Contribuição dos indicadores hospitalares no gerenciamento de leitos de crianças portadoras de cardiopatia congênita institucionalizadas

Abstract

Objective: To identify the contribution of hospital indicators to the management of beds of children with congenital heart disease admitted to a pediatric intensive care unit. Methodology: this was an exploratory, retrospective and documentary case study that analyzed information from pediatric patients with congenital heart disease, attended between April and October 2019 and admitted to a pediatric ICU of a public cardiological institution located in the city of São Paulo - Brazil. Results: The patients had an average weight of 3945 grams, an average height of 50,2 centimeters and remained in hospital for an average of 48,6 days. Of the total of 38 patients, 63,2% had an infection, 68,4% were discharged, 10,2% died and 21,1% were transferred. The three most prevalent diagnoses were pulmonary hypertension, interatrial communication and interventricular communication, all with 13,2% each; and associated with other more complex diagnoses. The comorbidities observed were: Down's Syndrome, malnutrition, DiGeorge's Syndrome, acute respiratory failure, intestinal volvulus and cardiac valve changes. The average monthly occupation rate was 91,1% ± 4,5 days per month, and the average stay in hospital was 12,9% ± 4,4 days per month. Conclusions: in this case study, the indicators that impacted the management of beds in the Pediatric ICU during the period studied were: average length of stay, occupancy rate, readmission rate, infection rate, mortality rate, anthropometric rates and rates of surgical risk linked to clinical, demographic and epidemiological indicators related to this set of diseases.