Profile, evolution and outcome of patients served by the mobile emergency care service

• Autor(a) principal: Cyrino, Claudia Maria Silva
• Data de Publicação: 2021
• Outros Autores: Dell’Acqua, Magda Cristina Queiroz, Deodato, Sérgio, Juliani, Carmen Maria Casquel Monti, Almeida, Priscila Masquetto Vieira de, Castro, Meire Cristina Novelli e, Nunes, Helio Rubens Carvalho
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10400.14/39321
• topic: Continuity of patient care; Nursing; Health services research; Emergency medical services; Continuidade da assistência ao paciente; Enfermagem; Pesquisa sobre serviços de saúde; Serviços médicos de emergência

Objective: to analyze the profile, the evolution and outcome of patients served by the SAMU 192. Method: cross-sectional, exploratory and descriptive study. The sample consisted of data from 600 adult patients, served in the year 2015 by the SAMU and referred to another health service. Descriptive analysis was performed to identify the population profile, the evolution and the intra-hospital outcome; correlation testing between response time in the pre-hospital service and length of stay; and multiple logistic regression between response time and outcome. It used p < 0.05 as the significance level. Results: there was a predominance of care for clinical occurrences, male gender and average age of 55.5 years. After pre-hospital care, 50.2% of the surveyed patients remained under observation and 34.8% required hospitalization. The pre-hospital response time was positively correlated with the length of stay. The main outcome was medical discharge, with 41% of them being referred for the continuity of treatment. Conclusion: the analysis showed a profile of care provided to patients with an average age of 55 years and suffering from clinical diseases that required referral to a health unit, remaining under hospital observation for up to 12 hours. These results are important for the support of care flow protocols in the RUE, in order to reduce the overload of tertiary services.