<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0873-3015</journal-id>
<journal-title><![CDATA[Millenium - Journal of Education, Technologies, and Health]]></journal-title>
<abbrev-journal-title><![CDATA[Mill]]></abbrev-journal-title>
<issn>0873-3015</issn>
<publisher>
<publisher-name><![CDATA[Instituto Politécnico de Viseu (IPV)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0873-30152020000600055</article-id>
<article-id pub-id-type="doi">10.29352/mill0207e.06.00367</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Falecer no serviço de urgência: melhor conhecer para melhor intervir]]></article-title>
<article-title xml:lang="en"><![CDATA[Emergency department deaths: knowing better to better respond]]></article-title>
<article-title xml:lang="es"><![CDATA[Muertes en el departamento de emergencias: saber mejor para responder mejor]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Arlete]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cunha]]></surname>
<given-names><![CDATA[Madalena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carneiro]]></surname>
<given-names><![CDATA[Diana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mota]]></surname>
<given-names><![CDATA[Mauro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A6 "/>
<xref ref-type="aff" rid="Af7"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar Tondela Viseu  ]]></institution>
<addr-line><![CDATA[Viseu ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Politécnico de Viseu Escola Superior de Saúde ]]></institution>
<addr-line><![CDATA[Viseu ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Escola Superior de Saúde de Viseu  ]]></institution>
<addr-line><![CDATA[Viseu ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade do Porto  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Nossa Senhora da Assunção Unidade Local de Saúde da Guarda ]]></institution>
<addr-line><![CDATA[Seia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Instituto Politécnico de Viseu Escola Superior de Saúde ]]></institution>
<addr-line><![CDATA[Viseu ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Unidade de Investigação em Ciências da Saúde: Enfermagem  ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<numero>esp7</numero>
<fpage>55</fpage>
<lpage>62</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0873-30152020000600055&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0873-30152020000600055&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0873-30152020000600055&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  O serviço de urgência tem como propósito a receção, diagnostico e tratamento de doentes que tenham sofrido acidentes ou casos de doença súbita e que necessitem de atendimento rápido. A diminuição da taxa de mortalidade nos serviços de urgência assume-se como uma prioridade de enorme importância para o Serviço Nacional de Saúde.  Objetivos:  Descrever as características clínicas das pessoas que falecem no serviço de urgência.  Métodos:  Estudo descritivo, qualitativo e de coorte retrospetivo. Amostra constituída por pessoas que faleceram no serviço urgência de um hospital da região centro de Portugal durante o ano de 2017.  Resultados:  A amostra do estudo foi constituída por 250 indivíduos, dos quais 114 são do género masculino e 136 do género feminino. Verifica-se que a idade mínima registada, aquando admissão do serviço de urgência, foi de 27 anos e a idade máxima de 101 anos. O fluxograma da triagem de Manchester mais utilizado foi o da dispneia (46,8%), a prioridade muito urgente reuniu 46.2% e a prioridade emergente 41,4%. As variáveis idade, tempo decorrido desde a admissão até à triagem, tempo decorrido entre a triagem e a primeira avaliação médica, a pressão arterial sistólica, o Índice de reatividade de Glasgow, frequência cardíaca e temperatura corporal mostraram-se importantes na premonição de óbitos.  Conclusão:  O conhecimento da taxa de mortalidade nos serviços de urgências, e das respetivas variáveis que o influenciam, permite reorganizar todas as dinâmicas intrínsecas e com isso potencializar as estruturas existentes para uma resposta mais eficiente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  The aim of the emergency service is the reception, diagnosis and treatment of patients who have suffered accidents or sudden illness and who need rapid care. Reducing the mortality rate in the emergency services is a priority of enormous importance for the National Health Service.  Objetives:  To describe the clinical characteristics of people who die in the emergency service.  Methods:  Descriptive, qualitative and retrospective cohort study. The sample included people who died in the emergency service of a hospital in central Portugal during the year 2017.  Results:  The study sample included 250 people, of whom 114 were male and 136 female. The minimum age of admission to the emergency room was 27 years and the maximum age 101 years. The most commonly used flow chart for Manchester Triage System was for dyspnea (46.8%), the very urgent priority was 46.2% and the emerging priority 41.4%. The variables age, time elapsed from admission to screening, time elapsed between screening and the first medical evaluation, systolic blood pressure, Glasgow reactivity index, heart rate and body temperature were important in predicting deaths.  Conclusion:  Knowledge of the mortality rate in the emergency services, and of the respective variables influencing it, makes it possible to reorganise all intrinsic dynamics and thus improve existing structures for a more efficient response.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  La finalidad del servicio de emergencia es la recepción, el diagnóstico y el tratamiento de los pacientes que han sufrido accidentes o enfermedades repentinas y que necesitan una atención rápida. La reducción de la tasa de mortalidad en los servicios de emergencia es una prioridad sumamente importante para el Servicio Nacional de Salud.  Objetivos:  Describa las características clínicas de las personas que mueren en la sala de emergencias.  Métodos:  Estudio de cohorte descriptivo, cualitativo y retrospectivo. La muestra incluía a personas que murieron en el servicio de emergencia de un hospital del centro de Portugal durante el año 2017.  Resultados:  La muestra del estudio incluyó 250 personas, de las cuales 114 eran hombres y 136 mujeres. La edad mínima de admisión en la sala de emergencias era de 27 años y la edad máxima de 101 años. El diagrama de flujo más utilizado para el sistema de triaje de Manchester fue para la disnea (46,8%), la prioridad muy urgente fue el 46,2% y la prioridad emergente el 41,4%. Las variables edad, tiempo transcurrido desde el ingreso hasta el examen, tiempo transcurrido entre el examen y la primera evaluación médica, presión arterial sistólica, índice de reactividad de Glasgow, frecuencia cardíaca y temperatura corporal fueron importantes para predecir las muertes.  Conclusión:  El conocimiento de la tasa de mortalidad en los servicios de emergencia, y de las respectivas variables que influyen en ella, permite reorganizar toda la dinámica intrínseca y mejorar así las estructuras existentes para una respuesta más eficiente.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[serviço hospitalar de emergência]]></kwd>
<kwd lng="pt"><![CDATA[causa básica de morte]]></kwd>
<kwd lng="pt"><![CDATA[condições patológicas, sinais e sintomas]]></kwd>
<kwd lng="en"><![CDATA[emergency service hospital]]></kwd>
<kwd lng="en"><![CDATA[underlying cause of death]]></kwd>
<kwd lng="en"><![CDATA[pathological conditions, signs and symptoms]]></kwd>
<kwd lng="es"><![CDATA[servicio de urgencia en hospital, causa básica de muerte]]></kwd>
<kwd lng="es"><![CDATA[condiciones patológicas, signos y sintomas]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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