Lúcia Marinilza Beccaria

Incidence of phlebitis in adult patients

ABSTRACT Objective: to verify the incidence of phlebitis in adult patients associated with sociodemographic characteristics, hospitalization and venous puncture. Method: quantitative, descriptive, retrospective study performed at a sentinel hospital, reporting adverse events in the electronic medical record, totaling 176. The mean and standard deviation for the quantitative variables were calculated. The incidence of phlebitis was calculated using absolute numbers and percentage. Opinion 1,050,829. Results: the mean incidence of phlebitis was 14.66 at 12 months. The majority of the patients were men aged between 61 and 80 years, white, married, with incomplete elementary school, retired, Catholic, of the Unified Health System, with hospitalization <15 days and peripheral venous puncture with time <72h of insertion. Most nurses did not specify the prescribed drug. Conclusion: phlebitis occurred in patients with time of hospitalization <15 days and venous puncture <72h. Most of the drugs were not specified but, when described, it was irritating. The procedure was to remove and replace the puncture and the patients were discharged. This study demonstrated the need for correct notification of phlebitis by nurses in order to assess risks to improve patient safety. Descritores : Notification; Phlebitis; Patient; Nursing: Hospitals, Teaching; Nursing Care. RESUMO Objetivo : verificar a incidencia de flebites em pacientes adultos associando com caracteristica sociodemografica, internacao hospitalar e puncao venosa. Metodo : estudo quantitativo, descritivo, retrospectivo, realizado em um hospital da rede sentinela, por meio da notificacao de eventos adversos no prontuario eletronico, totalizando 176. Foram calculados a media e o desvio padrao para as variaveis quantitativas. A incidencia de flebites foi calculada usando-se numeros absolutos e porcentagem. Parecer 1.050.829. Resultados : a incidencia media de flebite foi 14,66 em 12 meses. A maioria dos pacientes era de homens, entre 61 e 80 anos, branca, casada, com ensino fundamental incompleto, aposentada, catolica, do Sistema Unico de Saude, com internacao <15 dias e puncao venosa periferica com tempo <72h de insercao. A maioria dos enfermeiros nao especificou a droga prescrita. Conclusao : a flebite ocorreu em pacientes com tempo de internacao <15 dias e puncao venosa <72h. A maioria das drogas nao foi especificada, mas, quando descrita, era irritante. A conduta foi a retirada e a troca da puncao e os pacientes receberam alta hospitalar. Este estudo demonstrou a necessidade da notificacao correta de flebite pelos enfermeiros a fim de avaliar os riscos para melhorar a seguranca do paciente. Descritores : Notificacao; Flebite; Paciente; Enfermagem; Hospital de Ensino; Assistencia de Enfermagem. RESUMEN Objetivo: verificar la incidencia de flebitis en pacientes adultos asociando con caracteristica sociodemografica, internacion hospitalaria y puncion venosa. Metodo: estudio cuantitativo, descriptivo, retrospectivo, realizado en un hospital de la red centinela, por medio de la notificacion de eventos adversos en el prontuario electronico, totalizando 176. Se calcularon la media y la desviacion estandar para las variables cuantitativas. La incidencia de flebitis fue calculada, usando numeros absolutos y porcentaje. Dictamen 1.050.829 . Resultados : la incidencia media de flebitis fue 14,66 en 12 meses. La mayoria de los pacientes eran hombres, entre 61 y 80 anos, blancas, casadas, con ensenanza fundamental incompleta, jubilada, catolica, del Sistema Unico de Salud, con internacion <15 dias y puncion venosa periferica con tiempo <72h de insercion. La mayoria de las enfermeras no especifico la droga prescrita. Conclusion: la flebitis ocurrio en pacientes con tiempo de internacion <15 dias y puncion venosa <72h. La mayoria de las drogas no fueron especificadas, pero cuando se describian eran irritantes. La conducta fue retirada y el intercambio de la puncion y los pacientes recibieron alta hospitalaria. Este estudio demostro la necesidad de la notificacion correcta de flebitis por los enfermeros, a fin de evaluar los riesgos para mejorar la seguridad del paciente . Descritores : Notificacion; Flebitis; Paciente; Enfermeria; Hospitales de Ensenanza; Atencion de Enfermeria.

CARACTERIZAÇÃO DO PERFIL DAS EMERGÊNCIAS CLÍNICAS NO PRONTO-ATENDIMENTO DE UM HOSPITAL DE ENSINO

This study aimed to: investigate the demographic characteristics of patients seen in the emergency department of a teaching hospital; identify the most common clinical emergencies; and identify the ultimate destination of these patients (medical discharge, hospitalization or death). This retrospective, cross-sectional, quantitative study. Data were collected from patients’ electronic medical records. Inclusion criteria were: adult patients 18 years or older, with a diagnosis of clinical emergency, seen in the period from January 2009 through May 2010. There was a predominance of: females (56.33%), of white ethnicity (86.95%), and mean age 48.74 ± 7.8 years. The most prevalent age group was 18-29 years. Most of the patients (99.65%) declared themselves to be active workers. 60.23% were married. The most frequent neurologic diseases found were: headache (29.03%); stroke (26.09%); and upper back pain (10.25%) and cardiological diseases were: precordial pain (38.98%), heart failure (25.79%), hypertension (12.29%) and cardiac arrhythmia (8.67%). The ultimate destinations of patients seen in the emergency department were: medical discharge (55.8%) and hospitalization (43.26%). Among those patients who had been hospitalized, medical discharge was the most common outcome (87.99%), followed by death (11.47%). Further research is necessary in order to better understand the various aspects involved in the operation of an emergency department unit and to develop an institutional profile that encompasses other approaches, such as a better and more efficient health care delivery by health professionalsThis study aimed to: investigate the demographic characteristics of patients seen in the emergency department of a teaching hospital; identify the most common clinical emergencies; and identify the ultimate destination of these patients (medical discharge, hospitalization or death). This retrospective, cross-sectional, quantitative study. Data were collected from patients’ electronic medical records. Inclusion criteria were: adult patients 18 years or older, with a diagnosis of clinical emergency, seen in the period from January 2009 through May 2010. There was a predominance of: females (56.33%), of white ethnicity (86.95%), and mean age 48.74 ± 7.8 years. The most prevalent age group was 18-29 years. Most of the patients (99.65%) declared themselves to be active workers. 60.23% were married. The most frequent neurologic diseases found were: headache (29.03%); stroke (26.09%); and upper back pain (10.25%) and cardiological diseases were: precordial pain (38.98%), heart failure (25.79%), hypertension (12.29%) and cardiac arrhythmia (8.67%). The ultimate destinations of patients seen in the emergency department were: medical discharge (55.8%) and hospitalization (43.26%). Among those patients who had been hospitalized, medical discharge was the most common outcome (87.99%), followed by death (11.47%). Further research is necessary in order to better understand the various aspects involved in the operation of an emergency department unit and to develop an institutional profile that encompasses other approaches, such as a better and more efficient health care delivery by health professionals.