Perfil dos pacientes dependentes de ventilação mecânica invasiva assistidos por um Serviço de Atenção Domiciliar de Uberlândia

Abstract

Introduction: Due to the aging population and the increase in the incidence of chronic diseases, the number of hospital admissions, overcrowding and lack of available beds has increased. In this context, the demand for the Home Care Service (SAD) increased. However, this type of service, especially for patients dependent on invasive mechanical ventilation (IMV), is still poorly studied, and it is also necessary to include quality monitoring practices in order to suggest improvements in patient care. Objective: To describe the profile of patients with invasive mechanical ventilation assisted by a Home Care Service in the city of Uberlândia / MG. Methods: Retrospective observational analytical study. Analyzes of the medical records of the patients who were hospitalized at the Uberlândia Hospital of the Federal University of Uberlândia (HCU-UFU) and were referred to the SAD between January 1, 2008 and December 31, 2016, aged 18 and over, classified as AD3 and using VMI. Results: 22 patient files were analyzed, most of which were female, were in the age group between 60 and 79 years old, diagnosed with a stroke and had as main outcome, death. Conclusions: The majority of the patients assisted by SAD were female, aged between 60 and 79 years, and had, for the most part, neurological diseases. The main outcome was death. The SAD favored hospital bed rotation for providing care to the highly complex and chronic patients, who usually have long periods of hospitalization.