PROFILE OF PAEDIATRIC PATIENTS TRANSFERRED TO THE INTENSIVE CARE UNIT

Authors

DOI:

https://doi.org/10.54620/cadesp.v18i1.1878

Keywords:

Clinical Epidemiology, Pediatrics, Pediatric Intensive Care Units, Early Warning Score

Abstract

To describe the epidemiological and clinical profile of pediatric patients admitted to a secondary hospital who were transferred to the intensive care unit, as well as to report the final outcome after 30 days of transfer to the ICU. This was a retrospective descriptive study conducted by the medical, nursing, and general hospital nursing coordinations, a pediatrician, and an academic nursing student in a pediatric ward. The participant sample included patients admitted to a pediatric ward who were transferred to the intensive care unit from January to December 2023, in a secondary hospital in Ceará. Data were collected from physical medical records, electronic medical records, and ICU transfer management spreadsheets. The information was recorded through Google Forms, generating a database stored in a Microsoft Office Excel spreadsheet. The variables were categorized for better data analysis, and absolute and relative frequencies were calculated and presented in the form of tables and figures. There were a total of 89 transfers from the pediatric clinical bed ward to the pediatric ICU, 69.7% of whom were males and 30.3% were females. Regarding the age group, 53.9% of the transfers corresponded to children up to 2 years of age. We observed that 32.6% of the transfers to the pediatric ICU were performed within 24 hours of admission to the ward and 13.5% were transferred between 24 hours and 48 hours of admission. The outcome within 30 days of ICU transfer showed a favorable outcome, corresponding to 93.3% of the patients. The present study collects epidemiological data from a pediatric unit, favoring the knowledge of its profile for managers and employees.

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References

Brasil. Ministério da Saúde. Cadastro Nacional de Estabelecimentos de Saúde (CNES). Disponível em: https://cnes.datasus.gov.br/pages/estabelecimentos/consulta.jsp. Acesso em: 10 jan 2024.

Brasil. Ministério da Saúde. Secretaria de Ciência, Tecnologia, Inovação e Insumos Estratégicos em Saúde. Departamento de Ciência e Tecnologia. Síntese de evidências para políticas de saúde: congestão e superlotação dos serviços hospitalares de urgências [recurso eletrônico] / Ministério da Saúde. Secretaria de Ciência, Tecnologia, Inovação e Insumos Estratégicos em Saúde. Departamento de Ciência e Tecnologia. – Brasília : Ministério da Saúde, 2020.

Negri Filho AA de. Bases para um debate sobre a reforma hospitalar do SUS: as necessidades sociais e o dimensionamento e tipologia de leitos hospitalares em um contexto de crise de acesso e qualidade [Tese de Doutorado]. São Paulo: Faculdade de Medicina; 2016 [citado 2024-01-11]. DOI:10.11606/T.5.2017.tde-06032017-154754. DOI: https://doi.org/10.11606/T.5.2017.tde-06032017-154754

Duarte JG, Gomes SC, Pinto MT, Gomes MA. Perfil dos pacientes internados em serviços de pediatria no município do Rio de Janeiro: mudamos? Physis [Internet]. 2012 [citado 17 jan 2024];22(1):199-214. Disponível em: https://doi.org/10.1590/s0103-73312012000100011. DOI: https://doi.org/10.1590/S0103-73312012000100011

Lanetzki CS, Oliveira CA, Bass LM, Abramovici S, Troster EJ. The epidemiological profile of Pediatric Intensive Care Center at Hospital Israelita Albert Einstein. Einstein [Internet]. Mar 2012 [citado 17 jan 2024];10(1):16-21. Disponível em: https://doi.org/10.1590/s1679-45082012000100005. DOI: https://doi.org/10.1590/S1679-45082012000100005

Solevåg AL, Eggen EH, Schröder J, Nakstad B. Use of a Modified Pediatric Early Warning Score in a Department of Pediatric and Adolescent Medicine. PLoS ONE [Internet]. 26 ago 2013 [citado 17 jan 2024];8(8):e72534. Disponível em: https://doi.org/10.1371/journal.pone.0072534. DOI: https://doi.org/10.1371/journal.pone.0072534

Matlow AG. How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients? Qual Saf Health Care [Internet]. 1 abr 2006 [citado 17 jan 2024];15(2):85-8. Disponível em: https://doi.org/10.1136/qshc.2005.014605. DOI: https://doi.org/10.1136/qshc.2005.014605

Freire de Aguiar Martins A, Jadson Franco Moreira F, Amanda Pereira Vieira P, Alencar de Araújo V, Palhano Almeida Mateus R. Cuidado terapêutico das crianças no perfil etário até 02 anos portadoras de microcefalia por Zika vírus: Revisão integrativa. Cadernos ESP [Internet]. 10 out 2019 [citado 17 janeiro 2024];12(2):96-111. Disponível em: https://cadernos.esp.ce.gov.br/index.php/cadernos/article/view/158.

Lejarraga H. La atención pediátrica de pacientes crônicos, una prática necesaria. Arch Argent Pediatr. 2006;104(1):62-3.

Warttig S, Alderson P, Evans DJ, Lewis SR, Kourbeti IS, Smith AF. Automated monitoring compared to standard care for the early detection of sepsis in critically ill patients. Cochrane Database Syst Rev [Internet]. 25 jun 2018 [citado 17 jan 2024]. Disponível em: https://doi.org/10.1002/14651858.cd012404.pub2. DOI: https://doi.org/10.1002/14651858.CD012404.pub2

Gold DL, Mihalov LK, Cohen DM. Evaluating the Pediatric Early Warning Score ( PEWS ) System for Admitted Patients in the Pediatric Emergency Department. Acad Emerg Med [Internet]. Nov 2014 [citado 17 jan 2024];21(11):1249-56. Disponível em: https://doi.org/10.1111/acem.12514. DOI: https://doi.org/10.1111/acem.12514

Bueno JZ, Soares CL, Osaku EF, Costa CR. Perfil epidemiológico da Unidade de Terapia Intensiva Pediátrica do Hospital Universitário do Oeste do Paraná. Res Soc Dev [Internet]. 11 jul 2023 [citado 17 jan 2024];12(7):e4212742496. Disponível em: https://doi.org/10.33448/rsd-v12i7.42496. DOI: https://doi.org/10.33448/rsd-v12i7.42496

Published

2024-09-13

How to Cite

1.
Pimentel e Silva Lins A, Freitas de França Guimarães L, Danielle leite Lucio Aragao K, Bezerra Nojosa AC, Medeiros VA. PROFILE OF PAEDIATRIC PATIENTS TRANSFERRED TO THE INTENSIVE CARE UNIT. Cadernos ESP [Internet]. 2024 Sep. 13 [cited 2024 Sep. 27];18(1):e1878. Available from: https://cadernos.esp.ce.gov.br/index.php/cadernos/article/view/1878
Received 2024-01-28
Accepted 2024-03-12
Published 2024-09-13

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