Mortalidade em uma unidade de terapia intensiva interiorana do brasil: perfil dos pacientes e fatores preditores para o óbito

Abstract

Objective: To identify the mortality profile in an intensive care unit countryside of Brazil and predictive factors for death. Method: Cross-sectional study based on documentary and retrospective analysis, with a random sample of 259 patient records who were admitted to an inland ICU in Brazil, from 2016 to 2018. Collection data through a structured instrument geared to social and clinics. Descriptive analysis and frequency distribution were used to present the profile of the patient, and stratified analysis for the mortality profile. The regression of Poisson, with univariate and bivariate analysis, to ascertain the predictive factors for death, considering p value <0.05. Results: Female patients predominated, with mean age of 61 years, and low education of patients. The neurology specialty emerged among the reasons for hospitalization, with a high incidence of arterial hypertension and diabetes mellitus. The predictive factors for death were heart failure and having the human immunodeficiency virus (HIV), showing a risk of death. The variables that presented statistical significance were age, for patient over 73 years old, belong to another municipality that is not the headquarters of the hospital, indicating protection for death is from outside. Conclusion: The results of the study portray the need for evaluation predictive and risk factors, which condition the high rate of deaths. This finding worrisome may be veiled by the lack of studies in other interior ICUs in Brazil, who face the same weaknesses of the health system.