Abstract
Objective: To characterize the social, clinical, and hemodynamic profiles of patients admitted to the Intensive Care Unit (ICU) who died and to verify the influence on survival. Methods: Collection of medical records of patients admitted to the ICU of a tertiary referral hospital in the Amazon region, who died (n = 200), with analysis of clinical, social and hemodynamic variables and description of absolute and relative frequencies, mean, standard deviation and interval 95% confidence. Results: Predominant social characteristics: age 20-59 years (48.5%), male (52%), race / brown color (72.5%), profession as a domestic worker (10.5%), Catholic religion (6 , 5%), 9 years of schooling (21%) and single marital status (30%). Main clinical characteristics: respiratory diseases (20.5%), severe condition on admission (70.5%), induced coma (42%), bedridden (87%), use of invasive mechanical ventilation (91%) and average aspiration bronchial 1.27 ± 0.55 per day. Prevalent clinical complications: sepsis (79.5%), shock (69%) and edema (61%). Use of a bladder catheter (82.5%) and mean hospital stay 11.81 ± 9.50 days. The accentuated hemodynamic characteristics were: creatinine, urea, lactate, and leukocytes. In addition, less survival was observed among individuals of the White race and with admission leukocytosis. Conclusion: This study helps to understand the epidemiological profile of the local population, contributing to better management of critical patients.
Keywords: Intensive Care Unit, Health profile, Hemodynamic monitoring, Survival and Death.