A utiliza????o do indicador de gravidade meld (modelo para doen??as hep??ticas terminais) como fator preditivo do uso de recursos de apoio em unidades de transplante hep??tico

• Ano de defesa: 2014
• Autor(a) principal: Eiras, Flavia Regina Cocuzza das
• Orientador(a): Barbosa, Antonio Pires
• Banca de defesa: Rosa, Chennyfer Dobbins Paes da , Le??o, Eliseth Ribeiro
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Nove de Julho
• Programa de Pós-Graduação: Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de
• Departamento: Administra????o
• País: Brasil
• Palavras-chave em Português: transplante; enfermagem; gest??o em sa??de; gest??o em enfermagem; indicadores de risco em sa??de
• Palavras-chave em Inglês: transplantation; nursing; health management; nursing management; health risk indicators
• Área do conhecimento CNPq: ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS
• Link de acesso: http://bibliotecatede.uninove.br/handle/tede/1119

With the evolution of healthcare expertise and the incorporation of new medical technologies, Terminal Hepatic Insufficiency nowadays has the possibility of liver transplantation as a therapeutic means of great effectiveness. For the establishment of fully qualified service units implementation several of the following a resources needs to be available. Manage these resources is one basic concern of health managers. The main objective of the study was the evaluation of usefulness of MELD severity indicator for end-stage liver disease as a predictive element for the use of support resources to patients undergoing liver transplantation in a Teaching Hospital. The study was characterized as quantitative, retrospective, and prospected variables were classified by 6 main dimensions; the identification and classification of patient risk, the use of advanced life support structures, imaging diagnostic, clinical tests, the appointment of special procedures and haemotherapeutics procedures. It were analyzed their frequencies by linear regression with analysis of variance (ANOVA), with the application of software STATATM 12.1 to detect which variables had relevance in view of the dependent variable and were analyzed 76 cases occurred in the period in terms of 6 dimensions. As a result, what it were found that some variables and dimensions included in the model explain the dependent variable, which implies the assumption of the deterministic character of the same. Among the dimensions in which the indicator was featured as a predictive factor were identified laboratory test results variables, same imaging tests and blood products. Given the results obtained and considering the main purpose of the study is concluded that the indicator "MELD" has projected potential capacity in terms of utilization of resources necessary for the postoperative management of patients undergoing liver transplantation.