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Sa\u00fade P\u00fablica"],"abstract":"<jats:p>O objetivo deste estudo foi descrever o perfil dos usu\u00e1rios e a assist\u00eancia prestada pelo Servi\u00e7o de Atendimento M\u00f3vel de Urg\u00eancia (SAMU) fluvial em comunidades ribeirinhas amaz\u00f4nicas e identificar fatores relacionados \u00e0 evolu\u00e7\u00e3o dos pacientes durante o atendimento desse servi\u00e7o. Trata-se de um estudo descritivo realizado em duas etapas: na primeira, os dados dos atendimentos dos indiv\u00edduos realizados pelo servi\u00e7o de 2009 a 2015 foram a fonte de informa\u00e7\u00f5es; na segunda, a coleta de dados foi prospectiva durante o primeiro semestre de 2016 e a evolu\u00e7\u00e3o dos pacientes foi avaliada pelo Rapid Emergency Medicine Score. Em todos os per\u00edodos analisados, cerca de 90% dos atendimentos inclu\u00edram remo\u00e7\u00e3o, variando ao longo dos anos o tipo de embarca\u00e7\u00e3o mais utilizada no transporte. As causas dos atendimentos foram, predominantemente, sintomas e sinais de etiologia desconhecida ou causas externas. Dos pacientes transportados pelo servi\u00e7o no primeiro semestre de 2016, 68,5% mantiveram o quadro cl\u00ednico, 18% pioraram e 13,5% melhoraram durante o atendimento. Para os atendidos nesse per\u00edodo, os tempos m\u00e9dios, resposta e total de atendimento fluvial foram 84 e 172 minutos, respectivamente. Houve associa\u00e7\u00e3o entre evolu\u00e7\u00e3o e ocorr\u00eancias com serpentes venenosas, presen\u00e7a de dor aguda, idade, gravidade inicial e destino do usu\u00e1rio. Causas de atendimento tiveram rela\u00e7\u00e3o com o agravamento durante a assist\u00eancia e os que pioraram eram mais jovens, de menor gravidade e foram, com maior frequ\u00eancia, encaminhados para hospitais. O perfil dos usu\u00e1rios e dos atendimentos do SAMU fluvial apontou para necessidade de revis\u00e3o dos prop\u00f3sitos e de estrutura\u00e7\u00e3o desse servi\u00e7o.<\/jats:p>","DOI":"10.1590\/0102-311x00281120","type":"journal-article","created":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T12:23:49Z","timestamp":1631708629000},"source":"Crossref","is-referenced-by-count":1,"title":["Servi\u00e7o fluvial de emerg\u00eancia: caracter\u00edsticas e fatores relacionados \u00e0 evolu\u00e7\u00e3o cl\u00ednica dos atendidos"],"prefix":"10.1590","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6014-2279","authenticated-orcid":false,"given":"Ellen de F\u00e1tima Caetano","family":"Lan\u00e7a","sequence":"first","affiliation":[{"name":"Universidade Federal do Amazonas,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0061-4219","authenticated-orcid":false,"given":"L\u00eada Lima","family":"Sobral","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Atendimento M\u00f3vel de Urg\u00eancia,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9210-4445","authenticated-orcid":false,"given":"Rita de C\u00e1ssia Almeida","family":"Vieira","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5387-3807","authenticated-orcid":false,"given":"Lilia de Souza","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2575-7937","authenticated-orcid":false,"given":"Regina Marcia Cardoso de","family":"Sousa","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"key":"ref1","first-page":"289","article-title":"Analysis of services provided by SAMU 192: Mobile component of the urgency and emergency care network.","volume":"20","author":"Almeida PMV","year":"2016","journal-title":"Esc Anna Nery Rev Enferm"},{"key":"ref2","article-title":"Portaria n\u00ba 1.010, de 21 de maio de 2012. 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