Comparação entre a média de permanência padronizada pelo SUS e a média de permanência da clínica cirúrgica de um hospital universitário

Abstract

Objective: To analyze the average indicator of stay of patients undergoing surgical procedures and admitted to the Surgical Clinic, estimate the relationship between some variables that characterize the unit and project the potential financial losses related to the hospitalized days surplus. Methods: A cross-sectional study of the records of patients (n = 654) undergoing surgical procedures and admitted to the Surgical Clinic of a university hospital from January to June 2015. To aid in the extraction of data from electronic information system institution, we used spreadsheets Excel®, being collected dependent and independent variables to be analyzed. Results: 84.5% of the records (n = 553) demonstrated extrapolation of average standardized stay by SUS, with possible loss of R $ 1,218,909.40 for the institution. The correlation between accrued daily and age of the patients was weak positive (r = 0.102; p = 0.009). The association between daily analysis due to the type of procedure, staff, type of hospital and type of high, showed a coefficient of determination R2 = 0.4074, R2 = 0.0311, R2 = 0.0401 and R2 = 0, 0186 respectively. The binary regression method showed that there is double the chance of a patient who underwent an emergency surgical procedure to extrapolate the daily standard by SUS (OR (odds ratio) = 2.002, CI (confidence interval) = 1.308 to 3.065). Conclusion: it was observed high rate of extrapolating daily, resulting not only in lower turnover of beds as well as the possibility of losses for the institution if does not occur the unfolding process at the time of billing the hospital bills. To face the current scenario, efficient management of beds is needed, with systematic monitoring of the average indicator of permanence and for this we suggest the adoption of Kanban tool.