CARACTERIZAÇÃO CLÍNICA E FUNCIONAL DOS PACIENTES SUBMETIDOS À CIRURGIA CARDÍACA EM UM HOSPITAL UNIVERSITÁRIO / CLINICAL AND FUNCTIONAL CHARACTERIZATION OF PATIENTS SUBMITTED TO CARDIAC SURGERY IN A UNIVERSITY HOSPITAL

Introdução: A cirurgia cardíaca trata de complicações de uma doença cardíaca de base e apresenta repercussão importante,pois uma série de fatores relacionados ao intraoperatório e pós-operatório provocam alterações em todo o organismo. Objetivos:Caracterizar os aspectos clínicos e funcionais dos pacientes submetidos à cirurgia cardíaca em um Hospital Público. Método:Estudo transversal realizado em um hospital público de alta complexidade. Participaram do estudo 41 pacientes submetidosà cirurgia cardíaca. Coletou-se dados sociodemográficos, clínicos, função motora (Escala de Mobilidade em Unidade deTerapia Intensiva - IMS), dia pós-operatório da sedestação e da deambulação e tempo de internação. Resultados: Os participantestinham idade [Média ± DP] de 56,4 ± 14,3 anos e maioria do sexo masculino (61%). As cirurgias de troca valvar representaram53,7% dos casos, o tempo médio de cirurgia foi 4,8h ± 1,4h e o tempo de circulação extracorpórea de 1,3h ± 0,4h. As complicaçõesmais presentes foram pulmonares (43,9%), leucocitose (26,8%), sangramentos (22%) e arritmias (22%). O IMS préoperatóriofoi de 9,9 ± 0,3 e da alta da UTI foi 6,8 ± 1,9. Observou-se que o tempo médio de internação na UTI foi de 4,7 ± 1,6dias e apresentou correlação positiva com o dia pós-operatório de sedestação (rs = 0,414, p = 0,009) e deambulação (rs = 0,887,p < 0,001). Conclusão: Houve predomínio de cirurgias do tipo troca valvar, de complicações respiratórias com repercussão notempo de internação e ocorreu recuperação parcial da funcionalidade até a alta da UTI.Palavras-chave: Cirurgia Torácica. Reabilitação Cardíaca. Unidade de Terapia Intensiva.AbstractIntroduction: Cardiac surgery deals with complications of a basic heart disease and has important repercussions, because anumber of factors related to intraoperative and postoperative causes changes throughout the body. Objectives: To characterizethe clinical and functional aspects of patients undergoing cardiac surgery at the Public Hospital. Method: Cross-sectionalstudy carried out in a highly complex public hospital. The study included 41 patients underwent cardiac surgery and collectsociodemographic, clinical, motor function data Intensive Care Unit Mobility Scale (IMS), postoperative day of sedation andambulation and length of hospital stay. Results: Elderly participants [Mean ± SD] of 56.4 ± 14.3 years and the majority weremale (61%). Valve replacement surgeries represent 53.7% of cases, the mean time of surgery was 4.8h ± 1.4h and thecardiopulmonary bypass time was 1.3h ± 0.4h The most common complications were pneumatics (43.9%), leukocytosis (26.8%),bleeding (22%) and arrhythmias (22%). The preoperative IMS was 9.9 ± 0.3 and discharge from the ICU was 6.8 ± 1.9 Heobserved that the average length of stay in the ICU was 4.7 ± 1.6 days and the positive correlation with the postoperative day ofsedation (rs = 0.414, p = 0.009) and ambulation (rs = 0.887, p < 0.001). Conclusion: There was a predominance of valvereplacement surgeries, respiratory complications with repercussions on hospital stay and partial recovery from recovery todischarge from the ICU.Keywords: Thoracic Surgery. Cardiac Rehabilitation. Intensive Care Unit

Subjective sleep pattern in hospitalized patients

Objective: To evaluate the subjective sleep pattern in hospitalized patients. Methods: This is a cross-sectional design developed with 230 patients in a university hospital in northeastern Brazil from September 2017 to March 2018. We included patients 18 years old or older, hospitalized for a minimum of 48 hours and a maximum of five days, with stable clinical conditions and preserved guidance. For data collection, a structured questionnaire was used and the subjective sleep pattern was assessed using Visual Analog Sleep Scales. Univariate and bivariate statistics were calculated using IBM® SPSS® software, version 23.0. Results: In the hospitalization, the Disorder, Effectiveness, and Supplementation scales reached scores of 208.7 points, 353.8 points, and 62.9 points, respectively. The clinical characteristics that interfered with sleep were the practice of regular physical activity (p = 0.024) and a higher body mass index (p = 0.033). We also observed statistically significant differences between VAS scores and factors influencing sleep. Conclusion: There was a certain level of sleep disturbance during the hospitalization period, and consequently the need for sleep supplementation during the day. We also observed that some factors negatively influenced the quality of hospital sleep