Caracterização da demanda de uma Unidade de Pronto Atendimento segundo a proposta de acolhimento com classificação de risco.

Abstract

The Emergency Care Units (UPA) operate 24 hours a day, seven days a week and can solve most of the urgencies and emergencies, as they are structures of intermediary complexity between the Basic Health Units and the Hospital Emergency, forming an organized network of Emergency Care. The purpose of this study was to outline the demand profile of an Emergency Care Unit in the State of Paraiba, at this first year on operation, according to the risk classification of the clientele. It is a documentary, retrospective study, carried out through a field research with a quantitative approach. Were analyzed the records of the ACCR register book from January 1 to December 31, 2014, which in total generated a sample of 56,754 recorded appointments. The data obtained was analyzed according to simple statistics, with absolute and percentage values, processed by Microsoft Excel 2007 Software. The female sex was responsible for the greater number of demand for the Unit services, with 32,524 (57.3%) of the attendances, in comparation to males, with 24,230 (42.7%). Regarding risk classification, 28,630 (50.4%) cases were classified in the Green Axis, 15,095 (26.6%) in the Blue Axis, 12,925 (22.8%) in the Yellow Axis and 104 (0.2%) in the Red Axis. It’s noteworthy that in the first five months of the year most of the cases were classified in the Blue and Green Axis, which indicates that many cases could be solved in Primary Care. From the 6 month there was an increase in the Green and Yellow classification that are the priority of UPA and a decrease in cases classified as Blue. It was observed a high number of clinical treatments in detriment to the trauma. Knowledge of these data is fundamental to improve the work process and increase the quality of care, enabling healthcare professionals to plan care actions through the development of assessment tools and methodologies for qualified risk classification assistance, obtaining gains in the evolution of the clinical condition of the client.