Percorrer por autor "Cyrino, Claudia Maria Silva"
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- Factors related to readmissions to the Mobile Emergency Care ServicePublication . Cyrino, Claudia Maria Silva; Castro, Meire Cristina Novelli e; Nunes, Hélio Rubens de Carvalho; Deodato, Sérgio; Dell’Acqua, Magda Cristina Queiroz; Juliani, Carmen Maria Casquel MontiObjective: to analyze the factors associated with readmission to the Mobile Emergency Care Service. Method: this is an epidemiological, cross-sectional study. Data from 600 adult patients served by the service in a municipality in the countryside of São Paulo, Brazil, in 2015 were analyzed. Multiple logistic regression identified the factors associated with readmission. Results: clinical occurrences, male sex, and a mean age of 55.5 years predominated. A 26.7% return rate within six months of prehospital service was identified. Readmissions were associated with patients’ clinical factors, procedures performed in the mobile prehospital environment, and intra-hospital flow. Additionally, a relationship with the region of the city where the study was conducted was observed. Conclusion and implications for the practice: the analysis revealed a profile of patients with a mean age of 55 years and afflicted by chronic non-communicable diseases. The likelihood of return was associated with the clinical nature of the disease, care flows, and the service region. Studies similar to this one assist in planning and developing public policies and health actions in line with identified needs, aiming to reduce the burden on emergency services.
- Mobile pre-hospital care in Portugal and Brazil: an integrative reviewPublication . Cyrino, Claudia Maria Silva; Almeida, Priscila Masquetto Vieira de; Dell’Acqua, Magda Cristina Queiroz; Deodato, Sérgio; Michelin, Nathallia Serodio; Castro, Meire Cristina Novelli eObjective: To identify the profile and themes of studies found in the literature about the context of mobile pre-hospital care in Portugal and Brazil. Method: An integrative review of five online databases was conducted in February and March 2017. Full articles in English, Spanish, and Portuguese published between 1981 and 2017 were selected for this review. Results: Of the 54 studies included, nurses were present in 81.50%; 37% were related to the characteristics of care, 22% to professionals, 20% to occupational risks, 17% to management, and 4% to health education. Conclusion: The number of articles with nurses as the main authors reached a peak in 2011. Their topics were mostly related to the analysis of care provided by the services, and the knowledge and performance of professionals working in the area of mobile pre-hospital care.
- Nursing Activities Score by assistance sites in intensive care unitsPublication . Cyrino, Claudia Maria Silva; Dell’Acqua, Magda Cristina Queiroz; Castro, Meire Cristina Novelli e; Oliveira, Elaine Machado de; Deodato, Sérgio; Almeida, Priscila Masquetto Vieira deObjective: To compare the Nursing Activities Score (NAS) between the Assistance Sites in an Intensive Care Unit. Method: Descriptive, retrospective study, carried out in the Intensive Care Unit of a teaching hospital. The patients were organized in Assistance Sites according to their clinical characteristics and the nursing team's composition was organized in accordance with the Nursing Activities Score (NAS). The confidence interval was set at p < 0.05. Results: the majority were male surgical patients with a mean age of 56.8 years. The postoperative care Site presented the greatest patient turnover. The overall average NAS was 71.7%. There was a difference in the nursing workload between the different Assistance Sites. The shorter length of stay and the nonsurvivors contributed to increasing the workload in the ICU. Conclusion: Comparing the NAS in the different Sites made it possible to organize the work process of the nursing team according to each group, contributing to patient safety.
- Profile, evolution and outcome of patients served by the mobile emergency care servicePublication . Cyrino, Claudia Maria Silva; Dell’Acqua, Magda Cristina Queiroz; Deodato, Sérgio; Juliani, Carmen Maria Casquel Monti; Almeida, Priscila Masquetto Vieira de; Castro, Meire Cristina Novelli e; Nunes, Helio Rubens CarvalhoObjective: to analyze the profile, the evolution and outcome of patients served by the SAMU 192. Method: cross-sectional, exploratory and descriptive study. The sample consisted of data from 600 adult patients, served in the year 2015 by the SAMU and referred to another health service. Descriptive analysis was performed to identify the population profile, the evolution and the intra-hospital outcome; correlation testing between response time in the pre-hospital service and length of stay; and multiple logistic regression between response time and outcome. It used p < 0.05 as the significance level. Results: there was a predominance of care for clinical occurrences, male gender and average age of 55.5 years. After pre-hospital care, 50.2% of the surveyed patients remained under observation and 34.8% required hospitalization. The pre-hospital response time was positively correlated with the length of stay. The main outcome was medical discharge, with 41% of them being referred for the continuity of treatment. Conclusion: the analysis showed a profile of care provided to patients with an average age of 55 years and suffering from clinical diseases that required referral to a health unit, remaining under hospital observation for up to 12 hours. These results are important for the support of care flow protocols in the RUE, in order to reduce the overload of tertiary services.