Epidemiological profile of ICU patients at Faculdade de Medicina de Marília

Abstract

Objective: To characterize the epidemiological profile of the hospitalized population in the ICU of Hospital das Clínicas de Marília (Famema). Method: A retrospective, descriptive and quantitative study. Data regarding patients admitted to the ICU Famema was obtained from the Technical Information Center (Núcleo Técnico de Informações, NTI, Famema). For data analysis, we used the distribution of absolute and relative frequencies with simple statistical treatment. Results: 2,022 ICU admissions were recorded from June 2010 to July 2012 with 1,936 being coded according to the ICD-10. The epidemiological profile comprised mostly males (57.91%), predominantly seniors ≥ 60 years (48.89%), at an average age of 56.64 years (±19.18), with limited formal education (63.3% complete primary school), mostly white (77.10%), Catholic (75.12%), from the city of Marília, state of São Paulo, Brazil (53.81%). The average occupancy rate was 94.42%. The predominant cause of morbidity was diseases of the circulatory system with 494 admissions (25.5%), followed by traumas and external causes with 446 admissions (23.03%) and neoplasms with 213 admissions (11.00%). The average stay was 8.09 days (±10.73). The longest average stay was due to skin and subcutaneous tissue diseases, with average stay of 12.77 days (±17.07). There were 471 deaths (24.32%), mainly caused by diseases of the circulatory system (30.99%). The age group with the highest mortality was the range from 70 to 79 years with 102 deaths (21.65%). Conclusion:The ICU Famema presents an epidemiological profile similar to other intensive care units in Brazil and worldwide, despite the few studies available in the literature. Thus, we feel in tune with the treatment of critical care patients.

Perception of nursing workers humanization under intensive therapy

“…It is worth mentioning that the nursing work in the various Intensive Care Units throughout the world goes through stressful processes, considering that they are crucial environments in hospitals to treat increasingly severe and senile populations (8) .…”

Conhecimento Da (O) Enfermeira (O) Em Relação a Terapia Antimicrobiana Utilizada Na Infecção De Trato Urinário Em Centro De Terapia Intensiva

“…Pesquisas realizadas em uma Unidade de Terapia Intensiva (UTI) do estado de São Paulo, evidenciaram perfil epidemiológico com predominância do sexo masculino 57,91%, população idosa ≥ 60 anos 48,89%, média de idade de 56,64 anos. A morbidade predominante de acordo com o CID 10 foi às doenças do aparelho circulatório com 25,5%, seguida dos traumas e causas externas com 23,03% das admissões, seguido de neoplasias com 11,0% [8][9] .…”

“…Apesar de ambos os estudos terem sido realizados em regiões distintas do território brasileiro centro oeste e nordeste, esses dados possuem algumas similaridades com o estudo vigente evidenciando a predominância dos pacientes do sexo masculino em 76,6%, faixa etária com média de 50 anos de idade e elevada incidência de traumatismos, aqui evidenciado pelo Traumatismo Crânio Encefálico (TCE) com 33,0%, valor com percentual de 10,0% acima do que os estudos de Fakhouri 9 . A divisão adotada pelos autores nessa pesquisa para se referir as morbidades prevalentes, classificou as causas externas em politrauma e traumatismos cranianos com posterior déficit neurológico devido a elevada incidência das admissões por TCE.…”

Causes of admission of patients 18-­30 years old in intensive care units

“…2 Although a disease is the primary cause of hospital admissions, this is not the case when we refer to admissions of young people to ICUs, as other factors that involve extreme or intrusive behaviors are often responsible. 3,4 According to studies, the most common causes of admission of young people to ICUs are social and financial reasons, such as poverty, unemployment, low level of education or even psychological reasons, like anxiety, low self-esteem, uncertainty and insecurity for the future, etc. As a result, these individuals are usually not accepted by the community and experience a form of exclusion, inability to adapt and coexist with the society and deviance from socially acceptable standards, resulting in dangerous or degrading behaviors, such as the use of violence, drug abuse, etc., which are significantly related to the admission into ICUs.…”

“…As a result, these individuals are usually not accepted by the community and experience a form of exclusion, inability to adapt and coexist with the society and deviance from socially acceptable standards, resulting in dangerous or degrading behaviors, such as the use of violence, drug abuse, etc., which are significantly related to the admission into ICUs. [3][4][5][6]…”