Doentes oncológicos utilizadores frequentes do serviço de urgência: Principais características demográficas e clínicas
DOI:
https://doi.org/10.12707/RVI23.155.34094Palavras-chave:
gestão de casos, neoplasias, doentes com cancro, serviço hospitalar de emergência, utilização do serviço de urgência, sobremedicalizaçãoResumo
Enquadramento: Os doentes oncológicos tendem a tornar-se utilizadores frequentes dos serviços de urgência (SU), podendo ter mais episódios de internamento não programados. Alguns episódios poderão ser evitados com programas de acompanhamento adequados.
Objetivo: Identificar características relativamente ao sexo, idade e doença, dos doentes que mais vezes acedem ao SU, numa instituição especializada no tratamento de cancro.
Metodologia: Estudo de coorte retrospetivo de doentes adultos de uma instituição especializada no tratamento oncológico, através da análise dos registos clínicos das variáveis, idade, sexo, características da doença e utilização de recursos, em três grupos com diferentes intensidades de acesso ao SU.
Resultados: Doentes com mais acessos ao SU são frequentemente tratados com quimioterapia, os cancros mais diagnosticados são dos sistemas hematopoiético e reticuloendotelial, e gânglios linfáticos, com invasão de gânglios ou metastização. A maior utilização do SU não é explicada pela idade ou sexo.
Conclusão: A identificação do perfil destes doentes possibilita maior detalhe na construção de programas de acompanhamento, na tentativa de diminuição dos acessos ao SU e internamentos não programados.
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