Prevalência De Eventos Adversos Entre Idosos Internados Em Unidade De Clínica Cirúrgica

Abstract

<p class="Default">Objetivo:<strong> </strong>estimar a prevalência, os tipos e os danos decorrentes de eventos adversos ocorridos entre idosos internados na clínica cirúrgica de um hospital de ensino da região Centro-Oeste. Método:<strong> </strong>estudo transversal, retrospectivo, conduzido com 260 internações ocorridas entre julho e dezembro de 2013, na clínica cirúrgica de um hospital de ensino da região Centro-Oeste. A coleta de dados ocorreu entre janeiro e abril de 2014, tendo os prontuários como fonte de dados. Resultados:<strong> </strong>estimou-se prevalência de 58,8% de eventos adversos. Identificaram-se 531 registros, correspondendo a 3,5 eventos por internação exposta. A dor aguda não resolvida foi predominante, 73,1% dos eventos adversos resultaram em dano leve e 0,9% levaram a óbito. Conclusão:<strong> </strong>a alta prevalência reflete a necessidade de especialização das práticas de saúde para garantir a segurança de uma população vulnerável à ocorrência de eventos adversos, quando comparada a outros ciclos de vida no processo do cuidar.</p><p>Descritores:<strong> </strong>Assistência a Idosos; Doença Iatrogênica; Segurança do Paciente. </p>

Hemovigilance and patient safety: analysis of immediate transfusion reactions in elderly

“…The hospitalization of elders may be a risk factor not only due to the diminution of their physiological capabilities of recovery, related to an increased potential of vulnerability and weakness which is inherent to aging, but also due to the impact of highly incident adverse events. These can result from many different interventions, among which is the therapeutic use of blood and its components (12)(13) .…”

Incidentes relacionados à assistência à saúde em idosos hospitalizados

“…22 Among the most reported incidents are phlebitis (28.21%); incidents in surgical contexts (19.93%); skin lesions (17.23%); falls (13.51%) and medicines (4.39%). Adverse events usually represent a heterogeneous group of occurrences, as the most common among the elderly relate to the use of medications; falls; unscheduled withdrawals of therapeutic devices such as nasogastric tube, bladder tube and drains; pressure injuries; healthcare-associated infection [7][8]12, and infiltration, obstruction or phlebitis of peripheral venous access. 8 The panorama of notifications of incidents identified is similar to the reality in Brazil and in other countries, such as Mexico, 25 Colombia, 26 France 13 and Italy.…”

“…These events result in the need for new procedures, increasing the consumption of materials and discomfort for the patient. 8 Elderly patients are also at increased risk for the occurrence of severe AE related to surgeries, with an exponential growth of this type of risk with age. 27 The occurrences of phlebitis can be related to the physiology of aging, which leads to greater sensitivity of the venous network, to the use of potentially irritating drugs 26 and care during puncture.…”

“…6 The literature also shows that the elderly suffer the most severe events, resulting in prolonged hospitalization, longer time of mechanical ventilation and higher risk of death; [6][7] temporary or permanent disabilities; increased hospital costs with the care and attempts to minimize the consequences of events and the risk of other AE. 8 Studies on adverse events in the elderly are justified by the need to generate information that allows monitoring occurrences before the characteristics of this population group. 7 Furthermore, the study is expected to contribute, in agreement with other authors 8 , to the elaboration of strategies to cope with the problem during the hospitalization of the elderly.…”

“…8 Studies on adverse events in the elderly are justified by the need to generate information that allows monitoring occurrences before the characteristics of this population group. 7 Furthermore, the study is expected to contribute, in agreement with other authors 8 , to the elaboration of strategies to cope with the problem during the hospitalization of the elderly.…”