Incidence and risk factors for incidents in intensive care patients
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.15253/2175-6783.20222372426 http://hdl.handle.net/1843/66683 https://orcid.org/0000-0003-4997-2129 https://orcid.org/0000-0001-9527-7325 https://orcid.org/0000-0002-5102-5051 https://orcid.org/0000-0002-0907-6795 https://orcid.org/0000-0002-1356-0854 |
Resumo: | Objective: to estimate the incidence and identify the risk factors for incidents in patients of an intensive care center. Methods: this is a longitudinal, prospective, analytical, and exploratory study with 173 patients admitted to the intensive care unit. The incidents were categorized as clinical process/procedure, care associated infections, behavior, documentation, medication/intravenous fluids, nutrition, blood products, accidents, and medical equipment. Results: the incidence density was 134.45 incidents per 1,000 patient-days, highlighting the main categories: clinical process/procedure (71.5%) and care-related infections (15.3%). Length of stay in the intensive care unit (Risk ratio: 1.03; Confidence interval: 1.01-1.05; p=0.000) and use of central venous catheter (Risk ratio 1.02; Confidence interval: 1.00-1.04; p=0.040) were identified as risk factors. Conclusion: there was a high occurrence of incidents in the intensive care unit, especially in patients with longer hospital stay and use of central venous catheters. Contributions to practice: identifying incidents and associated risk factors will allow managers and professionals to recognize patients at higher risk and implement measures to ensure systematic and quality care to minimize the occurrence of adverse events in the institution. |
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2024-03-27T20:05:26Z2024-03-27T20:05:26Z202223https://doi.org/10.15253/2175-6783.202223724262175-6783http://hdl.handle.net/1843/66683https://orcid.org/0000-0003-4997-2129https://orcid.org/0000-0001-9527-7325https://orcid.org/0000-0002-5102-5051https://orcid.org/0000-0002-0907-6795https://orcid.org/0000-0002-1356-0854Objective: to estimate the incidence and identify the risk factors for incidents in patients of an intensive care center. Methods: this is a longitudinal, prospective, analytical, and exploratory study with 173 patients admitted to the intensive care unit. The incidents were categorized as clinical process/procedure, care associated infections, behavior, documentation, medication/intravenous fluids, nutrition, blood products, accidents, and medical equipment. Results: the incidence density was 134.45 incidents per 1,000 patient-days, highlighting the main categories: clinical process/procedure (71.5%) and care-related infections (15.3%). Length of stay in the intensive care unit (Risk ratio: 1.03; Confidence interval: 1.01-1.05; p=0.000) and use of central venous catheter (Risk ratio 1.02; Confidence interval: 1.00-1.04; p=0.040) were identified as risk factors. Conclusion: there was a high occurrence of incidents in the intensive care unit, especially in patients with longer hospital stay and use of central venous catheters. Contributions to practice: identifying incidents and associated risk factors will allow managers and professionals to recognize patients at higher risk and implement measures to ensure systematic and quality care to minimize the occurrence of adverse events in the institution.Objetivo: estimar a incidência e identificar os fatores de risco para incidentes em pacientes de um centro de terapia intensiva. Métodos: trata-se de estudo longitudinal, prospectivo, analítico e exploratório com 173 pacientes internados no centro de terapia intensiva. Os incidentes foram categorizados em processo clínico/procedimento, infecções associadas à assistência, comportamento, documentação, medicação/fluidos endovenosos, nutrição, hemoderivados, acidentes e equipamento médico. Resultados: a densidade de incidência foi de 134,45 incidentes por 1.000 pacientes-dia, destacando-se as principais categorias: processo/procedimento clínico (71,5%) e infecções relacionadas à assistência (15,3%). O tempo de permanência no centro de terapia intensiva (Razão de Risco: 1,03; Intervalo de confiança: 1,01–1,05; p=0,000) e de uso de cateter venoso central (Razão de Risco 1,02; Intervalo de confiança: 1,00–1,04; p=0,040) foram identificados como fatores de risco. Conclusão: verificou-se elevada ocorrência de incidentes no centro de terapia intensiva, sobretudo nos pacientes com maior tempo de internação e de utilização de cateter venoso central. Contribuições para a prática: identificar os incidentes e os fatores de risco associados permitirão aos gestores e profissionais reconhecer os pacientes com maior risco e implementar medidas que garantam assistência sistematizada e de qualidade com vistas à minimização da ocorrência dos eventos adversos na instituição.engUniversidade Federal de Minas GeraisUFMGBrasilENF - DEPARTAMENTO DE ENFERMAGEM APLICADAENF - DEPARTAMENTO DE ENFERMAGEM BÁSICARev ReneSaúde do adultoSegurança do pacienteUnidades de terapia intensivaEnfermagem de cuidados críticosAdult healthPatient safetyIntensive care unitsCritical care nursingIncidence and risk factors for incidents in intensive care patientsIncidência e fatores de risco para incidentes em pacientes em terapia intensivainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://periodicos.ufc.br/rene/article/view/72426Daniela Mascarenhas de Paula CamposLuana Vieira ToledoSelme Silqueira de MatosCarla Lucia Goulart Constant AlcoforadoFlávia Falci Ercoleapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/66683/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALIncidence and risk factors for incidents in intensive care patients.pdfIncidence and risk factors for incidents in intensive care patients.pdfapplication/pdf202938https://repositorio.ufmg.br/bitstream/1843/66683/2/Incidence%20and%20risk%20factors%20for%20incidents%20in%20intensive%20care%20patients.pdf528de563dd1c7ad20abf00c2b4228845MD521843/666832024-03-27 17:05:26.828oai:repositorio.ufmg.br:1843/66683TElDRU7vv71BIERFIERJU1RSSUJVSe+/ve+/vU8gTu+/vU8tRVhDTFVTSVZBIERPIFJFUE9TSVTvv71SSU8gSU5TVElUVUNJT05BTCBEQSBVRk1HCiAKCkNvbSBhIGFwcmVzZW50Ye+/ve+/vW8gZGVzdGEgbGljZW7vv71hLCB2b2Pvv70gKG8gYXV0b3IgKGVzKSBvdSBvIHRpdHVsYXIgZG9zIGRpcmVpdG9zIGRlIGF1dG9yKSBjb25jZWRlIGFvIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRk1HIChSSS1VRk1HKSBvIGRpcmVpdG8gbu+/vW8gZXhjbHVzaXZvIGUgaXJyZXZvZ++/vXZlbCBkZSByZXByb2R1emlyIGUvb3UgZGlzdHJpYnVpciBhIHN1YSBwdWJsaWNh77+977+9byAoaW5jbHVpbmRvIG8gcmVzdW1vKSBwb3IgdG9kbyBvIG11bmRvIG5vIGZvcm1hdG8gaW1wcmVzc28gZSBlbGV0cu+/vW5pY28gZSBlbSBxdWFscXVlciBtZWlvLCBpbmNsdWluZG8gb3MgZm9ybWF0b3Mg77+9dWRpbyBvdSB277+9ZGVvLgoKVm9j77+9IGRlY2xhcmEgcXVlIGNvbmhlY2UgYSBwb2zvv710aWNhIGRlIGNvcHlyaWdodCBkYSBlZGl0b3JhIGRvIHNldSBkb2N1bWVudG8gZSBxdWUgY29uaGVjZSBlIGFjZWl0YSBhcyBEaXJldHJpemVzIGRvIFJJLVVGTUcuCgpWb2Pvv70gY29uY29yZGEgcXVlIG8gUmVwb3NpdO+/vXJpbyBJbnN0aXR1Y2lvbmFsIGRhIFVGTUcgcG9kZSwgc2VtIGFsdGVyYXIgbyBjb250Ze+/vWRvLCB0cmFuc3BvciBhIHN1YSBwdWJsaWNh77+977+9byBwYXJhIHF1YWxxdWVyIG1laW8gb3UgZm9ybWF0byBwYXJhIGZpbnMgZGUgcHJlc2VydmHvv73vv71vLgoKVm9j77+9IHRhbWLvv71tIGNvbmNvcmRhIHF1ZSBvIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRk1HIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGPvv71waWEgZGUgc3VhIHB1YmxpY2Hvv73vv71vIHBhcmEgZmlucyBkZSBzZWd1cmFu77+9YSwgYmFjay11cCBlIHByZXNlcnZh77+977+9by4KClZvY++/vSBkZWNsYXJhIHF1ZSBhIHN1YSBwdWJsaWNh77+977+9byDvv70gb3JpZ2luYWwgZSBxdWUgdm9j77+9IHRlbSBvIHBvZGVyIGRlIGNvbmNlZGVyIG9zIGRpcmVpdG9zIGNvbnRpZG9zIG5lc3RhIGxpY2Vu77+9YS4gVm9j77+9IHRhbWLvv71tIGRlY2xhcmEgcXVlIG8gZGVw77+9c2l0byBkZSBzdWEgcHVibGljYe+/ve+/vW8gbu+/vW8sIHF1ZSBzZWphIGRlIHNldSBjb25oZWNpbWVudG8sIGluZnJpbmdlIGRpcmVpdG9zIGF1dG9yYWlzIGRlIG5pbmd177+9bS4KCkNhc28gYSBzdWEgcHVibGljYe+/ve+/vW8gY29udGVuaGEgbWF0ZXJpYWwgcXVlIHZvY++/vSBu77+9byBwb3NzdWkgYSB0aXR1bGFyaWRhZGUgZG9zIGRpcmVpdG9zIGF1dG9yYWlzLCB2b2Pvv70gZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzc++/vW8gaXJyZXN0cml0YSBkbyBkZXRlbnRvciBkb3MgZGlyZWl0b3MgYXV0b3JhaXMgcGFyYSBjb25jZWRlciBhbyBSZXBvc2l077+9cmlvIEluc3RpdHVjaW9uYWwgZGEgVUZNRyBvcyBkaXJlaXRvcyBhcHJlc2VudGFkb3MgbmVzdGEgbGljZW7vv71hLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3Tvv70gY2xhcmFtZW50ZSBpZGVudGlmaWNhZG8gZSByZWNvbmhlY2lkbyBubyB0ZXh0byBvdSBubyBjb250Ze+/vWRvIGRhIHB1YmxpY2Hvv73vv71vIG9yYSBkZXBvc2l0YWRhLgoKQ0FTTyBBIFBVQkxJQ0Hvv73vv71PIE9SQSBERVBPU0lUQURBIFRFTkhBIFNJRE8gUkVTVUxUQURPIERFIFVNIFBBVFJPQ++/vU5JTyBPVSBBUE9JTyBERSBVTUEgQUfvv71OQ0lBIERFIEZPTUVOVE8gT1UgT1VUUk8gT1JHQU5JU01PLCBWT0Pvv70gREVDTEFSQSBRVUUgUkVTUEVJVE9VIFRPRE9TIEUgUVVBSVNRVUVSIERJUkVJVE9TIERFIFJFVklT77+9TyBDT01PIFRBTULvv71NIEFTIERFTUFJUyBPQlJJR0Hvv73vv71FUyBFWElHSURBUyBQT1IgQ09OVFJBVE8gT1UgQUNPUkRPLgoKTyBSZXBvc2l077+9cmlvIEluc3RpdHVjaW9uYWwgZGEgVUZNRyBzZSBjb21wcm9tZXRlIGEgaWRlbnRpZmljYXIgY2xhcmFtZW50ZSBvIHNldSBub21lKHMpIG91IG8ocykgbm9tZXMocykgZG8ocykgZGV0ZW50b3IoZXMpIGRvcyBkaXJlaXRvcyBhdXRvcmFpcyBkYSBwdWJsaWNh77+977+9bywgZSBu77+9byBmYXLvv70gcXVhbHF1ZXIgYWx0ZXJh77+977+9bywgYWzvv71tIGRhcXVlbGFzIGNvbmNlZGlkYXMgcG9yIGVzdGEgbGljZW7vv71hLgo=Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2024-03-27T20:05:26Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Incidence and risk factors for incidents in intensive care patients |
dc.title.alternative.pt_BR.fl_str_mv |
Incidência e fatores de risco para incidentes em pacientes em terapia intensiva |
title |
Incidence and risk factors for incidents in intensive care patients |
spellingShingle |
Incidence and risk factors for incidents in intensive care patients Daniela Mascarenhas de Paula Campos Adult health Patient safety Intensive care units Critical care nursing Saúde do adulto Segurança do paciente Unidades de terapia intensiva Enfermagem de cuidados críticos |
title_short |
Incidence and risk factors for incidents in intensive care patients |
title_full |
Incidence and risk factors for incidents in intensive care patients |
title_fullStr |
Incidence and risk factors for incidents in intensive care patients |
title_full_unstemmed |
Incidence and risk factors for incidents in intensive care patients |
title_sort |
Incidence and risk factors for incidents in intensive care patients |
author |
Daniela Mascarenhas de Paula Campos |
author_facet |
Daniela Mascarenhas de Paula Campos Luana Vieira Toledo Selme Silqueira de Matos Carla Lucia Goulart Constant Alcoforado Flávia Falci Ercole |
author_role |
author |
author2 |
Luana Vieira Toledo Selme Silqueira de Matos Carla Lucia Goulart Constant Alcoforado Flávia Falci Ercole |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Daniela Mascarenhas de Paula Campos Luana Vieira Toledo Selme Silqueira de Matos Carla Lucia Goulart Constant Alcoforado Flávia Falci Ercole |
dc.subject.por.fl_str_mv |
Adult health Patient safety Intensive care units Critical care nursing |
topic |
Adult health Patient safety Intensive care units Critical care nursing Saúde do adulto Segurança do paciente Unidades de terapia intensiva Enfermagem de cuidados críticos |
dc.subject.other.pt_BR.fl_str_mv |
Saúde do adulto Segurança do paciente Unidades de terapia intensiva Enfermagem de cuidados críticos |
description |
Objective: to estimate the incidence and identify the risk factors for incidents in patients of an intensive care center. Methods: this is a longitudinal, prospective, analytical, and exploratory study with 173 patients admitted to the intensive care unit. The incidents were categorized as clinical process/procedure, care associated infections, behavior, documentation, medication/intravenous fluids, nutrition, blood products, accidents, and medical equipment. Results: the incidence density was 134.45 incidents per 1,000 patient-days, highlighting the main categories: clinical process/procedure (71.5%) and care-related infections (15.3%). Length of stay in the intensive care unit (Risk ratio: 1.03; Confidence interval: 1.01-1.05; p=0.000) and use of central venous catheter (Risk ratio 1.02; Confidence interval: 1.00-1.04; p=0.040) were identified as risk factors. Conclusion: there was a high occurrence of incidents in the intensive care unit, especially in patients with longer hospital stay and use of central venous catheters. Contributions to practice: identifying incidents and associated risk factors will allow managers and professionals to recognize patients at higher risk and implement measures to ensure systematic and quality care to minimize the occurrence of adverse events in the institution. |
publishDate |
2022 |
dc.date.issued.fl_str_mv |
2022 |
dc.date.accessioned.fl_str_mv |
2024-03-27T20:05:26Z |
dc.date.available.fl_str_mv |
2024-03-27T20:05:26Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/66683 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.15253/2175-6783.20222372426 |
dc.identifier.issn.pt_BR.fl_str_mv |
2175-6783 |
dc.identifier.orcid.pt_BR.fl_str_mv |
https://orcid.org/0000-0003-4997-2129 https://orcid.org/0000-0001-9527-7325 https://orcid.org/0000-0002-5102-5051 https://orcid.org/0000-0002-0907-6795 https://orcid.org/0000-0002-1356-0854 |
url |
https://doi.org/10.15253/2175-6783.20222372426 http://hdl.handle.net/1843/66683 https://orcid.org/0000-0003-4997-2129 https://orcid.org/0000-0001-9527-7325 https://orcid.org/0000-0002-5102-5051 https://orcid.org/0000-0002-0907-6795 https://orcid.org/0000-0002-1356-0854 |
identifier_str_mv |
2175-6783 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
Rev Rene |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
dc.publisher.initials.fl_str_mv |
UFMG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
ENF - DEPARTAMENTO DE ENFERMAGEM APLICADA ENF - DEPARTAMENTO DE ENFERMAGEM BÁSICA |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
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