The multidisciplinary round has even an impact on mortality in the intensive care unit

Autores: Hugo Andrade Santos1, Cristiane Carius de Oliveira2
1Instituto D´Or de Pesquisa e Educação – Rio de Janeiro (RJ), Brasil; 2Hospital Quinta D’Or – Rio de Janeiro (RJ), Brasil

Objetivo: To compare mortality and length of stay in an ICU before and after a standardized multidisciplinary therapeutic program and to prove that it has a potential impact on these indicators.

Métodos: Retrospective observational study derived from the EPIMED data of patients admitted to the general
ICU C / Quinta D’Or Hospital comparing mortality rates and length of stay in the periods of 2013, period
without standardization of the round and 2015 period with standardized round. (2014) training and adequacy period, where the team was extensively trained by the assistance supervision with the round, including standardized items for the description of the therapeutic plans of all professional careers. A constant homogeneous team acts in the unit in the three periods, having groups of patients with the same clinical profile and complexity.

Resultados: Analyzed the data extracted from the EPIMED program, we compared the similar occupation rate in the periods analyzed, the complexity coming from the SAPS 3 score, also similar. Having observed the constancy of the profile of the unit, not having been modified the technology and personnel profile, other than the institution of the standardized round, we can notice the decrease of the stay rate with the average of 7.1 days and 6.23 Days in the respective periods and the mortality rate from 13.85 to 9.37 between 2013 and 2015.

Conclusão: There was a significant difference in the mortality and hospitalization time, proving the importance of the multidisciplinary discussion directing homogeneous behaviors increasing the quality of care.