Perfil epidemiologico de pacientes atendidos no pronto atendimento de um hospital de ensino.

Abstract

Urgency and Emergency Units are an extremely important service in health care with crescent demand considering the growing incidence of accidents and urban violence. However, often, these services are established as the "gateway" of health care inverting the reorganization logic process of these services and originating an overcrowding. The aim of this study was to characterize the patients profile who accessed the Santa Cruz Hospital Urgency and Emergency Service from November 2016 to May 2017. It is an epidemiological, descriptive study, with a cross-sectional design and quantitative approach. Data collection indicated 31511 patients in the period mentioned above. Data were obtained from electronic medical records that were collected using a previously structured form elaborated by the author. The risk classification main results showed that 81.4% of all patients were classified as less urgent or not urgent. The days with more care demand, considering the totality of cases, were during week predominantly at daytime. Concerning data classified as Emergency, 59% are male. The main complaints were related to trauma or cardiovascular injury. The final destination of the majority of the patients who were attended in the PA was medical discharge. The risk classification reveals that there is an inversion based on how patients access the health service, since the cases classified as emergent, urgent and very urgent represented 18.6% of all treated patients, demonstrating fragility in the counter-reference and reference system and communication between health services. It is also emphasized the importance of a nursing professional in the whole process of service management.