Clinical evolution of adult, elderly and very elderly patients admitted in Intensive Care Units

Oliveira, Vítor Hugo de; Nogueira, Lilia de Souza; Andolhe, Rafaela; Padilha, Kátia Grillo; Sousa, Regina Márcia Cardoso de

doi:10.1590/s0104-11692011000600010

Cited by 12 publications

(22 citation statements)

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“…The results of this study with respect to demographic and clinical variables of ICU elderly corroborate evidence from other investigations related to this type of participants (3,6,(8)(9)12,(22)(23)(24) . Most were males (60.6%), slightly above the results of studies that found more homogeneous distribution between genders, with prevalence of 56.3% (10) and 54.10% (22) .…”

Section: Discussionsupporting

confidence: 89%

“…Groups of elderly who have experienced and have not experienced AE showed very similar results regarding critical and non-critical areas. In this sense, a Brazilian study developed in general ICUs showed that most patients admitted at the ICU come from critical units such as Emergency and Surgical Center (3) , which indicates the importance of new studies that analyze this variable in depth to assess its association with moderate and severe AE.…”

Section: Discussionmentioning

confidence: 99%

“…Mortality of elderly in the ICU is addressed in several studies (3,(6)(7)9) . In this study, 38.3% of the elderly who experienced moderate and severe AE died.…”

Section: Discussionmentioning

confidence: 99%

“…Associated with aging, multi morbidity is characterized by a combination of diseases with a variety of implications, including the poor quality of life, disability, high utilization of health care, hospitalization, high public spending on health and mortality (2) . The high utilization of health care for the elderly in health institutions, specifically in the Intensive Care Unit (ICU) is evidenced by the increasing mean age in these units (3)(4)(5)(6)(7) , raising concerns of health professionals with real effectiveness of treatment and care for this age group (7) . The literature claims that elderly in the ICU have mean age of 75.8 years.…”

mentioning

confidence: 99%

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Fatores relacionados à ocorrência de eventos adversos em pacientes idosos críticos

et al. 2016

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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 of the 315 elderly, 94 experienced events. Those who experienced events were men (60.6%) with mean age of 70.7 years, length of hospital stay of 10.6 days and survivors (61.7%). Most of the 183 events were clinical processes and procedures (37.1%). There was an association between adverse event and length of hospital stay in the unit (p=0.000; OR=1.10, 95% CI [1.06, 1.14]). Conclusion: the identifi cation of associated events and factors in the elderly subsidize the prevention of these occurrences before the vulnerability of this age group. Descriptors: Aged; Intensive Care Units; Patient Safety; Nursing Care; Workload. RESUMO Objetivo: identifi car os fatores relacionados à ocorrência de eventos adversos em pacientes idosos críticos internados em Unidade de Terapia Intensiva segundo características demográfi cas e clínicas. Método: estudo de coorte retrospectivo realizado em nove unidades de um hospital universitário. Os dados foram coletados dos prontuários e do acompanhamento de passagens de plantão de enfermagem. Utilizou-se o Teste-t/Mann-Whitney, Qui-quadrado e Regressão Logística para verifi car associações. Nível de signifi cância de 5%. Resultados: do total de 315 idosos, 94 sofreram eventos. Os que sofreram eventos eram homens (60,6%), com média de idade de 70,7 anos, permanência de 10,6 dias e sobreviventes (61,7%). Dos 183 eventos, houve predomínio do tipo processo clínico e procedimento (37,1%). Houve associação entre evento adverso e tempo de permanência na unidade (p=0,000; OR=1,10; IC95%= [1,06;1,14] Toffoletto MC, et al.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

“…Mortality of elderly in the ICU is addressed in several studies (3,(6)(7)9) . In this study, 38.3% of the elderly who experienced moderate and severe AE died.…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Fatores relacionados à ocorrência de eventos adversos em pacientes idosos críticos

et al. 2016

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“…Além disso, o meio pelo qual pode-se aprofundar o conhecimento do perfil epidemiológico do paciente consiste na avaliação do seu seguimento, através do acompanhamento do paciente durante todo o período de internação hospitalar. A unidade de destino e a evolução da gravidade do paciente na UTI são parâmetros também importantes para facilitar a gestão dos serviços no sentido de oferecer indícios para a continuidade do tratamento do paciente (3) .…”

Section: Introductionunclassified

Perfil Epidemiológico E Seguimento Após Alta De Pacientes Internados Em Unidade De Terapia Intensiva

Albuquerque

Silva

Souza³

2017

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RESUMO: Descrever o perfil epidemiológico e o seguimento após alta de pacientes internados em uma unidade de terapia intensiva. Pesquisa descritiva, seccional e de abordagem quantitativa, por meio de análise documental dos prontuários eletrônicos de pacientes adultos, internados na unidade de terapia intensiva em um hospital de atenção terciária na cidade do Rio de Janeiro, no período de novembro de 2014 a novembro de 2015. Na amostra (n=573) 73% apresentaram idade igual ou acima de 60 anos, que foi associada a maior risco de morte. A média do tempo de internação na unidade de terapia intensiva foi de 10,7 dias, a taxa de óbito na unidade de terapia intensiva foi de 26% (n= 148), sendo que 56% (n=112) foram a óbito por choque séptico. Foram readmitidos na unidade de terapia intensiva 10% (n= 44) dos pacientes que apresentaram maior risco relativo para óbito (p=0,001). As variáveis sexo feminino, idade acima de 60 anos, internação na unidade de terapia intensiva acima de 30 dias e readmissão na unidade são fatores de risco para óbito. DESCRITORES: Unidades de terapia intensiva; Readmissão do paciente; Mortalidade hospitalar; Choque séptico. PERFIL EPIDEMIOLÓGICO E SEGUIMENTO APÓS ALTA DE PACIENTES INTERNADOS EM UNIDADE DE TERAPIA INTENSIVA EPIDEMIOLOGICAL PROFILE AND MONITORING AFTER DISCHARGE OF PATIENTS HOSPITALIZED AT AN INTENSIVE CARE UNITABSTRACT: To describe the epidemiological profile and monitoring after discharge of patients hospitalized at an intensive care unit. Descriptive and cross-sectional research with a quantitative approach, using documentary analysis of adult patients' electronic histories, who were hospitalized at a tertiary care service in the city of Rio de Janeiro between November 2014 and November 2015.In the sample (n=573), 73% were 60 years of age or older, which was associated with a higher risk of death. The mean length of hospitalization at the intensive care unit was 10.7 days, the death rate at the intensive care unit was 26% (n= 148) and 56% (n=112) died of septic shock. Ten percent (n= 44) of patients with relative death risk (p=0.001) were readmitted to the intensive care unit. The variables female sex, age over 60 years, hospitalized at the intensive care unit for more than 30 days and readmission to the unit are risk factors for death. Investigación descriptiva, seccional y de aproximación cuantitativa, mediante análisis documental de los archivos electrónicos de pacientes adultos, internados en la unidad de terapia intensiva en un hospital de atención terciaria en la ciudad de Rio de Janeiro, entre noviembre del 2014 y noviembre del 2015. En la muestra (n=573), 73% tuvo edad igual o superior a 60 años, que fue asociada a mayor riesgo de muerte. El promedio del tiempo de hospitalización en la unidad de terapia intensiva fue 10.7 días, la tasa de óbito en la unidad de cuidados intensivos fue del 26% (n= 148), siendo que 56% (n=112) fallecieron por choque séptico. Fue readmitido en la unidad de terapia intensiva 10% (n= 44) de los pacientes que presentaron mayor riesgo relativo p...

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Tools for managing childcare in the postoperative period of cardiac surgery: an integrative review

et al. 2021

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Objective: To analyze the scientific literature on the application of management tools in the postoperative period of pediatric cardiac surgery. Methods: integrative review including studies published between 2004 and 2018 in the following databases: LILACS, BDENF, coleciona SUS, MEDLINE/PUBMED, CINAHL and SCOPUS, via Portal de Periódicos da Capes, Scientific Electronic Library Online (SciELO) and Academic Google research. Results: Twelve articles that met the inclusion criteria were analyzed. The studies demonstrated that strategies such as extracorporeal membrane oxygenation, renal replacement therapy and the risk scores for Risk Adjustment for Congenital Heart Surgery 1 and Aristotle Basic Score favored the stratification the demand for care and predicted the risk for mortality. Final considerations: The applicability of risk scores and emerging strategies for the management of childcare in the postoperative period of cardiac surgery was described by the evaluation of possibilities of performance and/or efficiency of the treatments developed.

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Clinical evolution of adult, elderly and very elderly patients admitted in Intensive Care Units

Cited by 12 publications

References 20 publications

Fatores relacionados à ocorrência de eventos adversos em pacientes idosos críticos

Fatores relacionados à ocorrência de eventos adversos em pacientes idosos críticos

Perfil Epidemiológico E Seguimento Após Alta De Pacientes Internados Em Unidade De Terapia Intensiva

Tools for managing childcare in the postoperative period of cardiac surgery: an integrative review

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