Dor torácica em serviço de pronto atendimento cardiológico de Curitiba: aplicação de protocolo e perfil epidemiológico

• Autor(a) principal: Lange, Gabriel José Estephani
• Data de Publicação: 2021
• Outros Autores: Laskawski, Luis Fernando, Oliveira, Paulo Roberto Miranda de
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório do Centro Universitário Braz Cubas
• Texto Completo: https://repositorio.cruzeirodosul.edu.br/handle/123456789/3682
• topic: Dor torácica; Protocolo; Perfil epidemiológico; CNPQ::CIENCIAS DA SAUDE::MEDICINA

Objective: Analyze the using of the chest pain protocol and epidemiological profile of care provided at a cardiologic care service in Curitiba/ PR. Methods: Retrospective study of eletronic medical records, stored in TASY system, about patients diagnosed with chest pain who were admitted in Cruz Vermelha Brasileira - Paraná Hospital, located in Curitiba - PR, between the period of June 1st 2019 and May 31th 2020, using standardized form and collected through Google Forms. Statistical analysis performed with Kolmogorov-Smirnov, Shapiro-Wilk, nonparametric Mann-Whitney tests, Pearson correlation coefficient, Fisher (p<0.05%). Results: A total of 1378 cases of care for chest pain were involved, with a higher prevalence of men (52.2%) compared to women (47.8%). The mean age was 61.49 years old among all patients, 63.29 among women and 59.83 among men. The most prevalent comorbidity was hypertension, being found in 63.6% of the cases. A concomitant presence of SAH, DM and Dyslipidemia was observed in 13.0% of the cases. Regarding the pandemic period, there was a decrease in the average number of visits from 4.11 to 2.86, and an increase in the lenght of hospital stay with a median of 2.5 days. There was a longer hospital stay for the elderly men (r=0.18) and in cases where the goal of the door-to-balloon time (catheterization) was not reached. Conlusion: The influence of risk factors (co-morbidities and age) is notable, togheter with aggravating factors (pandemic caused by COVID-19) increased the time for searching care and starting procedures, leading to a worse prognosis of cases. There was a good use of the thoracic route protocol, increasing the quality of care and reducing the harm to patients, costs for the institution and damage due to iatrogenesis.