Insuficiência Cardíaca Crónica em Hospitalização Domiciliária Article Swipe

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Paulina Carvalho Mariano , Soraia Micaela Silva , Filipa Leitão , Joana Rita Carvalho , Maria Eufémia Calmeiro , I.M.H.R. Antunes , M. André ·

YOU? · · 2021 · Open Access · · DOI: https://doi.org/10.29315/gm.v8i1.373

INTRODUÇÃO: A insuficiência cardíaca crónica é considerada, a nível mundial, a principal causa de internamento em doentes com idade superior a 65 anos. A Unidade de Hospitalização Domiciliária (UHD) foi criada com o objetivo de minimizar as complicações hospitalares, proporcionar maior qualidade de vida e atingir melhores resultados funcionais.MATERIAL E MÉTODOS: Estudo retrospetivo de um ano de hospitalização domiciliária da Unidade Local de Saúde de Castelo Branco, destacando apenas doentes internados por descompensação da insuficiência cardíaca crónica.RESULTADOS: Neste período foram internados 99 doentes, 23,3% por descompensação da insuficiência cardíaca crónica. Eram do sexo masculino, 52,1%. A idade média foi de 79,8 anos (±10,6). O tempo médio de internamento foi de 6,7 dias (±3). As principais causas da insuficiência cardíaca foram: hipertensão arterial (43,4%) e arritmias (30,4%). O principal fator de descompensação foi infeções (69,5%). Estiveram sob perfusão inicial de furosemida, 56,5%. Evoluíram favoravelmente 95,6% (n=22) dos doentes e 4,3% (n=1) foi transferido para o internamento convencional. Segundo a escala de NEWS, 7,9%-12,7% dos doentes tinham risco de serem admitidos em unidade de cuidados intermédios/intensivos ou morrer entre 60 dias. O índice de comorbilidades de Charlson foi de 3-10 pontos e a sobrevivência num período de 10 anos estimava-se em 0%-77%. Noventa dias após a alta, 69,5% não regressaram à urgência nem foram reinternados.CONCLUSÃO: A hospitalização domiciliária em doentes com insuficiência cardíaca é vantajosa por proporcionar maior conforto ao doente e reduzir as complicações. Estudos demonstraram que a hospitalização domiciliária aumentou o tempo entre as readmissões, melhorou a qualidade de vida dos doentes e reduziu os custos das hospitalizações.

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Medicine

Gynaecology

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Medicine Gynecology

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Type: article
Language: pt
Landing Page: https://doi.org/10.29315/gm.v8i1.373
PDF: https://www.gazetamedica.pt/index.php/gazeta/article/download/373/255
OA Status: diamond
Cited By: 1
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DOI: https://doi.org/10.29315/gm.v8i1.373

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Title: Insuficiência Cardíaca Crónica em Hospitalização Domiciliária

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Language: pt

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Publication year: 2021

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Publication date: 2021-03-31

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Authors: Paulina Carvalho Mariano, Soraia Micaela Silva, Filipa Leitão, Joana Rita Carvalho, Maria Eufémia Calmeiro, I.M.H.R. Antunes, M. André

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Landing page: https://doi.org/10.29315/gm.v8i1.373

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Concepts: Medicine, Gynecology

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Cited by: 1

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abstract_inverted_index.para	152
abstract_inverted_index.sexo	92
abstract_inverted_index.vida	43, 249
abstract_inverted_index.(UHD)	28
abstract_inverted_index.(n=1)	149
abstract_inverted_index.23,3%	83
abstract_inverted_index.69,5%	205
abstract_inverted_index.95,6%	143
abstract_inverted_index.Local	61
abstract_inverted_index.NEWS,	160
abstract_inverted_index.Neste	77
abstract_inverted_index.alta,	204
abstract_inverted_index.anos.	22
abstract_inverted_index.após	202
abstract_inverted_index.causa	12
abstract_inverted_index.dias.	178
abstract_inverted_index.entre	176, 242
abstract_inverted_index.fator	128
abstract_inverted_index.foram	79, 211
abstract_inverted_index.idade	18, 96
abstract_inverted_index.maior	40, 225
abstract_inverted_index.risco	165
abstract_inverted_index.serem	167
abstract_inverted_index.tempo	104, 241
abstract_inverted_index.(n=22)	144
abstract_inverted_index.(±3).	112
abstract_inverted_index.52,1%.	94
abstract_inverted_index.56,5%.	140
abstract_inverted_index.Estudo	51
abstract_inverted_index.Saúde	63
abstract_inverted_index.apenas	68
abstract_inverted_index.causas	115
abstract_inverted_index.criada	30
abstract_inverted_index.custos	255
abstract_inverted_index.doente	228
abstract_inverted_index.escala	158
abstract_inverted_index.foram:	119
abstract_inverted_index.morrer	175
abstract_inverted_index.média	97
abstract_inverted_index.médio	105
abstract_inverted_index.nível	8
abstract_inverted_index.pontos	188
abstract_inverted_index.tinham	164
abstract_inverted_index.(43,4%)	122
abstract_inverted_index.0%-77%.	199
abstract_inverted_index.Branco,	66
abstract_inverted_index.Castelo	65
abstract_inverted_index.Estudos	233
abstract_inverted_index.Noventa	200
abstract_inverted_index.Segundo	156
abstract_inverted_index.Unidade	24, 60
abstract_inverted_index.atingir	45
abstract_inverted_index.doentes	16, 69, 146, 163, 217, 251
abstract_inverted_index.inicial	137
abstract_inverted_index.reduzir	230
abstract_inverted_index.reduziu	253
abstract_inverted_index.unidade	170
abstract_inverted_index.índice	180
abstract_inverted_index.(30,4%).	125
abstract_inverted_index.(69,5%).	133
abstract_inverted_index.Charlson	184
abstract_inverted_index.arterial	121
abstract_inverted_index.aumentou	239
abstract_inverted_index.conforto	226
abstract_inverted_index.crónica	4
abstract_inverted_index.cuidados	172
abstract_inverted_index.doentes,	82
abstract_inverted_index.melhores	46
abstract_inverted_index.melhorou	245
abstract_inverted_index.mundial,	9
abstract_inverted_index.objetivo	33
abstract_inverted_index.período	78, 193
abstract_inverted_index.superior	19
abstract_inverted_index.(±10,6).	102
abstract_inverted_index.Estiveram	134
abstract_inverted_index.MÉTODOS:	50
abstract_inverted_index.admitidos	168
abstract_inverted_index.arritmias	124
abstract_inverted_index.cardíaca	3, 75, 88, 118, 220
abstract_inverted_index.crónica.	89
abstract_inverted_index.minimizar	35
abstract_inverted_index.perfusão	136
abstract_inverted_index.principal	11, 127
abstract_inverted_index.qualidade	41, 247
abstract_inverted_index.urgência	209
abstract_inverted_index.vantajosa	222
abstract_inverted_index.7,9%-12,7%	161
abstract_inverted_index.Evoluíram	141
abstract_inverted_index.destacando	67
abstract_inverted_index.infeções	132
abstract_inverted_index.internados	70, 80
abstract_inverted_index.masculino,	93
abstract_inverted_index.principais	114
abstract_inverted_index.resultados	47
abstract_inverted_index.estimava-se	197
abstract_inverted_index.furosemida,	139
abstract_inverted_index.regressaram	207
abstract_inverted_index.transferido	151
abstract_inverted_index.considerada,	6
abstract_inverted_index.demonstraram	234
abstract_inverted_index.hipertensão	120
abstract_inverted_index.internamento	14, 107, 154
abstract_inverted_index.proporcionar	39, 224
abstract_inverted_index.retrospetivo	52
abstract_inverted_index.Domiciliária	27
abstract_inverted_index.INTRODUÇÃO:	0
abstract_inverted_index.convencional.	155
abstract_inverted_index.domiciliária	58, 215, 238
abstract_inverted_index.hospitalares,	38
abstract_inverted_index.readmissões,	244
abstract_inverted_index.comorbilidades	182
abstract_inverted_index.complicações	37
abstract_inverted_index.favoravelmente	142
abstract_inverted_index.insuficiência	2, 74, 87, 117, 219
abstract_inverted_index.sobrevivência	191
abstract_inverted_index.complicações.	232
abstract_inverted_index.Hospitalização	26
abstract_inverted_index.descompensação	72, 85, 130
abstract_inverted_index.hospitalização	57, 214, 237
abstract_inverted_index.hospitalizações.	257
abstract_inverted_index.funcionais.MATERIAL	48
abstract_inverted_index.crónica.RESULTADOS:	76
abstract_inverted_index.intermédios/intensivos	173
abstract_inverted_index.reinternados.CONCLUSÃO:	212
cited_by_percentile_year.max	93
cited_by_percentile_year.min	89
countries_distinct_count	1
institutions_distinct_count	7
sustainable_development_goals[0].id	https://metadata.un.org/sdg/3
sustainable_development_goals[0].score	0.7799999713897705
sustainable_development_goals[0].display_name	Good health and well-being
citation_normalized_percentile.value	0.6515222
citation_normalized_percentile.is_in_top_1_percent	False
citation_normalized_percentile.is_in_top_10_percent	False