Classificação de risco conforme Protocolo de Manchester em uma unidade de pronto atendimento do interior de Mato Grosso

Abstract

The Emergency Care Unit (UPA) consists of a pre-hospital component of

intermediate complexdty, operating on a 24-hour basis, and part of the urgent and

emergency care network (RUE). In these services, care and risk classification

protocols are implemented as an organizational strategy in order to highlight the

priority of care. In Brazil, the protocol adapted from Manchester is used, which

classifies consultations according to severity, consisting of five levels of clinical

priority separated by colors. The aim of this research is to investigate the use of

the Manchester protocol in a grade Il PSU. This is an exploratory, retrospective

and quantitative study carried out in an Emergency Care Unit in the interior of

Mato Grosso. For data collection, electronic medical records of people assisted

at the service in the period between January and December 2019 were reviewed.

The variables: gender, age group, risk classification by color, Intemational

Classification of Diseases and outcome of care during the January to December

2019, with data analysis and presentation by simple frequency tables. The

prevalence of consultations performed at the health unit was male with 53.3%.

between the ages of 0 and 4 years with 13.1%. The classification by color

revealed that 53.8% of the cases were classified as yellow (urgent) followed by

the green classification with 19.1% Intemational Classification of Diseases

20.1% of consultations were Symptoms, signs and abnormal findings of clinical

and laboratory tests, not classified elsewhere (RO0-R99). In the outcome of care

item, 65% of the cases were discharged. Therefore the study made it possible

to better understand the profile of UPA care, enabling the planning of actions to

improve the care and assistance provided based on the local reality.