Spatial distribution of patients served in the emergency of a tertiary hospital

Authors

DOI:

https://doi.org/10.34019/1982-8047.2020.v46.30138

Keywords:

Spatial Analysis, Emergencies, Emergency Hospital Service, Emergency Identification, Health Service Needs and Demands

Abstract

Introduction: In practice and research, the use of technologies that assist the work of professionals, such as geoprocessing, is increasingly present, useful for investigating spatial variables of a given phenomenon, when searching for data, using geostatistical tools. Objective: To analyze the spatial distribution of patients seen in the emergency department of a tertiary hospital. Material and Methods: Cross-sectional study, carried out from July to September 2017, in the emergency of a tertiary hospital, with 783 care records/medical records. The spatial analysis was performed with the Quantum GIS 2.18.10 software. Results: Most of the consultations were male (63,9%), with an average age of 52 years. Those from the surrounding cities (75,6%) had a risk classification, predominantly, in yellow and red, while the classification in green and yellow prevailed among patients in the same municipality where the hospital was located. The visits were made to patients from the northern region of the state of Ceará, with greater density in the municipalities of the Sobral macro-region, however, there were visits to patients from Fortaleza and the state's backlands. Conclusion: The spatial distribution points out that the emergency department visits covered patients from the north of the state of Ceará, the hinterland and the metropolitan region of the state capital. The attendance density and risk classification in blue and green colors were directly proportional to the geographical proximity to the hospital, while the yellow and red colors had an inversely proportional relationship with such distance.

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References

Angelim RCDM, Rocha GSDA. Scientific production about the working conditions of nursing in emergency and urgent services. Rev Fund Care Online. 2016; 8(1):3845-59.

Brandão MGSA, Brito OD, Barros LM. Gestão de riscos e segurança do paciente: mapeamento dos riscos de eventos adversos na emergência de um hospital de ensino. Rev Adm Saúde. 2018; 18(70):1-13.

Paixão TCRD, Campanharo CRV, Lopes MCBT, Okuno MFP, Batista REA. Nursing staff sizing in the emergency room of a university hospital. Rev Esc Enferm USP. 2015; 49(3):481-7.

Druck S, Carvalho MS, Câmara G, Monteiro AVM. Análise espacial de dados geográficos. Brasília: EMBRAPA; 2004.

Souza BF, Silva JP. Análise espacial dos acidentes de trânsito em Passos (MG). Rev Ciência ET Praxis. 2017; 10(19):31-8.

Rocha TAH, Silva NC, Amaral PV, Barbosa ACQ, Rocha JVM, Alvares V et al. Addressing geographic access barriers to emergency care services: a national ecologic study of hospitals in Brazil. Int J Equity Health. 2017; 16(149):1-10.

Rabelo DV, Leite ACS, Morais JSD. Análise geoespacial-atendimento a pacientes com dor torácica aguda em Fortaleza-CE. Rev Extensão Ação. 2014; 1(6):45-54.

Costa HGF, Silva RM, Korinfsky JP, Souza DMOR, Costa GS, Silva TFA. Análise espacial dos acidentes de trânsito atendidos na urgência de um hospital universitário. Rev Enferm UFPE online. 2017; 11(Supl. 6):2500-9.

Silva RMB, Sano RY, Toledo LC, Pereira TMV. distribuição sazonal, espacial e caracterização dos traumas em uma cidade do Sul de Minas Gerais. Rev Ciências Saúde. 2016; 6(2):1-16.

Mendes TJM, Silveira LM, Silva LP, Stabile AM. Associação entre o acolhimento com classificação de risco, desfecho clínico e o escore Mews. Rev Min Enferm. 2018; 22:e-1077.

Wright B, Potter AJ, Trivedi NA, Mueller KJ. The relationship between rural health clinic use and potentially preventable hospitalizations and emergency department visits among medicare beneficiaries. J Rural Health. 2018; 34(4):423-30.

Mota-Guedes H, Aparecida-Araújo F, Pinto-Júnior D, Amado-Martins JC, Machado-Chianca TC. Outcome assessment of patients classified through the Manchester Triage System in emergency units in Brazil and Portugal. Invest educ enferm. 2017; 35(2):174-81.

Brasil. Decreto nº 7.508, de 28 de junho de 2011. Regulamenta a Lei nº 8.080, de 19 de setembro de 1990, para dispor sobre a organização do SUS, o planejamento da saúde, a assistência à saúde e a articulação interfederativa, e dá outras providências.

Conselho Federal de Enfermagem (BR). Resolução Cofen n. 423/2012. Normatiza, no âmbito do Sistema Cofen/Conselhos Regionais de Enfermagem, a participação do enfermeiro na atividade de classificação de risco. Brasília: COFEN; 2012.

Matsumoto CL, O'Driscoll T, Blakeloch B, Kelly L. Characterizing high-frequency emergency department users in a rural northwestern Ontario hospital: a 5-year analysis of volume, frequency and acuity of visits. Can J Rural Med. 2018; 23(4):99-105.

Chen CC, Chen CW, Ho CK, Liu IC, Lin BC, Chan TC. Spatial variation and resuscitation process affecting survival after out-of hospital cardiac arrests (OHCA). PLoS ONE. 2015; 10(12):e0144882.

Alves MO, Magalhães SCM, Coelho BA. A regionalização da saúde e a assistência aos usuários com câncer de mama. Saúde Soc. 2017; 26(1);141-54.

Cirino S, Gonçalves LA, Gonçalves MB, Cursi ESD. Modelo não linear de localização de instalações de serviços de saúde com indicador de acessibilidade incorporado. Cad Saúde Pública. 2018; 34(3):e00185615.

Ribeiro RM, Cesarino CB, Ribeiro RCJM, Rodrigues CC, Bertolin DC, Pinto MH. Caracterização do perfil das emergências clínicas no pronto-atendimento de um hospital de ensino. Rev Min Enferm. 2014; 18(3):533-8.

Santos AMR, Rodrigues RAP, Santos CB, Caminiti GB. Distribuição geográfica dos óbitos de idosos por acidente de trânsito. Esc Anna Nery. 2016; 20(1):130-7.

Sousa AIA, Júnior VLP. Análise espacial e temporal dos casos de aids no Brasil em 1996-2011: áreas de risco aumentado ao longo do tempo. Epidemiol Serv Saude. 2016; 25(3):467-76.

Paiva BL, Azeredo JQ, Nogueira LMV, Santos BO, Rodrigues ILA, Santos MNA. Distribuição espacial de tuberculose nas populações indígenas e não indígenas do estado do Pará, Brasil, 2005-2013. Esc Anna Nery. 2017; 21(4):e20170135.

Mendonça MFS, Silva APSC, Castro CCL. Análise espacial dos acidentes de trânsito urbano atendidos pelo Serviço de Atendimento Móvel de Urgência: um recorte no espaço e no tempo. Rev Bras Epidemiol. 2017; 20(4):727-41.

Published

2020-08-21

How to Cite

1.
Damasceno Brito O, Albuquerque Brandão MGS, Brioso Bastos I, Galindo Neto NM, Áfio Caetano J, Moreira Barros L. Spatial distribution of patients served in the emergency of a tertiary hospital. HU Rev [Internet]. 2020Aug.21 [cited 2024Nov.21];46:1-7. Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/30138

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