{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T22:58:08Z","timestamp":1772233088949,"version":"3.50.1"},"reference-count":26,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Esc. Anna Nery"],"abstract":"<jats:p>Resumo  Objetivo analisar os fatores associados \u00e0 readmiss\u00e3o de atendimento ao Servi\u00e7o de Atendimento M\u00f3vel de Urg\u00eancia (SAMU).  M\u00e9todo estudo epidemiol\u00f3gico, do tipo seccional. Analisaram-se dados de 600 pacientes adultos atendidos pelo servi\u00e7o de um munic\u00edpio do interior de S\u00e3o Paulo, Brasil, no ano de 2015. Uma regress\u00e3o log\u00edstica m\u00faltipla identificou os fatores associados \u00e0 readmiss\u00e3o.  Resultados predominaram o atendimento de ocorr\u00eancias cl\u00ednicas, pacientes do sexo masculino e m\u00e9dia de idade de 55,5 anos. Identificou-se um retorno de 26,7% nos seis meses seguintes ao atendimento no servi\u00e7o pr\u00e9-hospitalar. As readmiss\u00f5es se associaram aos fatores cl\u00ednicos dos pacientes, aos procedimentos realizados no ambiente pr\u00e9-hospitalar m\u00f3vel e ao fluxo intra-hospitalar. Ademais, foi poss\u00edvel verificar rela\u00e7\u00e3o com a regi\u00e3o da cidade na qual o estudo foi realizado.  Conclus\u00e3o e implica\u00e7\u00f5es para a pr\u00e1tica a an\u00e1lise mostrou um perfil de atendimentos a pacientes com idade m\u00e9dia de 55 anos e acometidos por doen\u00e7as cr\u00f4nicas n\u00e3o transmiss\u00edveis. A chance de retorno se associou \u00e0 natureza cl\u00ednica da doen\u00e7a, aos fluxos assistenciais e \u00e0 regi\u00e3o do atendimento. Estudos como este auxiliam no planejamento e na elabora\u00e7\u00e3o de pol\u00edticas p\u00fablicas e a\u00e7\u00f5es em sa\u00fade condizentes com as necessidades identificadas, com potencial de auxiliar na diminui\u00e7\u00e3o da sobrecarga dos servi\u00e7os de urg\u00eancia.<\/jats:p>","DOI":"10.1590\/2177-9465-ean-2023-0004pt","type":"journal-article","created":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T07:20:15Z","timestamp":1701069615000},"source":"Crossref","is-referenced-by-count":0,"title":["Fatores relacionados \u00e0s readmiss\u00f5es ao Servi\u00e7o de Atendimento M\u00f3vel de Urg\u00eancia"],"prefix":"10.1590","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2442-2606","authenticated-orcid":false,"given":"Claudia Maria Silva","family":"Cyrino","sequence":"first","affiliation":[{"name":"Universidade Estadual Paulista,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0590-4127","authenticated-orcid":false,"given":"Meire Cristina Novelli e","family":"Castro","sequence":"additional","affiliation":[{"name":"Universidade Estadual Paulista,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7806-1386","authenticated-orcid":false,"given":"H\u00e9lio Rubens de Carvalho","family":"Nunes","sequence":"additional","affiliation":[{"name":"Universidade Estadual Paulista,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8076-8276","authenticated-orcid":false,"given":"Sergio","family":"Deodato","sequence":"additional","affiliation":[{"name":"Universidade Cat\u00f3lica Portuguesa,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7518-6626","authenticated-orcid":false,"given":"Magda Cristina Queiroz","family":"Dell\u2019Acqua","sequence":"additional","affiliation":[{"name":"Universidade Estadual Paulista,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3734-2317","authenticated-orcid":false,"given":"Carmen Maria Casquel Monti","family":"Juliani","sequence":"additional","affiliation":[{"name":"Universidade Estadual 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Invest"},{"issue":"4","key":"ref5","first-page":"669","article-title":"Analysis of obstetric care provided by the Mobile Emergency Care Service","volume":"69","author":"Michilin NS","year":"2016","journal-title":"Rev Bras Enferm"},{"issue":"4","key":"ref6","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1590\/S1983-14472012000400018","article-title":"Risco de vida e natureza do SAMU: demanda n\u00e3o pertinente e implica\u00e7\u00f5es para a enfermagem","volume":"33","author":"Veronese AM","year":"2012","journal-title":"Rev Ga\u00facha Enferm"},{"issue":"23","key":"ref7","article-title":"Rede de aten\u00e7\u00e3o \u00e0s urg\u00eancias: perfil, demanda e itiner\u00e1rio de atendimento de idosos","volume":"2","author":"Antunes BCK","year":"2018","journal-title":"Cogitare Enferm."},{"key":"ref8","doi-asserted-by":"crossref","first-page":"886","DOI":"10.9789\/2175-5361.rpcfo.v13.9606","article-title":"Motivations of user access in situations characterized as non-urgent ready","volume":"13","author":"Gon\u00e7alves APFM","year":"2021","journal-title":"R Pesq Cuid Fundam Online"},{"key":"ref9","article-title":"Caracteriza\u00e7\u00e3o do atendimento do Servi\u00e7o de Atendimento M\u00f3vel de Urg\u00eancia (SAMU) \u00e0s emerg\u00eancias cl\u00ednicas","volume":"23","author":"Hora RS","year":"2019","journal-title":"Rev Min Enferm."},{"key":"ref10","article-title":"Associa\u00e7\u00e3o do perfil de usu\u00e1rios frequentes com as caracter\u00edsticas de utiliza\u00e7\u00e3o de um servi\u00e7o de emerg\u00eancia","volume":"22","author":"Frango BCTM","year":"2018","journal-title":"Rev Min Enferm."},{"issue":"2","key":"ref11","article-title":"View of frequente-users of emergency department: a mixed-methods observational retrospective study in Emilia-Romagna (Italy)","volume":"19","author":"Ubuali A","year":"2020","journal-title":"OBJNursing."},{"issue":"11","key":"ref12","first-page":"492","article-title":"Unidades avan\u00e7adas: medidas de qualidade no atendimento de urg\u00eancia e emerg\u00eancia","volume":"12","author":"Carai D","year":"2014","journal-title":"Einstein (Sao Paulo)"},{"issue":"5","key":"ref13","first-page":"104","article-title":"Factors contributing to reinternation of patients subject to heart surgery","volume":"11","author":"Lopes AMLA","year":"2020","journal-title":"Enferm. Foco"},{"issue":"1","key":"ref14","article-title":"Sepsis after ICU discharge: a public health problem","volume":"41","author":"Teixeira C","year":"2021","journal-title":"Clin Biomed Res"},{"issue":"10","key":"ref15","doi-asserted-by":"crossref","DOI":"10.2196\/27499","article-title":"Identifying frequent health care users and care consumption patterns: process mining of emergency medical services data","volume":"23","author":"Maruster L","year":"2021","journal-title":"J Med Internet Res"},{"issue":"23-24","key":"ref16","doi-asserted-by":"crossref","first-page":"3605","DOI":"10.1111\/jocn.13011","article-title":"Reasons for returning to the emergency department following discharge from an internal medicine unit: perspectives of patients and the liaison nurse clinician","volume":"24","author":"Vat M","year":"2015","journal-title":"J Clin Nurs"},{"issue":"1","key":"ref17","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1146\/annurev-med-022613-090415","article-title":"Reducing hospital readmission: current strategies and future directions","volume":"65","author":"Kripalani S","year":"2014","journal-title":"Annu Rev Med"},{"key":"ref18","series-title":"Released 2012. IBM SPSS Statistics for Windows, Version 21.0.","year":"2012"},{"issue":"1","key":"ref19","first-page":"1","article-title":"Profile of state prehospital mobile emergency care service","volume":"21","author":"Dias AMC","year":"2016","journal-title":"Cogitare Enferm."},{"issue":"10","key":"ref20","first-page":"3718","article-title":"Mobile Urgency Service: user\u2019s satisfaction","volume":"11","author":"Ferreira AM","year":"2017","journal-title":"Rev Enferm UFPE"},{"issue":"4","key":"ref21","doi-asserted-by":"crossref","first-page":"47","DOI":"10.26694\/2238-7234.6447-52","article-title":"Descri\u00e7\u00e3o dos atendimentos do servi\u00e7o pr\u00e9-hospitalar","volume":"6","author":"Moura LDS","year":"2017","journal-title":"Rev Enferm UFPI."},{"issue":"11","key":"ref22","doi-asserted-by":"crossref","first-page":"1268","DOI":"10.1097\/CM9.0000000000000770","article-title":"Trends and characteristics in pre-hospital emergency care in Beijing from 2008 to 2017","volume":"133","author":"Huang W","year":"2020","journal-title":"Chin Med J"},{"issue":"1","key":"ref23","first-page":"11","article-title":"Characterization of the clinical care provided by the Mobile Emergency Care Service","volume":"18","author":"Tana DB","year":"2020","journal-title":"Rev Soc Bras Clin Med"},{"issue":"2","key":"ref24","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"},{"key":"ref25","article-title":"Transitional care: analysis of the concept in hospital discharge management","volume":"26","author":"Bernardino E","year":"2022","journal-title":"Esc Anna Nery"},{"key":"ref26","series-title":"Botucatu","year":"2021"}],"container-title":["Escola Anna Nery"],"original-title":["Factors related to readmissions to the Mobile Emergency Care Service"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1414-81452023000100258&tlng=pt","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T07:20:30Z","timestamp":1701069630000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1414-81452023000100258&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":26,"alternative-id":["S1414-81452023000100258"],"URL":"https:\/\/doi.org\/10.1590\/2177-9465-ean-2023-0004pt","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/2177-9465-ean-2023-0004en","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/2177-9465-ean-2023-0004en","asserted-by":"object"}]},"ISSN":["2177-9465","1414-8145"],"issn-type":[{"value":"2177-9465","type":"electronic"},{"value":"1414-8145","type":"print"}],"subject":[],"published":{"date-parts":[[2023]]},"article-number":"e20230004"}}