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Advisor(s)
Abstract(s)
Introdução
A Unidade de Cuidados Agudos Diferenciados do Centro Hospitalar Cova da Beira foi criada em
Agosto de 2013, com o objetivo de funcionar como unidade de internamento com capacidade
de prestação de cuidados correspondentes ao nível II de cuidados intensivos, estando dotada
com seis camas, cada uma com monitorização contínua de sinais vitais e com ventilador
mecânico. Com este projeto pretende-se descrever a casuística da Unidade de Cuidados
Agudos Diferenciados do Centro Hospitalar Cova da Beira durante os seus primeiros 13 meses
de funcionamento.
Materiais e métodos
Estudo retrospetivo e observacional de carácter descritivo que se focou nos doentes tratados
na Unidade de Cuidados Agudos Diferenciados do Centro Hospitalar Cova da Beira durante o
seu primeiro ano de funcionamento (desde Setembro de 2013 a Setembro de 2014). Sobre
cada episódio de internamento foi recolhida informação acerca da demografia; diagnósticos e
comorbilidades dos doentes tratados; circuitos de encaminhamento; motivos de
internamento; taxas de utilização de meios avançados de monitorização e suportes
hemodinâmico e ventilatório e resultados de mortalidade, demora média e destinos de alta
dos doentes tratados na Unidade de Cuidados Agudos Diferenciados do Centro Hospitalar Cova
da Beira no período em estudo.
Resultados
Os doentes internados na Unidade de Cuidados Agudos Diferenciados do Centro Hospitalar
Cova da Beira pertencem a faixas etárias mais altas, sendo que a idade média é de 73 anos. O
tempo médio de internamento foi de apenas 2 dias, sendo que a taxa de ocupação da unidade
rondou os 88%. Os principais motivos de internamento foram as patologias do aparelho
respiratório, seguidas das doenças cardiovasculares. Um número considerável de doentes
apresentava como diagnósticos secundários patologias do aparelho cardiovascular, doenças
das glândulas endócrinas, da nutrição, do metabolismo e transtornos imunitários e patologias
do aparelho respiratório. Dos diversos procedimentos realizados, destaca-se o uso de
antibioterapia endovenosa e oxigenoterapia. Conclusões
A criação desta unidade veio reforçar a necessidade crescente de integrar os diferentes níveis
de cuidados dentro da estrutura hospitalar, permitindo colmatar algumas necessidades do
Centro Hospitalar da Cova da Beira.
Introduction The Differentiated Acute Care Unit of Hospital Center of Cova da Beira was created in August 2013 with the aim to function as an internment unit with the capacity of providing medical care corresponding to level II of critical care. It’s equipped with six beds, each of one capable of vital signs’ continuous monitoring and mechanical ventilation. This project intends to describe the Differentiated Acute Care Unit of Hospital Center of Cova da Beira’s casuistry during its first 13 months of operation. Materials and methods A restrospective, observational study of descriptive character that focused on patients treated in the UCAD during its first year of operation (from September 2013 to September 2014). On each inpatient episode was collected information about demography; diagnosis and comorbidities of the patients treated; intra-hospital transfers; reasons for internment; rates of utilization of advanced hemodynamic and ventilatory supports and mortality results, average time of internment and outpatients’ destination of the patients admitted in the Differentiated Acute Care Unit of Hospital Center of Cova da Beira during the period in study. Results The patients treated in the Differentiated Acute Care Unit of Hospital Center of Cova da Beira belong to higher age groups with the average age being 73 years. The inpatient average time was only 2 days and the unit's occupancy rate was around 88%. The main reasons for hospitalization were diseases of the respiratory tract, followed by cardiovascular disease. A substantial number of patients had, as secondary diagnoses, cardiovascular diseases, diseases of the endocrine glands, nutrition, metabolism and immune disorders and diseases of the respiratory system. Of the various procedures performed, stands out the use of intravenous antibiotics and oxygen therapy. Conclusions The creation of this unit has reinforced the growing need to integrate the different levels of care within the hospital structure, allowing to fill some gaps of Hospital Center of Cova da Beira.
Introduction The Differentiated Acute Care Unit of Hospital Center of Cova da Beira was created in August 2013 with the aim to function as an internment unit with the capacity of providing medical care corresponding to level II of critical care. It’s equipped with six beds, each of one capable of vital signs’ continuous monitoring and mechanical ventilation. This project intends to describe the Differentiated Acute Care Unit of Hospital Center of Cova da Beira’s casuistry during its first 13 months of operation. Materials and methods A restrospective, observational study of descriptive character that focused on patients treated in the UCAD during its first year of operation (from September 2013 to September 2014). On each inpatient episode was collected information about demography; diagnosis and comorbidities of the patients treated; intra-hospital transfers; reasons for internment; rates of utilization of advanced hemodynamic and ventilatory supports and mortality results, average time of internment and outpatients’ destination of the patients admitted in the Differentiated Acute Care Unit of Hospital Center of Cova da Beira during the period in study. Results The patients treated in the Differentiated Acute Care Unit of Hospital Center of Cova da Beira belong to higher age groups with the average age being 73 years. The inpatient average time was only 2 days and the unit's occupancy rate was around 88%. The main reasons for hospitalization were diseases of the respiratory tract, followed by cardiovascular disease. A substantial number of patients had, as secondary diagnoses, cardiovascular diseases, diseases of the endocrine glands, nutrition, metabolism and immune disorders and diseases of the respiratory system. Of the various procedures performed, stands out the use of intravenous antibiotics and oxygen therapy. Conclusions The creation of this unit has reinforced the growing need to integrate the different levels of care within the hospital structure, allowing to fill some gaps of Hospital Center of Cova da Beira.
Description
Keywords
Alocação de Recursos Em Saúde Cuidados Intensivos Gestão de Serviços de Saúde Indicadores do Estado de Saúde