Impacto de um Centro de Informações Toxicológicas na redução do tempo de internação hospitalar de pacientes intoxicados: coorte retrospectiva

• Ano de defesa: 2010
• Autor(a) principal: Galvão, Tais Freire [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Health services evaluation; Length of stay; Poisoning; Centros de informações toxicológicas; Tempo de internação; Intoxicação; Avaliação de serviços de saúde; Poison control centers; Toxicologia; Envenenamento
• Link de acesso: http://repositorio.unifesp.br/handle/11600/9714

Introduction: Poison Control Centers (PCC) play an essential role in caring for poisoned patients, albeit without secure funding for their activities. Objective: to investigate differences in length of hospital stay among poisoned patients, between those who received remote assistance from a PCC and those who did not. Methods: a retrospective cohort including all poisoned patients hospitalized at an emergency service in Manaus between 2005 and 2007 was set up. Patients presenting a known toxic agent, with less than 12 hours elapsed since exposure and without severe comorbidities, were selected. Their severity of poisoning was evaluated by two independent reviewers and divergence was solved by another reviewer. Agreement was obtained by Kappa index. Results: 198 patients were included. Those who received remote assistance from a PCC stayed in hospital on average for 3.43 days less than those without PCC assistance (95% CI: -6.10 to -0.77). Severity was assessed in the cases of 90 patients: there was no statistical difference in severity between the patient groups (p > 0.5). Agreement between reviewers was substantial. Conclusion: Patients with PCC aid had a lower length of stay then patients without this aid. Severity assessment is likely to be incorporated into Brazilian PCC routine.