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Redução de mortalidade em pacientes internados por doenças respiratórias após a implementação de unidade de cuidados intensivos em hospital secundário do interior do Brasil

Overview of attention for article published in Revista Brasileira de Terapia Intensiva, January 2015
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Title
Redução de mortalidade em pacientes internados por doenças respiratórias após a implementação de unidade de cuidados intensivos em hospital secundário do interior do Brasil
Published in
Revista Brasileira de Terapia Intensiva, January 2015
DOI 10.5935/0103-507x.20150043
Pubmed ID
Authors

Luciano Passamani Diogo, Laura Fuchs Bahlis, André Wajner, Fernando Starosta Waldemar

Abstract

To evaluate the association between the in-hospital mortality of patients hospitalized due to respiratory diseases and the availability of intensive care units. This retrospective cohort study evaluated a database from a hospital medicine service involving patients hospitalized due to respiratory non-terminal diseases. Data on clinical characteristics and risk factors associated with mortality, such as Charlson score and length of hospital stay, were collected. The following analyses were performed: univariate analysis with simple stratification using the Mantel Haenszel test, chi squared test, Student's t test, Mann-Whitney test, and logistic regression. Three hundred thirteen patients were selected, including 98 (31.3%) before installation of the intensive care unit and 215 (68.7%) after installation of the intensive care unit. No significant differences in the clinical and anthropometric characteristics or risk factors were observed between the groups. The mortality rate was 18/95 (18.9%) before the installation of the intensive care unit and 21/206 (10.2%) after the installation of the intensive care unit. Logistic regression analysis indicated that the probability of death after the installation of the intensive care unit decreased by 58% (OR: 0.42; 95%CI 0.205 -0.879; p = 0.021). Considering the limitations of the study, the results suggest a benefit, with a decrease of one death per every 11 patients treated for respiratory diseases after the installation of an intensive care unit in our hospital. The results corroborate the benefits of the implementation of intensive care units in secondary hospitals.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 13 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 13 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 6 46%
Student > Ph. D. Student 2 15%
Student > Master 2 15%
Researcher 1 8%
Student > Doctoral Student 1 8%
Other 0 0%
Unknown 1 8%
Readers by discipline Count As %
Medicine and Dentistry 5 38%
Veterinary Science and Veterinary Medicine 1 8%
Nursing and Health Professions 1 8%
Pharmacology, Toxicology and Pharmaceutical Science 1 8%
Social Sciences 1 8%
Other 1 8%
Unknown 3 23%