Principais intercorrências e desfechos clínicos de idosos vítimas de trauma na unidade de terapia intensiva / Principales complicaciones y sus resultados clínicos de ancianos víctimas de trauma en la unidad de terapia intensiva / Main complications and clinical outcomes of elderly trauma victims admitted to intensive therapy unit

Objetivo: Identificar as principais intercorrências e o desfecho clínico de idosos internados por causas traumáticas na Unidade de Terapia Intensiva de um hospital de referência do Distrito Federal admitidos entre julho de 2012 e julho de 2014. Método: Estudo retrospectivo analítico, com coleta de dados em prontuário. Os dados foram analisados com os testes Qui-Quadrado e Mann-Whitney, considerando como significativo um valor de p<0,05. Resultados: Dentre 91 idosos, houve prevalência do sexo masculino e da queda da própria estatura, como mecanismo de lesão. As principais intercorrências foram: infecção pulmonar, traqueostomia decorrente de intubação prolongada e choque séptico. Observou-se alta mortalidade, 38 (41,7%), associada ao sexo masculino (p=0,029), às outras causas externas (p=0,03), ao choque séptico (p=0,039) e à diálise (p=0,015). Conclusão: A maior gravidade apresentada favoreceu a ocorrência de múltiplas intercorrências durante a internação na terapia intensiva; entretanto, apesar do pior prognóstico, os idosos podem sobreviver ao trauma e suas complicações associadas.

Objetivo: Identificar las principales complicaciones y su resultado clínico asociadas a ancianos ingresados a causa de traumas en la Unidad de Terapia Intensiva de un hospital de referencia de Distrito Federal entre julio de 2012 y julio de 2014. Método: Estudio retrospectivo analítico, con obtención de datos en prontuario. Se analizaron los datos por medios de los test Chi cuadrado y Mann-Whitney, considerando como significativo un valor de p<0,05. Resultados: De 91 ancianos, hubo prevalencia del sexo masculino y de la caída de la propia estatura, como mecanismo de lesión. Las principales complicaciones fueron infección pulmonar, traqueostomía proveniente de intubación prolongada y choque séptico. Se observó gran mortalidad, 38 (41,7%), asociada al sexo masculino (p=0,029), a otras causas externas (p=0,03), al choque séptico (p=0,039) y a la diálisis (p=0,015). Conclusión: La mayor gravedad presentada favoreció la ocurrencia de múltiples complicaciones durante el ingreso en la terapia intensiva; sin embargo, a pesar del peor pronóstico, los ancianos pueden sobrevivir al trauma y sus complicaciones asociadas.

Objective: To identify the main complications and the clinical outcome of elderly trauma victims admitted to the Intensive Care Unit of a referral hospital of Distrito Federal between July 2012 and July2014. Method: Retrospective analytical study that uses medical records. Data were analyzed using Chi-Square and Mann-Whitney tests, and a significance value of p <0.05 was considered. Results: Most of the 91 elderly were men, whose mechanism of injury was falls from standing height. The main complications were pulmonary infection, tracheostomy due to prolonged intubation and septic shock. There was a high mortality rate: 38 (41.7%), associated with male gender (p = 0.029), other external causes (p = 0.03), septic shock (p = 0.039) and dialysis (p = 0.015). Conclusions: The severe condition of the patients favored the occurrence of multiple complications during hospitalization in intensive care. However, despite the worst prognosis, the elderly may survive the trauma and its associated complications.

Primary care, hypertension, diabetes and tissue lesions: a descriptive and exploratory study

Aim: To analyze the working processes of the nursing team in the last five years, directed to help registered users in the hypertension and diabetes mellitus programs, who are identified in the public primary care services network with tissue lesions. Specific: To classify technologies (products and processes) used in the treatment/care of injuries; to identify the profile of users assisted in the basic care services network. Method: the research will be performed in two steps. The first will be in the form of an epidemiological survey with simple statistical analysis of the data collected, building the profile of the users. The second will be in the form of a series of open interviews, with regard to the following aspects: the use of technology in care, therapeutic projects indicated to the user, and analysis of content focused on team processes. The proposal is for a two-year research program that is linked to the project "Innovation in Nursing in the Treatment of Injuries - systematization, technological inclusion and functionality", funded by CNPq...