Intercurrences in the inter-hospital transport of the person in critical situation
DOI:
https://doi.org/10.48492/servir0204.28388Keywords:
complications, critical care, patient transportAbstract
Introduction: The inter-hospital transport of the person in critical condition is a frequent procedure and represents an additional risk for the patient.
Objective/s: Describe the intercurrences in the inter-hospital transport of the person in critical situation.
Methods: Retrospective descriptive cross-sectional study. The study included 48 patients from the General Emergency Service of a Hospital Center in the northern region of Portugal, subject to inter-hospital transport, by land, between July 2020 and March 2021. Data collection was performed using the inter-hospital transport record sheet and provided, anonymously, by the service director, after appearing in favor of the ethics committee.
Results: The sample is mostly composed of male (60.4%), with a mean age of 66.75±20.26 years and an average transport time of 64.11±08.18 minutes. The most frequent specialty of origin was neurology (60.4%). There were 79.2% of intercurrences. 80.9% were clinical and the most frequent was blood pressure ≥ 140 mmHg (47.9%). Of the non-clinical intercurrences (19.1%), the most frequent was the externalization of the peripheral venous catheter (16.7%).
Conclusion: There was a higher frequency of clinical intercurrences, in males, with a higher percentage in the age group between 75-84 years. Non-clinical ones were more frequent in the age group aged ≥85 years. We suggest more frequent or even invasive monitoring of vital
parameters for timely control and treatment of hypertensive peaks and greater vigilance regarding the fixation peripheral venous catheter.
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