Caracterização De Pacientes Reinternados No Setor De Cardiologia

Abstract

Conflito de interesses: NãoContribuição dos autores: ACMR tabulação dos dados, discussão dos achados, elaboração e redação do manuscrito, revisão crítica. NML concepção e planejamento do projeto de pesquisa, tabulação dos dados, discussão dos achados, orientação do projeto, redação e revisão crítica. AbstractIntroduction: Cardiovascular diseases are chronic diseases with high mortality rate. Thus, they represent a large demand for hospital services, contributing to a high number of hospital admissions and readmissions. Objective: Describe the profile of patients readmitted at the infirmary of the cardiology department of a teaching hospital. Patients and Methods: This is a cross-sectional clinical study using qualitative and quantitative approaches. Data survey was obtained through a semi-structured interview with patients or their companions from June to October 2014. Data were recorded using Microsoft Excel™. We interpreted data using descriptive statistical analysis. Results: Of the 544 patients interviewed, 86 were readmitted to the cardiology sector. More than half of the patients were men, aged from 32 to 89 years (mean 66 ± 13.08), married, retired, and low schooling. The main previous clinical conditions were hypertension, smoking, diabetes, alcoholism, and dyslipidemia. Readmissions were prevalent. The main baseline conditions were heart failure, acute myocardial infarction, and heart valve disease. Conclusion: Among the readmitted patients, married and retired males with low schooling were predominant. The recurrent readmissions with baseline conditions were heart failure, acute myocardial infarction, and heart valve disease. Among the reasons for re-hospitalization, the main ones were respiratory disease, heart failure, and related to coronary artery disease.

Quality of life related to health for heart failure patients

“…A study that related schooling levels to QLRH has shown that schooling levels are set as an important factor for the QL of heart diseases patients, and it is related to the prevalence of re-hospitalizations and mortality (12) . In agreement to a research carried out in Ribeirão Preto, São Paulo, Brazil (13) , the schooling levels of this study's sample was up to elementary school.…”

Quality of care transition and its association with hospital readmission

“…As informações sobre os medicamentos são fornecidas no momento da alta, e pacientes e famílias não são orientados sobre efeitos colaterais, recebendo apenas a receita médica, com dose, horário e via de administração (4), o que poderia gerar dúvidas após a alta e, por consequência, resultar em reinternações. Neste estudo, 12,4 % dos participantes foram readmitidos em até 30 dias após a alta, valor inferior ao identificado em estudo brasileiro realizado com pacientes cardíacos (27). Em investigações que utilizaram o CTM no âmbito internacional, encontram-se valores superiores (13) e valores inferiores de readmissão (1,22).…”

“…Sobre o motivo das readmissões, 30,8 % dos casos foram pelo mesmo motivo da internação anterior, e 61,5 % por doença inserida no mesmo grupo de classificação, o que está de acordo com investigações brasileiras realizadas com doentes crônicos e com comorbidades, as quais demonstraram porcentagens altas de readmissões pelo mesmo motivo (5,(27)(28). Estudo realizado em hospital público do estado de São Paulo, Brasil, identificou que as readmissões ocorreram pela mesma razão da internação anterior em 47,9 % dos pacientes (5).…”

Heart Failure: An Overview of Morbidity and Mortality in Rio Grande do Sul

“…2 The impact of HF is expected to increase substantially, as a result of increased survival of CAD patients, in combination with population ageing. 6,7 This raises the need for registers to project, conduct and better understand this population of heterogeneous patients.…”