Insucesso na busca por leito intensivo pediátrico no Rio de Janeiro: análise descritiva dos fatores

Carlos  Eduardo Pessanha Boller; Maria Auxiliadora  de S. M. Gomes; Saint Clair  dos Santos Gomes

doi:10.36489/saudecoletiva.2021v11i71p9019-9028

Authors

Carlos Eduardo Pessanha Boller Tecnologista em Saúde Pública (Enfermeiro Regulador) do Instituto Fernandes Figueira/FIOCRUZ; Rio de Janeiro/RJ/Brasil https://orcid.org/0000-0002-5180-3159
Maria Auxiliadora de S. M. Gomes Pesquisadora do Instituto Fernandes Figueira/FIOCRUZ; Rio de Janeiro/RJ/Brasil https://orcid.org/0000-0001-5908-1763
Saint Clair dos Santos Gomes Pesquisador do Instituto Fernandes Figueira/FIOCRUZ; Rio de Janeiro/RJ/Brasil

DOI:

https://doi.org/10.36489/saudecoletiva.2021v11i71p9019-9028

Keywords:

Sistema Único de Saúde, Acesso aos Serviços de Saúde, Unidade de Terapia Intensiva Pediátrica

Abstract

Objective: To identify the profile of requests for beds in the Pediatric Intensive Care Unit with unregulated outcomes in the city of Rio de Janeiro. Method: Cross-sectional study with data from requests sent to the regulatory center in 2018. Statistical tests were used to identify factors related to the occurrence of non-regulable outcomes. Results: Among the requests, 103 discharged, 73 improved, 32 died. From clinical data, blood pressure (p=0.023), physical examination (p=0.012), blood gas analysis (p=0.003), use of oxygen (p<0.001) and chronicity of the condition (p=0.002) are associated with no bed capture. The justification for the request (p<0.001) when motivated by clinical issues had a higher frequency of discharge, while all other categories had improvement as the main outcome. Conclusion: The prognosis when requested and not captured a pediatric intensive bed at the regulation center in the city of Rio de Janeiro is positive.