Please use this identifier to cite or link to this item: http://ri.ufs.br/jspui/handle/riufs/7461
Document Type: Monografia
Title: Perfil sociodemográfico e econômico dos pacientes admitidos em hospital privado com insuficiência descompensada. Registro congestão.
Other Titles: Sociodemographic and economic profile of patients admitted to private hospital with decompensated insufficiency. Record congestion.
Authors: Silveira, José Rodrigo Santana
Issue Date: 10-Oct-2017
Advisor: Sousa, Antônio Carlos Sobral
Resumo : Fundamento: A insuficiência cardíaca constitui a principal causa de internamento cardiovascular no Brasil. Considerada via final comum de todas as cardiopatias, estudos a respeito desta síndrome são fundamentais para o seu entendimento. Objetivo: Descrever as características dos pacientes com insuficiência cardíaca descompensada (ICD) em hospital privado, referência cardiológica em Sergipe, possuidor de Acreditação nível 3 (IQG – Instituto Qualisa de Gestão). Métodos: Estudo observacional com 143 pacientes admitidos com ICD de Junho/2015 a Abril/2017, utilizando os dados do registro CONGESTÃO. Os critérios de elegibilidade incluíram pacientes maiores de 18 anos com diagnóstico confirmado e foram analisados: Perfil sociodemográfico e econômico; etiologia; causa de descompensação; perfil hemodinâmico; classe funcional; fração de ejeção e fatores de risco cardiovascular. Resultados: A média de idade foi de 72 anos e desvio padrão de 15,01, com 76,92% (110) dos pacientes acima dos 61 e 54,55% (78) homens. A etiologia hipertensiva foi a principal (33,57%), 83,22% (119) eram hipertensos e a arritmia, foi a principal causa de descompensação (30,07%). Maioria de etnia branca (45,45%), ensino médio completo (32,87%) e renda familiar entre dois e cinco salários mínimo (30,77%). 55,10% (54) com disfunção sistólica, 74,13% (106) com perfil hemodinâmico quente-úmido, 42,66% (61) classe funcional IV. Conclusão: A arritmia foi o fator associado com maior frequência à descompensação. A causa hipertensiva destacou-se como principal fator etiológico e a maioria dos pacientes foram classificados como NYHA IV, perfil clínico-hemodinâmico quente-úmido e possuíam média da fração de ejeção abaixo do normal (50%), predominando assim a IC sistólica.
Abstract: Background: Heart failure is the main cause of cardiovascular hospitalization in Brazil. Considered as the common final pathway of all cardiopathies, studies on this syndrome are fundamental to their understanding. Objective: To describe the characteristics of patients with decompensated heart failure in a private hospital, a cardiological reference in Sergipe, accreditation holder level 3 (IQG – Instituto Qualisa de Gestão). Methods: Observational study with 143 patients admitted with decompensated heart failure from June / 2015 to April / 2017, using the CONGESTÃO registry data. Eligibility criteria included patients older than 18 years with confirmed diagnosis and analyzed: Sociodemographic and economic profile; etiology; cause of decompensation; hemodynamic profile; functional class; ejection fraction and cardiovascular risk factors. Results: The mean age was 72 years and standard deviation was 15.01, with 76.92% (110) of the patients over 61 and 54.55% (78) men. The hypertensive etiology was the main one (33.57%), 83.22% (119) were hypertensive and the arrhythmia was the main cause of decompensation (30.07%). Majority of white ethnic group (45.45%), complete high school (32.87%) and family income between two and five minimum salaries (30.77%). 55.10% (54) with systolic dysfunction, 74.13% (106) with hot-humid hemodynamic profile, 42.66% (61) functional class IV. Conclusion: Arrhythmia was the most frequent factor associated with decompensation. The hypertensive cause was highlighted as the main etiological factor and most of the patients were classified as NYHA IV, hot-humid clinical-hemodynamic profile and had a mean below normal ejection fraction (50%), predominantly systolic HF.
Background: Heart failure is the main cause of cardiovascular hospitalization in Brazil. Considered as the common final pathway of all cardiopathies, studies on this syndrome are fundamental to their understanding. Objective: To describe the characteristics of patients with decompensated heart failure in a private hospital, a cardiological reference in Sergipe, accreditation holder level 3 (IQG – Instituto Qualisa de Gestão). Methods: Observational study with 143 patients admitted with decompensated heart failure from June / 2015 to April / 2017, using the CONGESTÃO registry data. Eligibility criteria included patients older than 18 years with confirmed diagnosis and analyzed: Sociodemographic and economic profile; etiology; cause of decompensation; hemodynamic profile; functional class; ejection fraction and cardiovascular risk factors. Results: The mean age was 72 years and standard deviation was 15.01, with 76.92% (110) of the patients over 61 and 54.55% (78) men. The hypertensive etiology was the main one (33.57%), 83.22% (119) were hypertensive and the arrhythmia was the main cause of decompensation (30.07%). Majority of white ethnic group (45.45%), complete high school (32.87%) and family income between two and five minimum salaries (30.77%). 55.10% (54) with systolic dysfunction, 74.13% (106) with hot-humid hemodynamic profile, 42.66% (61) functional class IV. Conclusion: Arrhythmia was the most frequent factor associated with decompensation. The hypertensive cause was highlighted as the main etiological factor and most of the patients were classified as NYHA IV, hot-humid clinical-hemodynamic profile and had a mean below normal ejection fraction (50%), predominantly systolic HF.
Keywords: Medicina
Saúde
Sistema cardiovascular
Insuficiência cardíaca
Ecocardiografia
Medicine
Cardiovascular system
Cardiac insufficiency
Echocardiography
Subject CNPQ: CIENCIAS DA SAUDE::MEDICINA
Language: por
Institution: Universidade Federal de Sergipe
Department: DME - Departamento de Medicina – Aracaju - Presencial
Citation: SILVEIRA, José Rodrigo Santana. Perfil sociodemográfico e econômico dos pacientes admitidos em hospital privado com insuficiência descompensada. Registro congestão. Aracaju, SE, 2017. Monografia (Graduação em Medicina) - Departamento de Medicina, Universidade Federal de Sergipe, Aracaju, 2017.
URI: http://ri.ufs.br/jspui/handle/riufs/7461
Appears in Collections:Medicina

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