Incidence of gastric extubation of users in a home care program of a university hospital

Abstract

This quantitative, prospective study, aimed to characterize the profile of users and caregivers and to measure the incidence of gastric extubation, identifying the type and the reasons for the extubation of these users in a Home Care Program of a university hospital. The population consisted of 37 subjects and the data were collected from April to August 2010. For the analysis, descriptive statistics, test of significance of 5% and calculation of indicators were adopted. It was found that 51.4% of the users were female, 67.5% in the age group ≥60 years and 67.6% presented neurological diseases. Regarding the caregivers 89.2% were female and their mean age was 50.6 years. The incidence of extubation, considering 100 days of intubation, corresponded to 1.08, with 0.26 planned and 0.82 unplanned (p=0.009). These results allowed the rates to be calculated of the extubation of patients with gastric intubation for nutritional support in domicile care, providing support in establishing care and management goals for the continuous improvement of quality. La incidencia de la extubación gástrica de los usuarios en el programa de atención domiciliaria en un hospital universitarioEstudio cuantitativo, prospectivo cuyo objetivo de caracterizar el perfil de los usuarios y cuidadores y para medir la incidencia de extubación gástrica, la identificación del tipo y las causas de la extubación de estos usuarios en un Programa de Atención Domiciliaria en un hospital universitario. La muestra constó de 37 sujetos y los datos fueron colectados entre abril y agosto de 2010, según formularios. Para análisis, se adoptó estadística descriptiva, prueba de significancia 5% y cálculo de indicadores. Se observó que 51,4% de los usuarios eran mujeres, 67,5% edad ≥60 años y 67,6% tenían enfermedades neurológicas. Los cuidadores 89,2% eran mujeres, edad media de 50,6 años. Incidencia de extubación, considerando 100 días de intubación, correspondió a 1.08, 0.26 con planificadas y 0.82 no planificadas (p=0,009).Estos resultados permitieron calcular las tasas de extubaciones de los pacientes con intubación gástrica para el aporte nutricional en la atención domiciliaria, forneciendo subsidios para el establecimiento de las metas asistenciales y de gestión para la mejora continua de la calidad.Descriptores:

Nutrição enteral domiciliar: perfil dos usuários e cuidadores e os incidentes relacionados às sondas enterais

“…Similar results regarding gender and age; 51.4% were women and 67.6% were in the age range ≥ 60 were found in a study conducted in the same service (14) .…”

“…A study carried out at the same service in 2010 (14) pointed out that 56.8% of users remained in HC; regarding the reasons for discharge, the majority (69%) evolved to death. When comparing the reasons for the discontinuation of the present investigation with these findings, a reduction in the reason for discharge from HCP due to death was observed.…”

“…The findings of this study corroborate similar studies, in which the majority of the caregivers were female, were in the age group between 18 and 60 years old; with an average age of 50.6+13,4 years old. Regarding the caregiver's relationship with the user, 97.3% were family members; being 27% represented by the mother and 21.6% by the son or daughter (14) .…”

Care time and quality indicators in Intensive Care Units

“…Research (15) aimed at evaluating the care practice of gastric intubation for enteral nutrition of patients in the Home Care Program (PAD -Programa de Assistência Domiciliar), described the UPOI of GEPRO rate of 0.80/100 patients/day. Investigation (16) that aimed to verify the occurrence of adverse events related to enteral nutrition in patients of a public hospital in the interior of the state of Rio Grande do Sul showed UPOI of GEPRO of 7.3% in ICU.…”

Ocorrência de eventos adversos e sua relação com o fator comunicação em um hospital universitário

“…(Gabriel et al, 2011). constituindo-se em prática profícua para a avaliação em saúde (Naves, Tronchin, 2012).…”