Caracterização dos atendimentos de Urgência e Emergência de um Centro de Assistência de Alta Complexidade em Oncologia

Abstract

Introduction: The characterization of the service in a High Complexity Care Center in Oncology is the object of this study. It is justified in view of the growing need to meet the population with oncological comorbidities having in mind its high morbimortality, evidenced in the world over the years. Objective: To characterize the service of a High Complexity Oncology Care Center, tracing the patients' profiles, identifying the conducts performed in front of the care and its outcome. Methodology: This is a longitudinal, descriptive, documentary study of quantitative approach with retrospective design. It was performed with 249 medical records of patients treated at an Emergency Room of a High Complexity Oncology Care Center, that served as research site, from January 2017 to December 2018. The records were selected through non-random sampling for convenience. Data were collected from medical records using a pre-established form and descriptive analysis through the Excel program. Results and Discussion: A total of 249 medical records were analyzed, 136 (55%) of the individuals were female, with an average age of 57.4 years, having incomplete Elementary School 68 (27.3%), native to the municipalities of Alagoas 218 (87.6%), being residents of Maceió 67%. They had a history of smoking 95 (38%), alcoholism 72 (29%), Diabetes Mellitus 105 (42%), Arterial Hypertension 52 (24%) and other diseases 28 (11%). Chemotherapy was the most commonly performed treatment (177%) of the patients. A total of 887 calls were made, 308 (35%) in 2017 and 579 (65%) in 2018, with the highest percentage on Mondays and Wednesdays, with the morning period being the most attended. There were 550 (62%) calls for multiple complaints, evidencing pain complaints 399 (24.5%) in most calls. There was a higher prevalence of breast malignancies 58 (23%), metastasis was mentioned in 74 (30%) of the records, Palliative Care in 72 (29%). The main conduct performed in the consultations was the administration of medications 710 (34.3%) and the main outcome of the appointments was hospital discharge 787 (88.7%). The discoveries corroborate the estimates of cancer incidence predicted by INCA for the 2017-2018 biennium and the profile of patients treated in this type of service, highlighting comorbidities and lifestyle habits that represent risk factors for certain types of cancer. the high prevalence of breast cancer. Conclusion: It was noted that the main complaint present in care was pain, and it is necessary to implement measures to treat this complaint more effectively. It is also important to evaluate the functionality of other points of the health care network, since most of the population served in this service had as main conduct performed in the care the administration of medication and the discharge as an outcome, without the need of invasive conducts in the most cases. Thus, this work becomes important for the management of the service, as the results may support the strategic planning process of health care aimed to cancer patients, providing instruments for improving care.