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Advisor(s)
Abstract(s)
Os profissionais que trabalham nos serviços de urgência têm a perceção de que a variação
ao longo do tempo (em diferentes dias da semana, semanas, meses, estações do ano) do
número de episódios de urgência não se deve apenas à aleatoriedade inerente à
ocorrência de doenças e acidentes. Objetivo desse trabalho foi detetar padrões sazonais
nos acessos ao serviço de urgência do mais importante hospital da Guiné-Bissau e
estudar a influência das variáveis meteorológicas no número de episódios de urgência.
Foi um estudo exploratório e descritivo, foram analisados os registos de admissão do
serviço de urgência de medicina de adultos no Hospital Nacional Simão Mendes em
Bissau, no período de 1 de julho de 2017 a 30 de junho de 2018, foram registadas 21518
número de episódios de urgência. Os diagnósticos principais foram classificados de
acordo com a Classificação Internacional de Doenças (CID 10). Os resultados obtidos
neste estudo mostraram que o maior número de episódios ocorreu nos fins de semana, o
sábado registou o maior número e sexta-feira o menor número de episódios, o mês de
setembro e outubro são os meses com maiores incidências. Verificou-se que as doenças
infeciosas e parasitárias e as doenças respiratórias são as mais persistentes no serviço de
urgência do Hospital Nacional Simão Mendes durante todo o ano. As doenças
endócrinas, nutricionais e metabólicas e as doenças circulatórias aumentam de
importância como causa dos episódios de urgência na época seca.
Estes resultados são relevantes e podem ajudar no processo de tomada de decisão, no
planeamento e nas políticas de saúde.
Professionals working in the emergency services have the perception that variation over time (on different days of the week, weeks, months, seasons) of the number of emergency episodes is not just due to the randomness inherent in the occurrence of diseases and accidents. The objective of this work was to detect seasonal patterns in the access to the emergency service of the most important hospital in Guinea-Bissau and to study the limitation of meteorological variables in the number of emergency episodes. It was an exploratory and descriptive study, the admission records of the adult medicine emergency service were registered at the Simão Mendes National Hospital in Bissau, from July 1, 2017 to June 30, 2018, 21518 number of episodes were recorded urgency. The main diagnoses were classified according to the International Classification of Diseases (ICD 10). The results obtained in this study, regardless of the fact that the highest number of episodes occurred on weekends, the highest recorded Saturday and the lowest number of episodes on Friday, the month of September and October are the months with the highest incidences. It was found that infectious and parasitic diseases and respiratory diseases are the most persistent in the emergency department of Hospital Nacional Simão Mendes throughout the year. Endocrine, nutritional and metabolic diseases and circulatory diseases increase in importance as a cause of emergency episodes in the dry season. These results are relevant and can help in the decision-making process, in the related and in health policies.
Professionals working in the emergency services have the perception that variation over time (on different days of the week, weeks, months, seasons) of the number of emergency episodes is not just due to the randomness inherent in the occurrence of diseases and accidents. The objective of this work was to detect seasonal patterns in the access to the emergency service of the most important hospital in Guinea-Bissau and to study the limitation of meteorological variables in the number of emergency episodes. It was an exploratory and descriptive study, the admission records of the adult medicine emergency service were registered at the Simão Mendes National Hospital in Bissau, from July 1, 2017 to June 30, 2018, 21518 number of episodes were recorded urgency. The main diagnoses were classified according to the International Classification of Diseases (ICD 10). The results obtained in this study, regardless of the fact that the highest number of episodes occurred on weekends, the highest recorded Saturday and the lowest number of episodes on Friday, the month of September and October are the months with the highest incidences. It was found that infectious and parasitic diseases and respiratory diseases are the most persistent in the emergency department of Hospital Nacional Simão Mendes throughout the year. Endocrine, nutritional and metabolic diseases and circulatory diseases increase in importance as a cause of emergency episodes in the dry season. These results are relevant and can help in the decision-making process, in the related and in health policies.
Description
Keywords
Hospital Nacional Simão Mendes Padrões Sazonais República da Guiné-Bissau Serviço de Urgência