Desfechos clínicos de pacientes neurológicos com e sem ventilação mecânica prolongada
DOI:
https://doi.org/10.17267/2238-2704rpf.v11i4.4025Palavras-chave:
Respiração Artificial, . Unidades de Terapia Intensiva., Desmame do Respirador.Resumo
INTRODUÇÃO: Pacientes com doenças neurológicas sob ventilação mecânica (VM) apresentam maior risco de VM prolongada (VMP) devido ao rebaixamento do nível de consciência, padrões respiratórios anormais e incapacidade de proteção de vias aéreas causados pela lesão neurológica. OBJETIVO: Comparar desfechos clínicos de pacientes neurológicos com ou sem VMP. MATERIAIS E MÉTODOS: Tratou-se de um estudo observacional documental retrospectivo, realizado na UTI neurológica de um hospital escola. Foram coletados: idade, sexo, patologia que motivou a internação, presença de comorbidades, valor do simplified acute physiology score (SAPS III), incidência de VMP, tempo de permanência em VM, tempo de permanência na UTI e desfecho alta ou óbito na unidade. Os pacientes foram divididos em dois grupos, de acordo com a duração da VM: o grupo VMP e o grupo sem VMP. RESULTADOS: Foram incluídos 212 pacientes. O diagnóstico mais prevalente no grupo VMP foi a ressecção de tumor cerebral (27,5%) e no grupo sem VMP foi o traumatismo cranioencefálico (18%). Verificou-se que 10% desses evoluíram para VMP, houve prevalência do sexo masculino em ambos os grupos. O grupo VMP apresentou escore SAPS III significativamente maior (p=0,003) que o grupo sem VMP. O grupo VMP permaneceu tempo, em dias, significativamente maior (p<0,0001) em VM e em internação na UTI que o grupo sem VMP. Não houve diferença significativa (p=1,00) no desfecho alta ou óbito da UTI entre os grupos com e sem VMP. CONCLUSÃO: O grupo de pacientes sob VMP esteve mais tempo em suporte ventilatório invasivo e permaneceu mais tempo internado na UTI que o grupo sem VMP. Não houve diferenças estatísticas no desfecho mortalidade na UTI.
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Copyright (c) 2021 Lucas Lima Ferreira, Anna Carolina Macedo Sousa, Lilian Cristina Ascencio Sanchez
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Esta obra está licenciada com uma Licença Creative Commons Atribuição 4.0 Internacional.
