Publicação
Intermediate Medical Care Unit´s Experience – 2005-2014
| Resumo: | Introduction: Intermediate Medical Care Units (IMCU) are real needs of modern hospitals. They improve quality of care and reduce costs and, at the same time, make way for coordination between all hospital departments. We present a study of an IMCU, since its opening in 2005 until 2014, in order to ascertain what’s the reality when in charge of Internal Medicine.Material and Methods: The authors performed a retrospective and descriptive analysis of the patients admitted in the above IMCU between October the 29th 2005 and December the 31st 2014. Results: In the IMCU 1641 patients were admitted, 46% female and 54% male, with an average age of 61 years. The average hospital stay was about 4 days. Most of the patients came from the emergency department (45.3%), followed by the ward of Internal Medicine (27.1%) and the Intensive Care Unit (20.9%). The main reasons for admission were pneumonia (33.5%), which came up with great expression, intoxication (8.7%), pulmonary embolism (8.3%) and global respiratory failure (7.1%). The mortality rate was 5.7%. Step-up occurred in 7.9% of patients and step-down in 92.1%, with the vast majority of patients being transferred to the ward of Internal Medicine. In the 2 years since its institution in the IMCU, non-invasive ventilation was performed in 23.0% of patients enrolled and mainly used in the context of exacerbation of chronic obstructive pulmonary disease (39.9% of cases), pneumonia (30.3%) and acute pulmonary edema (20.8%). Conclusion: This unit reinforces the importance of IMCUs as a bridge between the different departments and as form of intervention in a plurality of ways, resulting in a high degree of effectiveness and efficiency in improving care and maximizing resources, with a low mortality rate. |
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| Autores principais: | Nóbrega, Sofia |
| Outros Autores: | Santos, Dina; Silva, Ana Sofia; Henriques, Tatiana |
| Assunto: | Portugal Unidades de Cuidados Intensivos Unidades de Cuidados Intermédios Unidades Hospitalares Ventilação não Invasiva Hospital Units Intensive Care Units Intermediate Care Facilities Noninvasive Ventilation Portugal |
| Ano: | 2015 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | unknown |
| Instituição associada: | Sociedade Portuguesa de Medicina Interna |
| Idioma: | português |
| Origem: | Revista Portuguesa de Medicina Interna |
| Resumo: | Introduction: Intermediate Medical Care Units (IMCU) are real needs of modern hospitals. They improve quality of care and reduce costs and, at the same time, make way for coordination between all hospital departments. We present a study of an IMCU, since its opening in 2005 until 2014, in order to ascertain what’s the reality when in charge of Internal Medicine.Material and Methods: The authors performed a retrospective and descriptive analysis of the patients admitted in the above IMCU between October the 29th 2005 and December the 31st 2014. Results: In the IMCU 1641 patients were admitted, 46% female and 54% male, with an average age of 61 years. The average hospital stay was about 4 days. Most of the patients came from the emergency department (45.3%), followed by the ward of Internal Medicine (27.1%) and the Intensive Care Unit (20.9%). The main reasons for admission were pneumonia (33.5%), which came up with great expression, intoxication (8.7%), pulmonary embolism (8.3%) and global respiratory failure (7.1%). The mortality rate was 5.7%. Step-up occurred in 7.9% of patients and step-down in 92.1%, with the vast majority of patients being transferred to the ward of Internal Medicine. In the 2 years since its institution in the IMCU, non-invasive ventilation was performed in 23.0% of patients enrolled and mainly used in the context of exacerbation of chronic obstructive pulmonary disease (39.9% of cases), pneumonia (30.3%) and acute pulmonary edema (20.8%). Conclusion: This unit reinforces the importance of IMCUs as a bridge between the different departments and as form of intervention in a plurality of ways, resulting in a high degree of effectiveness and efficiency in improving care and maximizing resources, with a low mortality rate. |
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