Indicadores assistenciais entre diferentes tipos de unidades de terapia intensiva adulta: um estudo descritivo

Abstract

The intensive care unit is an environment susceptible to adverse events and requires continuous monitoring of the quality of care. This study aims to describe the care indicators among different adult intensive care units of a tertiary hospital and their potential use in clinical outcomes and as hospital management strategies. This is an ecological study based on the analysis of secondary data from indicators of the adult intensive care unit of the Hospital de Clínicas of the Federal University of Uberlândia. Significant differences were found between the indicators of the sectors. The general intensive care unit is the sector with the longest hospital stay at 10.28 days, the highest overall mortality rate at 24.25%, and a high rate of healthcare-associated infections at 19.5%, as well as a significant nursing workload associated with a Nursing Activities Score of 80.9 points. The neurological unit has the second highest rate of healthcare- associated infection (HAI) at 17.88%, with a high average hospital stay of 9.1 days and the second highest overall mortality rate at 14.58%. Conversely, the coronary care unit has the shortest patient stay at 5.47 days, the highest turnover rate (4.85), the highest discharge rate (16.53), and a reduced nursing workload associated with a Nursing Activities Score of 69.39 points. The surgical unit has the second highest turnover rate (4.56) and a high discharge rate (15.51%). This unit also presents the highest rate of ventilator-associated pneumonia infection at 23.14. These findings, therefore, demonstrate the need to monitor quality indicators and their impact on both the specialization of the adult intensive care units of the evaluated institution and on hospital management.