Readmissão de pacientes em unidades de terapia intensiva: estratégias de prevenção

Abstract

RIBEIRO, A. P. Readmission of patients in intensive care units adult: Prevention strategies. Monograph. P42 2012.The readmission to the Critical Care Unit (CCU) is determined up to 3 days after the patient is discharged from the CCU or within 3 months after the patient is discharged from the hospital. Readmissions bring significant onus to the Health System besides causing discomfort to the patients and their relatives. The aim of this study is to identifythe available evidence in literature that clarify strategies to prevent the readmission of adult patients to the Critical Care Units. It is an integrative review of this literature in Medline, Central and NHS-EED databases from 2003 to 2013. The majority of strategies found present a level IV evidence level and include General Procedures such as: Strict evaluation of the patient before the discharging from the CCU and the checking of fluid gain and fluid loss during the patients time in the CCU. And SpecificProcedures: The patients premature extubation in the postoperative cardiac surgery and also the administration of the Alvimopan medicine in postoperated gastrointestinal tract surgery patients.The incorporation of these procedures in the therapy process prove themselves to be effective at assisting the patients admitted to the CCU recovery. They may also diminish the number of complications, time of permanence and readmission rates.