Fluxograma para alocação de material de consumo no paciente com ferida traumática em membros inferiores
Data
2017-06-30
Autores
Sallum, Natasha 
Orientadores
Calvi, Eliziane Nitz de Carvalho
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: A tecnologia tem avançado no tratamento de feridas em membros inferiores. A circulação terminal e as comorbidades contribuem para a cronicidade de feridas traumáticas. Na rede pública de saúde, em que se trabalha com recursos finitos, a alocação correta destes recursos e seu racionamento é uma necessidade. Objetivo: Estabelecer um fluxograma de tratamento para pacientes portadores de feridas traumáticas abertas em membros inferiores. Métodos: Levantamento de casos operados com ferida traumática aberta em membros inferiores em hospital público terciário em 2015: 50 pacientes. Analisados dados eletrônicos de reembolso por internação destes casos. O repasse médio por internação hospitalar ao paciente com ferida traumática aberta de membro inferior foi de R$ 668,00. Paralelamente, realizado levantamento em almoxarifado dos materiais disponíveis para curativo destes pacientes, e seus custos. No almoxarifado e farmácia do Hospital Municipal estavam disponíveis: papaína, colagenase, hidrogel, carvão ativado, hidrocolóide, hidrofibra e alginato de cálcio. Revisada a literatura sobre estes curativos e desenvolvido protocolo de tratamento. Resultados: Foi desenvolvido protocolo de tratamento na forma de Fluxograma para Alocação de Material de Consumo no Tratamento de Feridas, e divulgado em palestras dentro do Hospital. Conclusão: Desenvolvido fluxograma para tratamento de feridas traumáticas em membros inferiores como ferramenta auxiliar na decisão terapêutica de pacientes internados com feridas em membros inferiores. Descritores: Ferimentos e Lesões, Saúde Pública, Economia Hospitalar.
Introduction: Advances in technology have transformed lower limb traumatic wound treatment. Terminal circulation and comorbities may contribute to turn acute traumatic wounds into chronic wounds. When working with National Health Systems, finite financial ressources is a reality, and correct allocation of these ressources is needed. Objective: Establish an impatient dressing protocol for lower limb traumatic wounds. Methods: Fifty patients with acute traumatic lower limb wounds that underwent surgery were studied in a tertiary public hospital, in 2015. Eletronic records of hospitalyzed patients reimbursements were analysed. Mean repayment for each traumatic wound patient was R$ 668,00. Parallel to this study, a hospital warehouse survey of the available wound dressings options and its costs was performed. Available options for wound dressing on hospital warehouse were: papain, collagenase, hydrogel, activated charcoal, hydrocolloid, hydrofiber, calcium alginate. A literature review of these materials helped developing a treatment protocol. Results: A protocol was developed in the form of a Flowchart. The Flowchart was presented in lectures inside the Hospital. Conclusion: A Flowchart for lower limb wound dressing was developed as an auxiliary tool for decision making on inpatient wound dressing. Descriptors: Wounds and Injuries, Public Health, Hospital Economics.
Introduction: Advances in technology have transformed lower limb traumatic wound treatment. Terminal circulation and comorbities may contribute to turn acute traumatic wounds into chronic wounds. When working with National Health Systems, finite financial ressources is a reality, and correct allocation of these ressources is needed. Objective: Establish an impatient dressing protocol for lower limb traumatic wounds. Methods: Fifty patients with acute traumatic lower limb wounds that underwent surgery were studied in a tertiary public hospital, in 2015. Eletronic records of hospitalyzed patients reimbursements were analysed. Mean repayment for each traumatic wound patient was R$ 668,00. Parallel to this study, a hospital warehouse survey of the available wound dressings options and its costs was performed. Available options for wound dressing on hospital warehouse were: papain, collagenase, hydrogel, activated charcoal, hydrocolloid, hydrofiber, calcium alginate. A literature review of these materials helped developing a treatment protocol. Results: A protocol was developed in the form of a Flowchart. The Flowchart was presented in lectures inside the Hospital. Conclusion: A Flowchart for lower limb wound dressing was developed as an auxiliary tool for decision making on inpatient wound dressing. Descriptors: Wounds and Injuries, Public Health, Hospital Economics.
Descrição
Citação
SALLUM, Natasha. Fluxograma para alocação de material de consumo no paciente com ferida traumática em membros inferiores. São Paulo, 2017. Dissertação (Mestrado Profissional em Ciência, tecnologia e gestão aplicadas à regeneração tecidual) - Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo, 2017.