Avaliação da qualidade do atendimento ao paciente com síndrome coronariana aguda no serviço de emergência / Assessment of care quality to patient with acute coronary syndrome in an emergency service
Rev. eletrônica enferm
; 17(4): 1-9, 20151131. tab
Article
Dans Pt
| LILACS, BDENF
| ID: biblio-832620
Responsable en Bibliothèque :
BR1854.9
RESUMO
Estudo com objetivo de avaliar indicadores de qualidade no atendimento aos pacientes com suspeita de siÌndrome coronariana aguda (SCA) e associaÌ-los a alta, oÌbito e tempo de internaçaÌo hospitalar. Pesquisa transversal, analiÌtica de 84 prontuaÌrios de pacientes com suspeita de SCA no Serviço de EmergeÌncia. Foi estudada a associaçaÌo entre os fatores de risco e indicadores de qualidade no atendimento aÌ SCA com tempo de internaçaÌo, oÌbito, recorreÌncia de eventos isqueÌmicos e revascularizaçaÌo do miocaÌrdio por meio da correlaçaÌo de Spearman. O tempo de internaçaÌo foi significativamente menor para pacientes com infarto sem supradesnivelamento de ST que tiveram menor intervalo entre admissaÌo e tratamento. Para pacientes com infarto com supradesnivelamento de ST, o tempo de internaçaÌo foi significativamente menor quando o intervalo entre classificaçaÌo de risco e tratamento foi menor. NaÌo houve associaçaÌo dos indicadores de qualidade com recorreÌncia de eventos isqueÌmicos, revascularizaçaÌo do miocaÌrdio, tempo de internaçaÌo e oÌbito.
ABSTRACT
A study aimed to assess quality indicators of the care for patients with suspicion of acute coronary syndrome (ACS) and associate them to discharge, death and, duration of hospitalization. A cross sectional, analytical study of 84 records of patients with ACS suspicion at the emergency service. The association between risk factors and quality indicators of ACS care as duration of hospitalization, death, recurrence of ischemic events and myocardial revascularization were studied through Spearman's correlations. The duration of hospitalization was significantly smaller for patients with myocardial infarction without ST segment elevation, with a shorter interval between admission and treatment. For patients with myocardial infarction with ST segment elevation, the hospitalization time was significantly shorter when the interval between the risk classification and treatment was shorter. There was no association of quality indicators as recurrence of ischemic events, myocardial revascularization, duration of hospitalization and death.
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Qualité des soins de santé
/
Syndrome coronarien aigu
/
Soins infirmiers
Type d'étude:
Evaluation_studies
/
Risk_factors_studies
Limites du sujet:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
langue:
Pt
Texte intégral:
Rev. eletrônica enferm
Thème du journal:
ENFERMAGEM
Année:
2015
Type:
Article