Quedas em internamento hospitalar: causas, consequências e custos: estudo de caso numa unidade hospitalar de Lisboa, EPE
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2015
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Nos últimos 30 anos, os custos com a saúde têm vindo a aumentar significativamente. As quedas de doentes são episódios frequentes nos internamentos de qualquer UH, que podem originar lesões, hospitalizações mais prolongadas, atraso na reabilitação e aumento de custos para a UH.
A presente investigação teve por objetivo analisar quais as causas, consequências e custos de episódios de quedas notificadas com lesão, de doentes internados numa UH de Lisboa, EPE.
Utilizou-se uma abordagem quantitativa, do tipo correlacional-preditivo-transversal, através de uma análise retrospetiva de 153 notificações de incidentes de quedas com lesão, durante o ano de 2013.
A grande maioria dos doentes tinha idade compreendida num intervalo de 71 a 85 anos, sendo a média da idade de 72 anos. O principal motivo que os levou a cair foi a busca da satisfação das suas necessidades fisiológicas (47,7%), com probabilidade de ter sido provocada pelo estado de saúde do doente (67,3%), com maior incidência de escoriações e hematomas (em igual número 28,1%). No geral, os casos de quedas com um nível de lesão moderado e grave são os que representam um maior valor médio dos custos, em que as lesões graves de origem ortopédica acarretaram maiores custos para UH.
In the last 30 years, healthcare costs have increased significantly, contributing widely to the growth of public expenses. Patient falls are frequent episodes throughout the period of stay in any UH, which can lead to injuries, longer hospitalizations, delays in rehabilitation and increased costs to the UH. This research aimed to analyze causes, consequences and costs of reported fall events which lead to injuries in a UH of Lisbon, EPE. The study is based on a predictive, transversal and cross-sectional approach, through a retrospective analysis of 153 fall incident reports that lead to injuries during the year of 2013. The vast majority of patients were between 71 and 85 years old, with an average of 72 years old. The main reason that led them to fall was the fulfilment of their physiological needs (47.7%), likely caused by the patient's health condition (67.3%), with a higher incidence of bruises and hematomas (both 28.1%). Overall, falls with moderate and severe levels of injury are the cases that origin higher average costs, whereas serious orthopaedic injuries lead to higher costs for the UH.
In the last 30 years, healthcare costs have increased significantly, contributing widely to the growth of public expenses. Patient falls are frequent episodes throughout the period of stay in any UH, which can lead to injuries, longer hospitalizations, delays in rehabilitation and increased costs to the UH. This research aimed to analyze causes, consequences and costs of reported fall events which lead to injuries in a UH of Lisbon, EPE. The study is based on a predictive, transversal and cross-sectional approach, through a retrospective analysis of 153 fall incident reports that lead to injuries during the year of 2013. The vast majority of patients were between 71 and 85 years old, with an average of 72 years old. The main reason that led them to fall was the fulfilment of their physiological needs (47.7%), likely caused by the patient's health condition (67.3%), with a higher incidence of bruises and hematomas (both 28.1%). Overall, falls with moderate and severe levels of injury are the cases that origin higher average costs, whereas serious orthopaedic injuries lead to higher costs for the UH.
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Orientação: Ana Lúcia Romão
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GESTÃO DE UNIDADES DE SAÚDE, GESTÃO HOSPITALAR, INTERNAMENTOS HOSPITALARES, ACIDENTES, DOENTES, ECONOMIA DA SAÚDE, QUALIDADE NA SAÚDE, ESTUDOS DE CASO, LISBOA, LISBON, HEALTH CARE FACILITIES MANAGEMENT, HOSPITAL MANAGEMENT, HOSPITALIZATION, PLANNING, ACCIDENTS, PATIENTS, HEALTH ECONOMY, HEALTH CARE QUALITY, CASE STUDIES