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Acta Paulista de Enfermagem
Article . 2022 . Peer-reviewed
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Impacto do comanejo multidisciplinar em desfechos de pacientes com fratura de quadril

Authors: Nicole Waldow Germano Ferreira; Celia Guzinski; Eduarda Boufleuer; Polla Victória Paim Rodrigues Finckler; Alexandra Nogueira Mello Lopes; Daiane Dal Pai;

Impacto do comanejo multidisciplinar em desfechos de pacientes com fratura de quadril

Abstract

Resumo Objetivo Avaliar o impacto do programa de comanejo multidisciplinar nos desfechos de pacientes com fratura de quadril hospitalizados. Métodos Estudo observacional, do tipo antes e depois, retrospectivo. Foram coletados dados dos pacientes hospitalizados por fratura de quadril entre 2015 e 2019, em hospital universitário com serviço referência para ortopedia. A intervenção analisada foi o programa de comanejo multidisciplinar, que iniciou em 2017. Resultados O número de lesões por pressão adquiridas na internação diminuiu significativamente (p<0,005) após a implementação do comanejo. Da mesma forma, o tempo de internação até a cirurgia reduziu (p<0,046), sendo cumpridas as diretrizes nacionais e internacionais de correção da fratura em até 48 horas. Infecções, reinternações e óbitos não tiveram seu impacto confirmado. Conclusão O comanejo multidisciplinar teve impacto positivo nos desfechos dos pacientes hospitalizados por fratura de quadril, resultando em redução do número de lesões por pressão e do tempo de espera para realizar a cirurgia. Através deste estudo, foram identificadas evidências preliminares que suportam a implementação desse tipo de programa.

Keywords

Fraturas de quadril, Enfermagem ortopédica, Equipe de assistência ao paciente, Enfermagem médico-cirúrgica, Complicações pós-operatórias

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    0
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green
gold