2006, Number 1
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ABSTRACTIntroduction: The critical care mobile units, have unique characteristics, where the critical care patients differs from the emergency patients.
Objective: To report the most common diagnosis of the transferred patient, and the mortality in a Critical care mobile unit.
Patients and methods: We designed a retrospective case report study. We evaluated all the patients who where transferred by the critical care mobile unit of the UMAE, of the Centro Médico de Occidente, from January 1° of 2001 to June 30° of 2005. The most common diagnosis of transfer were reported, the procedures realized during this; also we reported the total mortality. Descriptive statistics were used to analyzed the results.
Results: 3,923 patients were transferred, 7% were paediatric population. Mechanical ventilation were used in 37%. In the paediatric group, 150 patients required incubator machine transport. There were transferred 810 patients with the diagnosis of Acute Coronary Syndrome, the 10% required transcutaneous pacemaker. The second cause was cerebrovascular disease with the 12%. Three hundred and ten patients had trauma, the 64% had Severe Head Trauma. The 3.4% of the transfers, were realized to foreign units, where the critical care patients required long term support. The overall mortality was 0.18%.
Conclusions: The most common transfer disease belongs to a group of entities where the earlier intervention have a profound impact on the final outcome. Our mortality seems lower than other reports.
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