Factors associated with the occurrence of adverse events in critical elderly patients
Rev Bras Enferm. 2016 Nov-Dec;69(6):1039-1045.
doi: 10.1590/0034-7167-2016-0199.
[Article in
Portuguese,
English]
Affiliations
- 1 Universidad Andrés Bello, Facultad de Enfermería. Santiago, Chile.
- 2 Universidade Federal de Uberlândia, Instituto de Geografia. Monte Carmelo-MG, Brasil.
- 3 Universidade Federal de Santa Maria, Departamento de Enfermagem. Santa Maria-RS, Brasil.
- 4 Universidade de São Paulo, Escola de Enfermagem. São Paulo-SP, Brasil.
- 5 Hospital Bandeirantes. São Paulo-SP, Brasil.
- 6 Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica. São Paulo-SP, Brasil.
Abstract
Objective::
to identify the factors associated with the occurrence of adverse events in critical elderly patients admitted to intensive care unit according to demographic and clinical characteristics.
Method::
a retrospective cohort study was conducted in nine units of a teaching hospital. Data were collected from medical records and from monitoring of nursing shift change. We used the t-test/Mann-Whitney, chi-square and logistic regression to test associations. Significance level of 5% was used.
Results::
out of the 315 elderly, 94 experienced events. Those who experienced events were men (60.6%) with mean age of 70.7 years, length of hospital stay of 10.6 days and survivors (61.7%). Most of the 183 events were clinical processes and procedures (37.1%). There was an association between adverse event and length of hospital stay in the unit (p=0.000; OR=1.10, 95% CI [1.06, 1.14]).
Conclusion::
the identification of associated events and factors in the elderly subsidize the prevention of these occurrences before the vulnerability of this age group.
MeSH terms
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Aged
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Aged, 80 and over
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Brazil / epidemiology
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Cohort Studies
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Critical Care Nursing
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Critical Illness / mortality*
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Critical Illness / nursing
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Female
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Health Services for the Aged
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Humans
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Intensive Care Units
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Length of Stay*
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Male
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Middle Aged
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Outcome Assessment, Health Care*
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Patient Admission*
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Pressure Ulcer / epidemiology*
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Pressure Ulcer / etiology
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Retrospective Studies
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Risk Factors