Fatores de risco para readmissão não planejada na unidade de terapia intensiva adulto / Risk factors for unplanned readmission in the adult intensive care unit

Thatiany de Freitas Nascimento Affonso, Cibelli Rizzo Cohrs, Satomi Mori Hasegawa, Suely Sueko Viski Zanei, Vanessa Yukie Kita, Carla Roberta Monteiro Miura

Abstract


Objetivo: Identificar na literatura nacional e internacional os fatores de risco para readmissão não planejada em Unidade de Terapia Intensiva adulto (UTI). Método: Revisão integrativa de literatura nas bases de dados LILACS, SciELO, Medline e Cochrane, utilizando-se os descritores: patient readmission/readmissão do paciente/readmisión del paciente, intensive care units/unidades de terapia intensiva/unidades de cuidados intensivos e risk factors/fatores de risco/factores de riesgo, realizada entre agosto e setembro de 2019. Resultados: A partir da análise de 22 artigos, levantou-se os fatores de risco quanto a: dados sociodemográficos (idade avançada 45%, sexo masculino 27,2%), dados clínicos (comorbidades 59%, uso de ventilação mecânica 36.3%, alto índice de gravidade na admissão 27,2%, admissão por cirurgia de emergência 27,2% e alteração de exames laboratoriais 27,2%) e dados administrativos (ser proveniente da enfermaria 18,1% ). Conclusão: O conhecimento desses fatores de risco pode subsidiar o enfermeiro no compartilhamento do processo decisório de alta, visando melhores desfechos para o paciente e reduzindo custos hospitalares. Sugere-se, a partir desse levantamento, a elaboração de escala de predição de risco de readmissão em UTI que tenha sua eficácia e aplicabilidade testadas.

 


Keywords


readmissão do paciente, unidades de terapia intensiva, fatores de risco, unidades de cuidados intensivos.

References


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DOI: https://doi.org/10.34119/bjhrv4n2-268

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