Perfil clínico do paciente diabético após internação devido a complicação por condição sensível à atenção primária

Cláudia Di Lorenzo Oliveira; Karine Siqueira Cabral Rocha; Eduarda Mendes Costa; Rony Costa Almeida; Mateus Lopes Faria; Jessica Azevedo Aquino; Hygor Kleber Cabral; Aurelino Rocha Barbosa-Júnior; Raquel Yumi Sakamoto; Clareci Silva Cardoso

doi:10.23925/1984-4840.2017v19i3a8

Authors

Cláudia Di Lorenzo Oliveira Universidade Federal de São João del-Rei
Karine Siqueira Cabral Rocha Universidade Federal de São joão del-Rei
Eduarda Mendes Costa Universidade Federal de São joão del-Rei
Rony Costa Almeida Universidade Federal de São joão del-Rei
Mateus Lopes Faria Universidade Federal de São joão del-Rei
Jessica Azevedo Aquino Universidade Federal de São joão del-Rei
Hygor Kleber Cabral Universidade Fderal de São joão del-Rei
Aurelino Rocha Barbosa-Júnior Universidade Federal de São João del-Rei
Raquel Yumi Sakamoto Universidade Federal de São João del-Rei
Clareci Silva Cardoso Universidade Federal de São João del-Rei

DOI:

https://doi.org/10.23925/1984-4840.2017v19i3a8

Keywords:

diabetes mellitus, type 2, patient discharge, ambulatory care, mortality, diabetes complications

Abstract

Objectives: To clinically evaluate and to classify patients according to the risk of new hospitalizations with type 2 diabetes after hospitalization for primary care sensitive condition. Methods: Patients were assessed after 18 months of hospitalization. A questionnaire with socio-demographic and clinical questions was applied, as well as clinical and laboratory evaluation, and electrocardiogram. A score based on the sum of cardiovascular risk, chronic kidney disease and diabetic foot was developed. A linear regression model was fitted to evaluate age and sex as factors associated with an increased likelihood of higher scores. Results: 37 patients were interviewed from the 98 eligible patients. The mortality rate 18 months after discharge was 32.6% (32/98). Males and aging were presented as factors associated with a higher risk of complications. After comparison, men had 3.89 more points in the score than women and every year of age represented an increase of 16 points. Discussion: Patients who were hospitalized for complications sensitive to primary care presented a high mortality, clinical and serious condition at high risk for the development of new complications and worsening of existing ones. Conclusion: The results point to a risk in which the hospital did not represent a change in clinical management of these patients, showing the lack of dialogue between tertiary and primary care.

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Author Biography

Cláudia Di Lorenzo Oliveira, Universidade Federal de São João del-Rei

Campus CCO/Curso de Medicina

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