Perfil epidemiol?gico, cl?nico e terap?utico da insufici?ncia card?aca em um hospital de refer?ncia no Vale do Jequitinhonha-MG, Brasil

• Main Author: Soares, Fabiana Fernandes Rego
• Other Authors: Fagundes, Elaine Maria de Souza
• Language: Portuguese
• Published: UFVJM 2015
• Subjects: Insufici?ncia card?aca; Hospitaliza??o; Sistema ?nico de Sa?de
• Online Access: http://acervo.ufvjm.edu.br:8080/jspui/handle/1/383

?rea de Concentra??o: Interdisciplinar. === Submitted by Rodrigo Martins Cruz ([e-mail]) on 2015-01-09T13:42:50Z No. of bitstreams: 2 fabiana_fernandes_rego_soares.pdf: 1999916 bytes, checksum: cd80d918d118b5451b6f5464a5e3e2ac (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) === Approved for entry into archive by Rodrigo Martins Cruz ([e-mail]) on 2015-01-09T13:43:29Z (GMT) No. of bitstreams: 2 fabiana_fernandes_rego_soares.pdf: 1999916 bytes, checksum: cd80d918d118b5451b6f5464a5e3e2ac (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) === Approved for entry into archive by Rodrigo Martins Cruz ([e-mail]) on 2015-01-09T13:43:44Z (GMT) No. of bitstreams: 2 fabiana_fernandes_rego_soares.pdf: 1999916 bytes, checksum: cd80d918d118b5451b6f5464a5e3e2ac (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) === Made available in DSpace on 2015-01-09T13:43:44Z (GMT). No. of bitstreams: 2 fabiana_fernandes_rego_soares.pdf: 1999916 bytes, checksum: cd80d918d118b5451b6f5464a5e3e2ac (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) Previous issue date: 2013 === Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (Capes) === Funda??o de Amparo ? Pesquisa do estado de Minas Gerais (FAPEMIG) === As doen?as cr?nicas n?o transmiss?veis constituem a principal causa de mortalidade em todo o mundo e t?m aumentado em ritmo acelerado. Elevadas taxas de interna??o e re-interna??o hospitalares causadas pela descompensa??o cl?nica da insufici?ncia card?aca t?m sido descritas e representam um grande problema. O objetivo deste estudo foi conhecer as caracter?sticas cl?nicas, epidemiol?gicas e terap?uticas das interna??es devido ? Insufici?ncia Card?aca em um hospital do interior de Minas Gerais. Realizou-se o estudo quantitatitativo, descritivo e observacional de 391 prontu?rios de interna??es pelo SUS devido a Insufici?ncia Card?aca, no per?odo de 2 anos. Foram realizadas an?lises de estat?stica descritiva utilizando-se do software Statistical Package for Social Science (SPSS) para obten??o de m?dia e mediana dos dados coletados. O n?vel de signific?ncia adotado foi de 95% (p<0,050). Os resultados demonstraram que a m?dia de idade foi de 67,75 anos ?15,5, sendo 51,2% do sexo feminino. Dentre as comorbidades: 77,0% apresentaram Hipertens?o Arterial Sist?mica, 19,7% Diabetes e 30,3% Chagas. A frequ?ncia de infarto do mioc?rdio pr?vio foi de 10,3%. A principal queixa identificada foi dispn?ia (81,6%). A m?dia do tempo de interna??o foi de 6,23 dias, e o custo m?dio de R$ 1.202,78. A taxa de mortalidade foi de 12,5%. N?o houve associa??o estatisticamente representativa entre ?bito e as vari?veis sexo, comorbidades e quantidade de doen?as. Os principais medicamentos prescritos foram: anticoagulantes 104,60%, diur?ticos 81,84% e digit?licos 53,19%. O uso de inibidor da ECA e ?-bloqueador foram inferiores ao recomendado nas diretrizes. Apenas 26,6% (n=104) chegaram ao hospital com um documento de refer?ncia e 39,9% (n=156) receberam algum tipo de encaminhamento ao sair de alta. Dentre as interna??es hospitalares a maior propor??o foi de mulheres com idade avan?ada e muitas comorbidades associadas. A an?lise dos resultados demontra que h? possibilidade de aperfei?oar a qualidade da assist?ncia oferecida contribuindo para melhoria na qualidade de vida, diminui??o do n?mero de hospitaliza??es, dos custos e refletir positivamente na redu??o da taxa de mortalidade no ambiente hospitalar. === Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2013. === ABSTRACT The non- transmissible chronic diseases are the leading cause of mortality around the world and have been increasing at a rapid pace. High rates of hospitalization and re-hospitalization caused by hospital clinical decompensation of heart failure have been described and represent a major issue. The aim of this study was getting to know the characteristics of the clinical, epidemiological and therapeutic hospitalizations due to heart failure in a hospital in Minas Gerais. We carried out a study of the quantitative, observational and descriptive records about 391 SUS admissions due to heart failure, in the period of 2 years. It was hold analysis including descriptive statistics using the Statistical Package for Social Science (SPSS) to obtain mean and median rates of the data collected. The significance level applied was 95% (p <0.050). The results showed that the average age was 67.75 ? 15.5 years, 51.2% of them, female. Among the comorbidities: 77.0% had systemic hypertension, 19.7% had Diabetes wounds and 30.3% had Chagas disease. The frequency of before myocardial infarction was 10.3%. The main complaint identified was dyspnea (81.6%). The average length of stay was 6.23 days and the average cost of R$ 1202,78. The mortality rate was 12.5%. There wasn?t a representative association between death and the variables gender, comorbidities, and number of diseases. The main drugs prescribed were: 104.60% anticoagulants, diuretics 81.84% and digitalis 53.19%. The use of ACE inhibitors and ?-blocker were lower than the recommended guidelines. Only 26.6% (n = 104) of the patients arrived at the hospital with a reference document and 39.9% (n = 156) of them received some type of referral to leave the hospital. The highest proportion among hospital admissions was women with advanced age and lots of comorbidities. The results showed that it is possible to improve the quality of care offered contributing to improved quality of life, decrease the number of hospitalizations, costs and have a positive impact in reducing the mortality rate in the hospital environment.