Nursing workload in oncological intensive care in the COVID-19 pandemic: retrospective cohort

Lima, Vivian Cristina Gama Souza; Pimentel, Natalia Beatriz Lima; Oliveira, Adriana Maria de; Andrade, Karla Biancha Silva de; Santos, Mauro Leonardo Salvador Caldeira dos; Fuly, Patrícia dos Santos Claro

doi:10.1590/1983-1447.2023.20210334.en

Vivian Cristina Gama Souza Lima

project administration

conceptualization

data curation

writing – original draft

writing – review & editing

investigation

methodology

supervision

visualization

Universidade Federal Fluminense (UFF), Escola de Enfermagem Aurora Afonso Costa, Programa Acadêmico em Ciências do Cuidado em Saúde. Niterói, Rio de Janeiro, Brasil.

Instituto Nacional do Câncer José Gomes de Alencar (INCA), Unidade de Terapia Intensiva. Rio de Janeiro, Rio de Janeiro, Brasil.

https://orcid.org/0000-0001-7249-7683

Natalia Beatriz Lima Pimentel

data curation

writing – review & editing

investigation

visualization

Instituto Nacional do Câncer José Gomes de Alencar (INCA), Unidade de Terapia Intensiva. Rio de Janeiro, Rio de Janeiro, Brasil.

https://orcid.org/0000-0003-1067-6840

Adriana Maria de Oliveira

data curation

writing – review & editing

investigation

visualization

Instituto Nacional do Câncer José Gomes de Alencar (INCA), Unidade de Terapia Intensiva. Rio de Janeiro, Rio de Janeiro, Brasil.

https://orcid.org/0000-0002-9115-5803

Karla Biancha Silva de Andrade

project administration

formal analysis

conceptualization

writing – original draft

writing – review & editing

methodology

supervision

Instituto Nacional do Câncer José Gomes de Alencar (INCA), Unidade de Terapia Intensiva. Rio de Janeiro, Rio de Janeiro, Brasil.

Universidade do Estado do Rio de Janeiro (UERJ), Faculdade de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica. Rio de Janeiro, Rio de Janeiro, Brasil.

https://orcid.org/0000-0002-6216-484X

Mauro Leonardo Salvador Caldeira dos Santos

supervision

visualization

Universidade Federal Fluminense (UFF), Escola de Enfermagem Aurora Afonso Costa, Programa Acadêmico em Ciências do Cuidado em Saúde. Niterói, Rio de Janeiro, Brasil.

https://orcid.org/0000-0002-0276-8537

Patrícia dos Santos Claro Fuly

formal analysis

writing – review & editing

methodology

supervision

Universidade Federal Fluminense (UFF), Escola de Enfermagem Aurora Afonso Costa, Programa Acadêmico em Ciências do Cuidado em Saúde. Niterói, Rio de Janeiro, Brasil.

https://orcid.org/0000-0002-0644-6447

Corresponding author:
Vivian Cristina Gama Souza Lima E-mail: vcgslima@gmail.com

Associate editor:

Dagmar Elaine Kaiser

Editor-in-chief:

Maria da Graça Oliveira Crossetti

Authorship contribution:

Project management: Vivian Cristina Gama Souza Lima, Karla Biancha Silva de Andrade. Formal analysis: Karla Biancha Silva de Andrade, Patrícia dos Santos Claro Fuly. Conceptualization: Vivian Cristina Gama Souza Lima, Karla Biancha Silva de Andrade. Data curation: Vivian Cristina Gama Souza Lima, Adriana Maria de Oliveira, Nathalia Beatriz Lima. Writing - original draft: Vivian Cristina Gama Souza Lima, Karla Biancha Silva de Andrade. Writing - review and editing: Vivian Cristina Gama Souza Lima, Adriana Maria de Oliveira, Nathalia Beatriz Lima,Karla Biancha Silva de Andrade, Patrícia dos Santos Claro Fuly. Investigtion: Vivian Cristina Gama Souza Lima, Adriana Maria de Oliveira, Nathalia Beatriz Lima. Methodology: Vivian Cristina Gama Souza Lima, Karla Biancha Silva de Andrade, Patrícia dos Santos Claro Fuly. Supervision: Vivian Cristina Gama Souza Lima, Karla Biancha Silva de Andrade, Patrícia dos Santos Claro Fuly, Mauro Leonardo Salvador Caldeira dos Santos. Visualization: Vivian Cristina Gama Souza Lima, Adriana Maria de Oliveira, Nathalia Beatriz Lima, Mauro Leonardo Salvador Caldeira dos Santos.

The authors declare that there is no conflict of interest.

Variables	Total sample		With COVID-19		Without COVID-19		p-value
Variables	n	%	n	%	n	%	p-value
Gender							0.444^*
Female	61	88.41	22	36.07	39	63.93
Male	8	11.59	4	50.0	4	50.0
Age range (years)							0.331^*
19 - 40	10	14.71	5	50.0	5	50.0
41 - 59	18	26.47	4	22.22	14	77.78
60 - 70	21	30.43	10	47.62	11	52.38
71 - 87	20	29.41	7	35.0	13	65.0
Education							0.597^†
Illiterate	6	8.70	4	66.67	2	33.33
Literate	2	2.90	0	0	2	100.0
Incomplete primary education	20	28.99	14	70.0	6	30.0
Complete primary education	13	18.84	9	69.23	4	30.77
Incomplete secondary education	3	4.35	2	66.67	1	33.33
Complete secondary education	18	26.09	11	61.11	7	38.89
Incomplete higher education	3	4.35	1	33.33	2	66.67
Complete higher education	3	4.35	2	66.67	1	33.33
Not informed	1	1.45	0	0	1	100.0
Marital status							0.674^*
With a companion	27	39.13	11	40.74	16	59.26
No companion	42	60.87	15	35.71	27	64.29
Number of children							0.632^*
No children	11	15.94	5	45.45	6	54.55
One	20	28.99	8	40.0	12	60.0
Two or three	25	36.23	7	28.0	18	72.0
Four or more	13	18.84	6	46.15	7	53.85
Inpatient facility							0.179^†
Gynecology	46	66.67	15	32.61	31	67.39
BCT cancer	10	14.49	4	40.0	6	60.0
Oncology	9	13.04	4	44.44	5	55.56
Mastology	3	4.35	3	100	0	0
Urology	1	1.45	0	0	1	100
Arterial hypertension							0.683^*
Yes	43	62.32	17	39.53	26	60.47
No	26	37.68	9	34.62	17	65.38
Obesity							0.654^*
Yes	14	20.29	6	42.86	8	57.14
No	55	79.71	20	36.36	35	63.64
FA							0.684^†
Yes	3	4.35	1	33.33	2	66.67
No	66	95.65	25	37.88	41	62.12
Diabetes Mellitus							0.160^*
Yes	23	33.33	6	26,09	17	73.91
No	46	66.67	20	43.48	26	56.52
Cardiopathy							0.431^†
Yes	8	11.59	2	25.0	6	75.0
No	61	88.41	24	39.34	37	60.66
Hypothyroidism							0.464^†
Yes	8	11.59	4	50.0	4	50.0
No	61	88.41	22	36.07	39	63.93
Dyslipidemia							0.514^†
Yes	4	5.80	1	25.0	3	75.0
No	65	94.20	25	38.46	40	61.54
Number of comorbidities							0.338^*
None	13	18.84	5	38.46	8	61.54
One	15	21.74	7	46.67	8	53.33
Two	22	31.88	5	22.73	17	77.27
Three or more	19	27.54	9	47.37	10	52.63
Complications							0.327^†
Oncological	24	35.29	14	58.33	10	41.67
Metabolic	11	16.18	2	18.18	9	81.82
Pulmonary	8	11.76	3	37.50	5	62.50
Infectious	6	8.82	1	16.67	5	83.33
Cardiovascular	5	7.35	3	60.0	2	40.0
Cardiopulmonary	4	5.88	2	50.0	2	50.0
Cardiac	3	4.41	0	0	3	100
Surgical	2	2.94	1	50.0	1	50.0
Neurological	1	1.47	1	100	0	0
No report	4	5.88	1	25.0	3	75.0

Variables	NAS Score				p-value
Variables	Mean	SD	Minimum	Maximum	p-value
Gender					0.561^‖
Female	92.22	29.95	48.7	195.1
Male	98.85	36.75	63.5	183.0
Age range (years)					0.701^†
19 - 40	89.23	16.20	73.6	123.7
41 - 59	87.01	30.82	48.7	195.1
60 - 70	95.33	29.77	59.3	188.0
71 - 87	97.79	37.0	63.2	183.0
Education					0.260^†
Illiterate	87.86	22.47	63.5	118.5
Literate	117.7	56.85	77.5	157.9
Incomplete primary education	84.44	23.48	48.7	172.95
Complete primary education	84.03	17.54	59.3	115.2
Incomplete secondary education	89.57	9.34	80.6	102.7
Complete secondary education	110.52	45.57	50.8	195.1
Incomplete higher education	96.78	13.54	84.4	111,25
Complete higher education	84.86	14.74	67.9	94.6
Not informed	90.5	-	90.5	90.5
Marital status					0.673^*
With a companion	91.03	20.87	59.3	174.0
No companion	94.25	35.65	48.7	195.1
Number of children					0.770^†
No children	99.09	33.28	80.0	195.1
One	95.43	33.8	48.7	183.0
Two or three	88.26	30.98	50.8	188.0
Four or more	93.16	23.63	73.6	157.9

Variables	NAS Score				P value
Variables	Mean	SD	Minimum	Maximum	P value
COVID-19					0.001^*
Yes	110.89	41.55	48.7	195.1
No	82.16	12.99	50.8	113.9
Hospitalization clinic					0.619^†
Gynecology	90.99	28.24	48.7	195.1
BCT cancer	97.15	32.96	63.5	183.0
Oncology	91.93	31.80	59.3	172.95
Mastology	118.26	60.43	81.20	188.0
Urology	77.20	-	77.20	77.20
Reason for hospitalization					0.005^†
Acute respiratory failure	84.56	12.12	68.8	102.7
Acute respiratory failure caused by COVID-19	119.09	42.84	48.7	195.1
Immediate postoperative period	83.96	13.60	50.8	113.9
General state decline	98.87	34.48	71.3	174.0
Sepsis	75.27	8.24	63.1	82.1
Others	76.81	7.52	67.8	881.1
Clinical treatment					0.042^*
Yes	108.43	40.54	76.1	195.1
No	87.84	27.98	27.7	188
Surgical treatment					0.153^*
Yes	89.40	26.99	48.7	188.0
No	100.76	35.16	48.70	195.1
Chemotherapy treatment					0.976^*
Yes	93.16	34.14	48.7	188.0
No	92.92	29.28	50.8	195.1
Radiotherapy treatment					0.429^*
Yes	86.90	21.93	48.7	123.7
No	94.40	32.26	50.8	195.1
Brachytherapy treatment					0.469^*
Yes	84.28	24.21	48.7	118.5
No	93.82	31.15	50.8	195.1
Arterial hypertension					0.214^*
Yes	96.57	35.92	50.8	195.1
No	87.07	17.84	48.7	123.7
Obesity					0.544^*
Yes	97.45	42.59	59.3	195.1
No	91.85	27.11	48.7	183.0
FA					0.717^*
Yes	99.3	6.23	92.1	103,1
No	92.70	31.23	48.7	195.1
Diabetes Mellitus					0.927^*
Yes	93.47	34.99	48.7	188
No	92.75	28.54	50.8	195.1
Cardiopathy					0.316^*
Yes	103.26	25.54	77.9	157.9
No	91.64	31.11	48.7	195.1
Hypothyroidism					0.097^*
Yes	109.87	48.55	63.3	195.1
No	90.78	27.24	48.7	188.0
Dyslipidemia					0.827^*
Yes	96.26	53.11	50.8	172.95
No	92.79	29.34	48.7	195.1
Number of comorbidities					0.027^†
None	87.25	15.92	72.3	123.7
One	85.57	17.32	48.7	118.5
Two	86.08	25.69	50.8	183.0
Three or more	110.78	43.58	63.3	195.1
Complications					0.308^†
Oncological	87.88	21.38	48.7	157.9
Metabolic	95.53	37.72	63.2	195.1
Pulmonary	112.28	42.61	76.9	183.0
Infectious	81.21	19.47	59.3	113.9
Cardiovascular	119.85	55.79	72.5	188.0
Cardiopulmonary	75.17	16.34	50.8	85.6
Heart	90.5	4.61	85.3	94.1
Surgical	87.65	6.29	92.1	92.1
Neurological	111.2	-	111.2	111.2
No report	87.37	6.94	77.9	94.6
Outcome
Discharge	86.09	25.08	48.7	188.0	0.009^*
Death	105.92	35.98	59.3	195.1

Variables	Β coefficient	CI95%		p-value*
Diagnosis of COVID-19	29.509	16.020	43.169	<0.001
Undergoing clinical treatment	20.539	3.848	37.230	0.017
Acute respiratory failure by COVID-19 as the reason for hospitalization	38.180	4.021	72.339	0.029
Constant	67.727	44.348	89.106	<0;001

[1] Corresponding author:
Vivian Cristina Gama Souza Lima E-mail: vcgslima@gmail.com

Brasil

Brasil

Nursing workload in oncological intensive care in the COVID-19 pandemic: retrospective cohort

Carga de trabajo de enfermería en terapia intensiva oncológica en la pandemia de COVID-19: cohorte retrospectiva

ABSTRACT

Objective:

Method:

Results:

Conclusion: