Perfil clínico dos casos de readmissão hospitalar em um hospital particular de Belém – PA, no ano 2019

Abstract

Introduction: Hospital readmission is an important indicator of the quality of care of health services and through its analysis it is possible to detect failures in patient care, which can generate an economic and social burden for hospitals and for the health system and its users. Objective: To relate hospital readmission, within 30 days, to the most prevalent factors identified in hospitalized patients in the internal medicine sector in a private hospital in the city of Belém in 2019 ,. Methodology: This is an observational, descriptive and cross-sectional study, based on information collected and analyzed from 139 electronic medical records of clinical patients readmitted within 30 days at the Belém Adventist Hospital from January to December 2019. The collected data were collected. through a program of the institution and stored in a database using spreadsheets from the Microsoft Excel 2016 program. Data analysis was performed with the aid of the Bioestat 4.0 program. Results: In the study, 47% of patients were female and 53% male. Of the 139 readmitted patients, 80% were discharged and 20% died. It is not possible to observe the influence of the ECOG on the time interval between hospitalizations or on the length of stay of hospitalizations. The most common diagnoses found were urinary tract infections (UTI) and respiratory infections. Conclusion: Despite the characterization of the readmitted patients' profile, it was not possible to develop a readmission predictor tool, as none of the variables studied was created to predict a probability of early readmission, but recognizing the profile of readmitted patients allows for a better understanding of the disease cure process. This study can serve as a basis for future research with the aim of promoting improvements in patient care.