Incidence and risk factors for incidents in intensive care patients
Objective: to estimate the incidence and identify the risk factors for incidents in patients of an intensive care center. Methods: this is a longitudinal, prospective, analytical, and exploratory study with 173 patients admitted to the intensive care unit. The incidents were categorized as clinical...
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| Format: | Article |
| Language: | English |
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Universidade Federal do Ceará
2022-06-01
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| Series: | Rev Rene |
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| Online Access: | http://periodicos.ufc.br/rene/article/view/72426/225599 |
| _version_ | 1811248347208482816 |
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| author | Daniela Mascarenhas de Paula Campos Luana Vieira Toledo Selme Silqueira de Matos Carla Lucia Goulart Constant Alcoforado Flávia Falci Ercole |
| author_facet | Daniela Mascarenhas de Paula Campos Luana Vieira Toledo Selme Silqueira de Matos Carla Lucia Goulart Constant Alcoforado Flávia Falci Ercole |
| author_sort | Daniela Mascarenhas de Paula Campos |
| collection | DOAJ |
| description | Objective: to estimate the incidence and identify the risk factors for incidents in patients of an intensive care center. Methods: this is a longitudinal, prospective, analytical, and exploratory study with 173 patients admitted to the intensive care unit. The incidents were categorized as clinical process/procedure, care associated infections, behavior, documentation, medication/intravenous fluids, nutrition, blood products, accidents, and medical equipment. Results: the incidence density was 134.45 incidents per 1,000 patient-days, highlighting the main categories: clinical process/procedure (71.5%) and care-related infections (15.3%). Length of stay in the intensive care unit (Risk ratio: 1.03; Confidence interval: 1.01-1.05; p=0.000) and use of central venous catheter (Risk ratio 1.02; Confidence interval: 1.00-1.04; p=0.040) were identified as risk factors. Conclusion: there was a high occurrence of incidents in the intensive care unit, especially in patients with longer hospital stay and use of central venous catheters. Contributions to practice: identifying incidents and associated risk factors will allow managers and professionals to recognize patients at higher risk and implement measures to ensure systematic and quality care to minimize the occurrence of adverse events in the institution. |
| first_indexed | 2024-04-12T15:26:29Z |
| format | Article |
| id | doaj.art-dc32060374884e9298ca4b3ea1345b82 |
| institution | Directory Open Access Journal |
| issn | 2175-6783 |
| language | English |
| last_indexed | 2024-04-12T15:26:29Z |
| publishDate | 2022-06-01 |
| publisher | Universidade Federal do Ceará |
| record_format | Article |
| series | Rev Rene |
| spelling | doaj.art-dc32060374884e9298ca4b3ea1345b822022-12-22T03:27:15ZengUniversidade Federal do CearáRev Rene2175-67832022-06-0123e7242610.15253/2175-6783.20222372426Incidence and risk factors for incidents in intensive care patientsDaniela Mascarenhas de Paula Campos0https://orcid.org/0000-0003-4997-2129Luana Vieira Toledo1https://orcid.org/0000-0001-9527-7325Selme Silqueira de Matos2https://orcid.org/0000-0002-5102-5051Carla Lucia Goulart Constant Alcoforado3https://orcid.org/0000-0002-0907-6795Flávia Falci Ercole4https://orcid.org/0000-0002-1356-0854Universidade Federal de Minas GeraisUniversidade Federal de ViçosaUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisObjective: to estimate the incidence and identify the risk factors for incidents in patients of an intensive care center. Methods: this is a longitudinal, prospective, analytical, and exploratory study with 173 patients admitted to the intensive care unit. The incidents were categorized as clinical process/procedure, care associated infections, behavior, documentation, medication/intravenous fluids, nutrition, blood products, accidents, and medical equipment. Results: the incidence density was 134.45 incidents per 1,000 patient-days, highlighting the main categories: clinical process/procedure (71.5%) and care-related infections (15.3%). Length of stay in the intensive care unit (Risk ratio: 1.03; Confidence interval: 1.01-1.05; p=0.000) and use of central venous catheter (Risk ratio 1.02; Confidence interval: 1.00-1.04; p=0.040) were identified as risk factors. Conclusion: there was a high occurrence of incidents in the intensive care unit, especially in patients with longer hospital stay and use of central venous catheters. Contributions to practice: identifying incidents and associated risk factors will allow managers and professionals to recognize patients at higher risk and implement measures to ensure systematic and quality care to minimize the occurrence of adverse events in the institution.http://periodicos.ufc.br/rene/article/view/72426/225599adult health; patient safety; intensive care units; critical care nursing. |
| spellingShingle | Daniela Mascarenhas de Paula Campos Luana Vieira Toledo Selme Silqueira de Matos Carla Lucia Goulart Constant Alcoforado Flávia Falci Ercole Incidence and risk factors for incidents in intensive care patients Rev Rene adult health; patient safety; intensive care units; critical care nursing. |
| title | Incidence and risk factors for incidents in intensive care patients |
| title_full | Incidence and risk factors for incidents in intensive care patients |
| title_fullStr | Incidence and risk factors for incidents in intensive care patients |
| title_full_unstemmed | Incidence and risk factors for incidents in intensive care patients |
| title_short | Incidence and risk factors for incidents in intensive care patients |
| title_sort | incidence and risk factors for incidents in intensive care patients |
| topic | adult health; patient safety; intensive care units; critical care nursing. |
| url | http://periodicos.ufc.br/rene/article/view/72426/225599 |
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