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2002, Number 6

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Rev Med Inst Mex Seguro Soc 2002; 40 (6)

Experience at a Reanimation Unit

Loría CJ, Chavarría IRA

Language: Spanish
References: 25
Page: 511-520
PDF size: 169.53 Kb.


ABSTRACT

Objectives: We sought to characterize disease/injury patterns among patients undergoing emergency treatment at the Reanimation Unit of Regional General Hospital 25, Instituto Mexicano del Seguro Social, in the Estado de México. Study Design: Transversal, descriptive. Materials and Methods: All patients ℴ 15 years of age, undergoing emergency treatment at the Reanimation Unit of Regional General Hospital 25, IMSS, between November 1, 2000 and January 31, 2001 were enrolled in this study. Patient age, sex, and diagnosis were noted, in addition to where the patients were from, and pre-dominant time of day for care (hour). Also, we noted all procedures, complications, and mortality. Results: During the 3 months of the study, a total of 917 patients underwent emergency treatment at the Reanimation Unit (RU) of Regional General Hospital 25 (RGH 25). Of these 917, about 53 % were males; predominant age group was between 61 and 70 years (10 %); there were established 60 different diagnoses. Medical diseases predominated over injuries in a relation of 4:1. Most patients came from their home, 54 %. A total of 514 emergency procedures were done, among these central venous access was most frequent, 37 %. It is important to mention that 29 % of patients who underwent emergency treatment did not have an IMSS social security number (this means they did not have medical insurance from the IMSS). In relation to mortality, 22 patients at the RU were dead on arrival, and 90 patients died during treatment at the RU. Conclusion: The number of patients who undergo emergency treatment at the RU at Regional General Hospital No. 25 IMSS is high. It is clear that there exists a combination of medical diseases and injuries that is different from other medical units, because in many there are no traumatized patients. It is also clear that we treat an important number of patients without medical insurance, nearly one third all patients treated.


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