Caracterização das Unidades de Terapia Intensiva do município de São Paulo

Abstract

This study is the first part in a series of the articles reporting results of a project conducted to analyse the structural resources of ICUs in São Paulo city. This article describes the characteristics of those Units, considering the quantity and geographic location, bed number, maintainer entity, type of assistance, type of client, as well the percentage of beds usage and length of stay. Forty three ICUs were analysed and a questionnaire answered by the ICU nurse coordinator was used to collect data. The results showed that the number of ICUs in the hospital varied from 1 to 4, being more frequently those with only one ICU (68.8%). 79.2% of the Units were in private hospitals, located in the central area of the city. ICU beds represented 8.0% of the total hospital beds and there was an average of 10 beds per Unit. There was a predominance of general ICUs (60.5%), destined only for adult patients (51.2%) and for clinical-surgical treatment (95.3%). The percentage of beds usage in majority of ICU was between 80 to 100% and the length of stay was 4,5 days.

Epidemiological profile of ICU patients at Faculdade de Medicina de Marília

“…Secondary and tertiary care hospitals typically have a high occupancy rate; in our study, the average occupancy rate was 94%. Likewise, Kimura, 28 showed a monthly occupancy rate in ICUs in the municipality of São Paulo between 80 and 100% in 58% of the units assessed.…”

“…Several studies show a variable average stay from 4.09 to 28.8 days, 13,15,19,24,[28][29][30] which places us in a comfortable position with the average of 8.09 days. We can assume that the possible causes of these large variations in mean hospital stay are related to the age and preexisting comorbidities in individuals of the studies in question, including ours.…”

Composição da equipe de enfermagem em Unidades de Terapia Intensiva

“…Em relação ao atendimento, predominou a população adulta (75,9%), corroborando os achados de outros estudos de 51,2% (14) e 53,9% (15) . Percebeu-se uma maior oferta de leitos intensivos para a população pediátrica e déficit de leitos neonatais, corroborando pesquisa realizada no Município de São Paulo (16) .…”

O ensino de cuidados críticos/intensivos na formação do enfermeiro: momento para reflexão

“…The decrease in the quantity and quality of healthcare service in the basic network is added to this panorama, with slow referrals and solutions; low governmental investment per capita in our country; a deficient healthcare network regarding preventive medical care; precariousness and absence of medication or pharmaceutical assistance; and the real absence of a hierarchy-based, regional medical care (16).…”