Perfil de pacientes internados com agravos vasculares com indicação de cuidados paliativos

Abstract

Objective: To identify the profile of patients hospitalized for vascular treatment and referred for palliative care. Method: Quantitative, descriptive, retrospective research. Secondary data were used regarding the care of adult patients admitted to a large general hospital over 24 months. Absolute frequency and percentage, mean and standard deviation analyses were performed. Results: The results show a profile of patients undergoing vascular treatment and palliative care mostly formed by the elderly (91%) and males (62.5%). The majority had a diagnosis of peripheral arterial disease (59%), followed by 34% with diabetic foot. Among the comorbidities, 88% had hypertension and 44% had diabetes. Clinical-conservative treatment and major amputation were the most indicated (41% each). Of the total, 47% had palliative performance scale between 20 and 40%, and 94% were classified as predominant and exclusive palliative care, and 66% of them died. Conclusion: The findings indicate the severity of elderly patients hospitalized with vascular diseases and the need of institutions to expand the offer of palliative care.