2016
DOI: 10.1590/0034-7167-2016-0199
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Abstract: Objective: to identify the factors associated with the occurrence of adverse events in critical elderly patients admitted to intensive care unit according to demographic and clinical characteristics. Method: a retrospective cohort study was conducted in nine units of a teaching hospital. Data were collected from medical records and from monitoring of nursing shift change. We used the t-test/Mann-Whitney, chi-square and logistic regression to test associations. Signifi cance level of 5% was used. Results: out o… Show more

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Cited by 27 publications
(25 citation statements)
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References 14 publications
(38 reference statements)
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“…(11) A study that investigated the factors related to the occurrence of adverse events in critically ill elderly people, although it did not relate these to the long-living age group, identified an average of 5.06 days of ICU hospitalization in those who did not suffer adverse events, against 10.62 days in those who did; for those who presented moderate to severe cases of these events, the mortality rate was 38.3%. (4) In this study, even the long-living patients mostly presented a good general health condition at the time of admission, with intact skin, diuresis and spontaneous ventilation, preserved lucidity and ori-entation; the length of hospital stay was significant, making them more fragile, dependent and vulnerable to the unfavorable outcome. In this sense, the study points out the need to remove the patient from the ICU as soon as possible and safely, in order to avoid damage.…”
Section: Discussionmentioning
confidence: 72%
See 1 more Smart Citation
“…(11) A study that investigated the factors related to the occurrence of adverse events in critically ill elderly people, although it did not relate these to the long-living age group, identified an average of 5.06 days of ICU hospitalization in those who did not suffer adverse events, against 10.62 days in those who did; for those who presented moderate to severe cases of these events, the mortality rate was 38.3%. (4) In this study, even the long-living patients mostly presented a good general health condition at the time of admission, with intact skin, diuresis and spontaneous ventilation, preserved lucidity and ori-entation; the length of hospital stay was significant, making them more fragile, dependent and vulnerable to the unfavorable outcome. In this sense, the study points out the need to remove the patient from the ICU as soon as possible and safely, in order to avoid damage.…”
Section: Discussionmentioning
confidence: 72%
“…Thus, a careful evaluation of the hospitalization decision and the appropriate time for discharge is recommended, in order to guarantee the minimum length of stay, reduction of complications and hospital costs. (4) In this sense, health policies that encourage professional qualification focused on elderly care are essential for health professionals, especially nurses, to provide quality care. Therefore, it is important that the multiprofessional team pays attention to the profile of the long-living elderly hospitalized in the ICU, so that they can discover and attend to their particularities that demand specific care, necessary to avoid iatrogenic and unfavorable clinical outcomes.…”
Section: Introductionmentioning
confidence: 99%
“…Length of hospitalization is an important indicator, since it has been shown that the longer the ICU stay, the greater the chance of adverse events occurring that compromise patient safety (22) . Older adults are individuals with a high propensity to suffer adverse events in the hospital environment (22) , however, their survival was lower than the survival of adults. An earlier study showed that the mortality of old and oldest-old adults was greater than that of adults (12) .…”
Section: Discussionmentioning
confidence: 99%
“…Um aspecto notável evidenciado foi que infecções, erros relacionados à medicação, lesão por contenção e procedimentos realizados de forma inadequada obtiveram as menores porcentagens. Dado que contrasta com a literatura 9,15 , podendo sugerir que há falta de conhecimento e subnotificação quanto a esses incidentes.…”
Section: Discussionunclassified