EVOLUÇÃO CLÍNICA DE PACIENTES COM ANEURISMA CEREBRAL INTERNADOS EM UM HOSPITAL PÚBLICO

Este estudo tem como objetivo analisar a evolucao clinica de pacientes com aneurisma cerebral internados aguardando neurocirurgia de embolizacao; acompanhar e registrar a evolucao clinica e complicacoes desses pacientes durante a internacao hospitalar; identificar a media de tempo de permanencia de internacao hospitalar na enfermaria neurologica e caracterizar os motivos relacionados com a permanencia hospitalar desses pacientes. Trata-se de uma pesquisa longitudinal, descritiva e prospectiva realizada na Clinica Neurologica de um Hospital Publico, de julho a outubro de 2017 com pacientes diagnosticados com aneurisma cerebral e aguardando microcirurgia de embolizacao. Amostra composta por 51 pacientes, sendo 74,51% do sexo feminino, com idade da amostra variando entre 24 a 77 anos, com idade media de 53,45 anos, ± 11,78. A Hemiplegia foi o deficit motor mais presente na admissao e alta. O desfecho obito esteve presente em 11,76 %. A media de permanencia hospitalar foi de 20,1 dias. A embolizacao demostrou ser uma cirurgia favoravel ao desfecho clinico do paciente, ja que os obitos estiveram mais relacionados com piora clinica antes do procedimento. O tempo de permanencia hospitalar foi maior que o da literatura encontrada e carencia de vaga de UTI foi o motivo mais frequente para permanencia no leito aguardando agendamento e para suspensao de cirurgias ja agendadas interferindo diretamente no tempo de permanencia hospitalar. Palavras-chave : Aneurisma Intracraniano. Embolizacao Terapeutica. Tempo de Permanencia. Evolucao Clinica. CLINICAL EVOLUTION OF PATIENTS WITH CEREBRAL ANEURYSM HOSPITALIZED IN A PUBLIC HOSPITAL ABSTRACT: This study aims to analyze the clinical evolution of patients with cerebral aneurysms hospitalized waiting for neurosurgery of embolization; monitor and record the clinical course and complications of these patients during hospitalization; to identify the average length of hospital stay in the neurological ward and to characterize the reasons related to the hospital stay of these patients. This is a longitudinal, descriptive and prospective study conducted at the Neurological Clinic of a Public Hospital from July to October 2017 with patients diagnosed with cerebral aneurysm and awaiting embolization microsurgery. The sample consisted of 51 patients, 74.51% female, with a sample age ranging from 24 to 77 years, mean age of 53.45 years, ± 11.78. Hemiplegia was the most present motor deficit at admission and discharge. The death outcome was present in 11.76%. The mean hospital stay was 20.1 days. Embolization proved to be favorable surgery for the clinical outcome of the patient, since the deaths were more related to clinical worsening before the procedure. The length of hospital stay was higher than that of the literature found and lack of ICU vacancy was the most frequent reason for stay in bed waiting for scheduling and for suspension of surgeries already scheduled interfering directly in the length of hospital stay. Keywords: Intracranial Aneurysm. Therapeutic Embolization. Lenght of stay. Clinical Evolution.