Perfil epidemiológico do usuário do serviço de atendimento móvel de urgência por transtornos psiquiátricos na cidade de Bauru
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Data
2012-06-29
Autores
Nabi, Maria Rita Simões [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
Estudo epidemiológico retrospectivo, descritivo, com o objetivo de caracterizar o perfil dos atendimentos por transtornos psiquiátricos realizados pelas equipes do Serviço de Atendimento Móvel de Urgência – SAMU-192 –, no período de junho a dezembro de 2010, na cidade de Bauru. Utilizaram-se como fontes de dados os registros de informações do Sistema SR SAMU, Versão 3.2, assim como do Serviço Social do Pronto-Socorro Municipal Central (PSMC). Foram avaliadas 18.246 fichas de atendimentos, sendo 2.106 (12%) categorizadas como transtornos psiquiátricos. Preponderaram os episódios convulsivos (39,2%), seguidos pelo abuso de álcool (14,6%) e de drogas (6,7%). Houve 269 internações psiquiátricas em hospitais referenciados. Realizaram-se comparações entre os episódios avaliados considerando-se o sexo e a faixa etária, por meio de testes de diferença de proporções, com a adoção de um nível de significância de 5% ou do p-valor correspondente. Em relação ao sexo, ocorreu diferença significativa (p<0,0001) no atendimento de homens por abuso de álcool (78,3%) e outros tipos de drogas (78,7%), assim como para episódios convulsivos (75,1%) e agitação psicomotora (63,6%), enquanto para as mulheres isso ocorreu em relação à crise conversiva (85,7%) e de ansiedade (77,4%). Os homens (66,0%) superaram as mulheres (34%) na demanda pelos atendimentos do SAMU por abusarem três vezes mais do álcool e de drogas quando comparados a elas. Houve significância (p<0,0001) entre faixas etárias e demandas por atendimentos relacionadas a: abuso de álcool, abuso de drogas, agitação psicomotora, ansiedade, crise conversiva, depressão, surto psicótico, tentativa de suicídio, intoxicação exógena, convulsão e outros problemas psiquiátricos. Verificou-se que as faixas etárias de 20 a 29 (23,5%), 30 a 39 (25,6%)...
This is an epidemiological, retrospective, descriptive study aiming at characterizing the profile of care provision due to psychiatric disorders by the teams of the Mobile Urgent Care Service - SAMU-192 from June to December 2010 in the city of Bauru. The records of information from the SR SAMU System, Version 3.2, and from the Social Service of the Central Municipal Emergency Hospital (PSMC) were used as data sources. Eighteen thousand, two hundred and forty-six care provision forms were evaluated. Of these, 2,106 (12%) were categorized as psychiatric disorders. Convulsive episodes (39.2%) predominated, followed by alcohol (14.6%) and drug (6.7%) abuse. There were 269 psychiatric hospitalizations in referral hospitals. Comparisons were made between the evaluated episodes by taking into account gender and age range by means of difference in proportions tests and by adopting a level of significant of 5% or the corresponding p-value. As regards gender, a significant difference was observed (p<0.0001) for care provision to males due to abuse of alcohol (78,3%) and other drugs (78.7%) as well as to convulsive episodes (75.1%) and psychomotor agitation (63.6%), whereas for females, it was due to conversion disorders (85.7%) and anxiety (77.4%) crises. Males (66.0%) surpassed females (34%) in the demand for SAMU care as a result of threefold alcohol and drug abuse when compared to the latter. Significance was observed (p<0.0001) between the age ranges and demand for care related to: alcohol abuse, drug abuse, psychomotor agitation, anxiety, conversion disorder, depression, psychotic outbreaks, suicide attempts, exogenous intoxication, convulsion and other psychiatric problems. It was observed that the age ranges from 20 to 29 (23.5%), 30 to 39 (25.6%) and 40 to 49 (18.9%) years accounted... (Complete abstract click electronic access below)
This is an epidemiological, retrospective, descriptive study aiming at characterizing the profile of care provision due to psychiatric disorders by the teams of the Mobile Urgent Care Service - SAMU-192 from June to December 2010 in the city of Bauru. The records of information from the SR SAMU System, Version 3.2, and from the Social Service of the Central Municipal Emergency Hospital (PSMC) were used as data sources. Eighteen thousand, two hundred and forty-six care provision forms were evaluated. Of these, 2,106 (12%) were categorized as psychiatric disorders. Convulsive episodes (39.2%) predominated, followed by alcohol (14.6%) and drug (6.7%) abuse. There were 269 psychiatric hospitalizations in referral hospitals. Comparisons were made between the evaluated episodes by taking into account gender and age range by means of difference in proportions tests and by adopting a level of significant of 5% or the corresponding p-value. As regards gender, a significant difference was observed (p<0.0001) for care provision to males due to abuse of alcohol (78,3%) and other drugs (78.7%) as well as to convulsive episodes (75.1%) and psychomotor agitation (63.6%), whereas for females, it was due to conversion disorders (85.7%) and anxiety (77.4%) crises. Males (66.0%) surpassed females (34%) in the demand for SAMU care as a result of threefold alcohol and drug abuse when compared to the latter. Significance was observed (p<0.0001) between the age ranges and demand for care related to: alcohol abuse, drug abuse, psychomotor agitation, anxiety, conversion disorder, depression, psychotic outbreaks, suicide attempts, exogenous intoxication, convulsion and other psychiatric problems. It was observed that the age ranges from 20 to 29 (23.5%), 30 to 39 (25.6%) and 40 to 49 (18.9%) years accounted... (Complete abstract click electronic access below)
Descrição
Palavras-chave
Hospitais - Serviço de emergencia, Hospitais psiquiatricos - Pacientes, Emergencias psiquiatricas, Psychiatric emergencies
Como citar
NABI, Maria Rita Simões. Perfil epidemiológico do usuário do serviço de atendimento móvel de urgência por transtornos psiquiátricos na cidade de Bauru. 2012. 69 f. Dissertação (mestrado) - Universidade Estadual Paulista Julio de Mesquita Filho, Faculdade de Medicina de Botucatu, 2012.