Santana-Santos E, Gutierrez BD, Roselene AM, Gil FF, da Silva HPJ, Buri SCC

Language: Portugués
References: 21
Page: 72-81
PDF size: 65.61 Kb.

ABSTRACT

Introduction: The campaign launched in 2005 by the Institute for Healthcare Improvement, in order to save 100,000 lives, recommends the deployment of rapid response teams as one of the six strategies to decrease the number of in-hospital deaths.
Objective: To describe the profile of blue code calls for adult patients in inpatient units in a hospital specialized in cardiology.
Methods: a retrospective cross-sectional study performed in a tertiary hospital in Brazil. The sample was composed by 88 records of attendances of the blue code between September 2010 and June 2014.
Results: The mean age was 66+18 years, with a predominance of males (52.30 %). Most of the cases occurred at night, the time average of arrival of the team was from 1 to 4 minutes, resuscitation duration was 26 min. In most registers, the more common rhythm of cardiopulmonary arrest was pulseless electrical activity (40.00 %). After the attendance, 42.00 of patients had returned to the spontaneous circulation and 58.00 had the death as outcome, immediately after the attendance. The median length of stay at the intensive care unit was 3 (0-74) days and hospitalization was 20 (1-174).
Conclusions: We observed high mortality, even after the systematic service provided quickly, by a trained team in accordance with the guidelines from the American Heart Association. The population answered was mostly older men having some serious heart disease diagnosis.

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