Emanuelle Malzac Freire de Santana

Rachimedural Trauma: Epidemiology and Complications

BACKGROUND: Traumatic spinal cord is a public health problem due to the high morbidity and mortality worldwide. The objective of this research was to characterize the profile demographic and clinical partner of people with TRM; analyze correlations between clinical features of traumatic injury level and its complications. METHODS: Observational study, the cut cross-sectional with a quantitative approach, performed with 80 people with TRM. Data were analyzed using descriptive and inferential techniques statistics. RESULTS: The results show correlation of spinal cord injury in lumbar level with accidents with firearms, of chest injury to car accidents and cervical injuries the diving in shallow water. Regarding complications, quadriplegia had greater influence as a risk factor for UP, spasticity, orthostatic hypotension, urinary complications, autonomic dysreflexia and intestinal disorders in relation to paraplegia, but showed a protective factor to pain syndromes. CONCLUSION: The absence of notification is a limiting factor for research and construction of new public policies aimed at preventing determinants external causes of TRM, as well as development of actions aimed at specialized care to minimize complications and improve quality of life in this population.

Prevalence and Risk Factors for Pressure Ulcer in Hospitalized Adults

BACKGROUND: Pressure ulcers represent a serious public health problem, serving as a quality indicator (negative) the assistance provided by the health services. The aim of this study was to identify the prevalence of pressure ulcers in the Intensive Care Unit of a University Hospital in Joao Pessoa-PB and check the associations between socio-demographic and clinical data of customers and risk factors for the development of these. METHODS: The study of the sectional, quantitative, carried out with 78 patients in the Intensive Care Unit of a University Hospital in Joao Pessoa. Data were collected from medical record information from January to December 2014. RESULTS: Ten patients had pressure ulcers, and 6 already admitted with injuries and the 4 developed during hospitalization in the studied sector. The prevalence of these lesions in the sample was 12.8%. Has been identified as risk factors associated with pressure ulcer (p <0.05) the reason for hospitalization, pre-existing conditions, level of consciousness, ventilation, peripheral perfusion, hydration and the use of antidepressant/anti-inflammatory drugs. CONCLUSION: The results underscore the importance of this study for academic and professional environment, with regard to the promotion of knowledge of some risk variables for ulcers, being able to influence behavior and thus expand excellence in care. The involvement of the whole multidisciplinary team regarding the prevention, improves the quality of life of individuals, decreases the rescue professionals, the burden of treatment and hospitalization time.