Caracterização dos pacientes readmitidos em um serviço de emergência / Characterization of the readmitted patients on emergency department

AUTOR(ES)

Rangel Biscaro Valera

DATA DE PUBLICAÇÃO

2005

RESUMO

The great need for the Emergency Department and the resultant length of stay of the patients in repeated admissions become a hard situation for nurses, who are responsible for the administration on this units. Objectives: characterize the readmitted patients at the Emergency Department in a philanthropyc hospital; identify the socialdemographic and morbity profile of the readmitted patients; characterize the use of the Emergency Department; identify factors associated with readmissions. Methods: transversal, descriptive and exploratory study, at the Emergency Department on a tertiary health service of a philanthropic teaching hospital in São Paulo city, the sample was made by patients over fourteen years old that became inpatient at the Emergency Department, with over than one admission until six months before the data collection day. It was used an instrument with opened and closed questions for the data collection. Data were obtained from patient records and by interview to the patient or responsible, during May 2004. Results: the readmission incidence was 23,3%. The patients were predominantly males (61,9%), age 40 to 90 years old (85,9%), low level education (57,8%); 46,7% lived at areas regarding the regionalization of the health service. Almost of all (92,8%) wasn’t registered at Family Health Program, and a high proportion of patients (45,4%) were unaware of this program. The main diagnosis were circulatory disease (33,7%) followed by cancer (24,1%). Most of patients (57,6%) was readmitted with the same diagnosis and 23,9% due to complications. On the perception of 40,9% of the patients, the related factors to readmissions were classified as potentially avoidable causes. Conclusions: The readmission incidence was raised, it was can be caused by problems in adherence to treatment, gravity of chronic disease, not enough orientation, or by complications

ASSUNTO(S)

health services needs and demand necessidades e demanda de serviços de saúde patient readmissions serviço hospitalar de emergência emergency service hospital readmissão do paciente

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