa. 2019; v. 19, n. 3, p. 407-432.

Gebhard C, Regitz-Zagrosek V, Neuhauser HK, Morgan R, Klein SL. Impact of sex and gender on COVID-19 outcomes in Europe. Biology of Sex Differences. 2020; 11(1).

De Jesus Soares A, Fernandes Soares e Soares C, Caetano dos Santos Silva F, Ferreira da Silva A, Estrela FM, Fernandes de Magalhães JR, et al. Elementos da masculinidade que vulnerabilizam homens à morbimortalidade pela COVID-19: revisão integrativa. Saúde Coletiva (Barueri). 2021; 11(65):5926–39.

Braga T de L, Santos Robles JI. Assistência aos pacientes vítimas de TCE em uma unidade de terapia intensiva no hospital de emergências de Macapá/AP. Revista Eletrônica Estácio Saúde. 2021; 10(01):10.

Martelletti LBS de J, Martinello LR, Santos LCG dos, Ferrão AARCN, Pereira JM, Santos CTB dos, Cruz KCT da. Perfil sociodemográfico e clínico de pacientes com câncer internados em uma Unidade de Terapia Intensiva adulto. Revista Eletrônica Acervo em Saúde.2019; 11(13):e985.

Upparakadiyala R, Singapati S, Sarkar MK, U S. Clinical Profile and Factors Affecting Outcomes in Elderly Patients Admitted to the Medical Intensive Care Unit of a Tertiary Care Hospital. Cureus. 2022.

Schein LEC, Cesar JA. Perfil de idosos admitidos em unidades de terapia intensiva gerais em Rio Grande, RS: resultados de um estudo de demanda. Rev bras epidemiol [Internet]. 2010Jun;13(2):289–301.

Kim L, Garg S, O’Halloran A, Whitaker M, Pham H, Anderson EJ, et al. Risk Factors for Intensive Care Unit Admission and In-hospital Mortality among Hospitalized Adults Identified through the U.S. Coronavirus Disease 2019 (COVID-19) -Associated Hospitalization Surveillance Network (COVID-NET). Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America. 2020.

Aguiar LMM, Martins G de S, Valduga R, Gerez AP, Carmo EC do, Cunha K da C, et al.. Perfil de unidades de terapia intensiva adulto no Brasil: revisão sistemática de estudos observacionais. Rev bras ter intensiva. 2021;33(4):624–34.

Koupak F, Lentsck MH, Bahls de Souza P, Trincaus MR, Oliveira Moura DR de. Internações hospitalares por trauma em uma unidade de terapia do Paraná. Revista Recien. 2021, 11(36):564-7.

Perego LM, Grimshaw EK. Impacto da pandemia de covid-19 na logística de medicamentos em um hospital universitário no Noroeste do Paraná. In: Anais do Simpósio do Programa de Pós-Graduação em Biociências e Fisiopatologia, 2022.

Paes JL, Tonon MM, Ignácio ZM, Tonin PT. Prevalence of burnout syndrome among nursing professionals in an emergency room and in an intensive care unit. J bras psiquiatr. 2022; 71(4):296–302.

Gonçalves AD, Evaldt TDS, Comin MF, Gulbis KC, Dagostin VS, Tessmann M. Perfil dos pacientes atendidos no primeiro ano de funcionamento de uma unidade de terapia intensiva: um estudo retrospectivo. Revista de Administração em Saúde. 2021 Apr 17;21(82).

Published
02-04-2024
How to Cite
[1]
Corrêa, G.P. et al. 2024. Clinical-epidemiological profile of patients hospitalized in an intensive care unit of a school hospital. Global Nursing. 23, 2 (Apr. 2024), 495–533. DOI:https://doi.org/10.6018/eglobal.589401.
Issue
Section
ORIGINAL RESEARCH